Multiple choice question

Question

Dear staff:

This is Yu.zhou. May anybody who is good at Pathophysiology help me with the question below. Thank you, sincerely

Which of the following is responsible for 50% of perimenopausal women having extremely heavy flow periods (flooding)?

A. Loss of estrogen, especially estradiol, and loss of progesterone

B. Rapid fluctuations in estrogen

C. Increased production of progesterone and decreased estrogen

D. Decreased production of progesterone and increasing of estrogen hormone estradiol.

Answer 1

I will say D

Because the increase in estrogen hormone estradiol will go up and the production of progesterone will go down. Also, have this fluxation could cause for periods to skip which then you will have an extra build up on the uterine wall causing heavier bleeding.