<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 63-year-old woman with a past medical history significant for hypertension presents to the outpatient clinic for evaluation of vaginal dryness, loss of libido, and hot flashes. These symptoms have been progressively worsening over the past 3 months. Her vital signs are: blood pressure 13181 mm Hg, pulse 68min, and respiratory rate 16min. She is afebrile. On further review of systems, she endorses having irregular periods for almost a year, and asks if she has begun menopause. Which of the following parameters is required to formally diagnosis menopause in this patient?? A: Cessation of menses for at least 12 months, B: Increased serum follicle-stimulating hormone FSH, C: Increased serum luteinizing hormone LH, D: Increased total cholesterol, E: Pelvic ultrasound demonstrating decreased follicular activity,  <response>: This is a clinical vignette about a 63-year-old woman presenting with symptoms of vaginal dryness, loss of libido, hot flashes, and irregular periods, concerning for menopause. The question asks which parameter is required to formally diagnose menopause. Choice A is cessation of menses for at least 12 months, which is the correct diagnostic criteria for menopause. Choice B, increased FSH, and Choice C, increased LH, can be seen in menopause but are not required for diagnosis. Choices D and E are incorrect and unrelated to the diagnosis of menopause.A: Cessation of menses for at least 12 months 