<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 54-year-old G2P2 presents to her gynecologists office with complaints of frequent hot flashes, malaise, insomnia, and mild mood swings for 2 weeks. She has also noticed some pain with intercourse and vaginal dryness during this time. She is otherwise healthy besides hyperlipidemia, controlled on atorvastatin. She has no other past medical history, but underwent hysterectomy for postpartum hemorrhage. She is desiring of a medication to control her symptoms. Which of the following is the most appropriate short-term medical therapy in this patient for symptomatic relief?? A: Hormonal replacement therapy with estrogen alone, B: Hormonal replacement therapy with combined estrogenprogesterone, C: Hormonal replacement therapy with progesterone alone, D: Paroxetine, E: Gabapentin,  <response>: This is a question about the appropriate medical treatment for a 54-year-old woman experiencing symptoms of menopause after a hysterectomy. She is experiencing hot flashes, insomnia, mood changes, vaginal dryness and pain with intercourse. The key details are her age, hysterectomy history, and symptoms consistent with menopause. Since she underwent a hysterectomy and no longer has a uterus, estrogen alone would be the most appropriate hormone replacement therapy. Progesterone is not necessary without a uterus and may actually have detrimental effects. The other options of paroxetine and gabapentin may help with symptoms but would not treat the underlying hormonal imbalance directly.A: Hormonal replacement therapy with estrogen alone 