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A 58-year-old woman presents to her physician complaining of burning pain during sexual intercourse, vaginal dryness and itching. This condition started six months ago and getting worse. Her last menstrual period was at the age of 50 and she had no vaginal bleeding since then. Medical, surgical and family histories are unremarkable. Physical examination demonstrates thin labia majora and her labia minora are atrophic and whitish in appearance. The affected area extends around the perianal area and looks like a white butterfly. A KOH and wet prep smear of the discharge are negative.
What is the most likely diagnosis?
A- Atrophic vaginitis
B- Bacterial vaginosis
C- Candida vaginitis
D- Lichen sclerosus
E- TB vaginitis
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