What is the primary characteristic of stage +2 in menopause?

The primary characteristic of stage +2 in menopause is the predominance of somatic aging alongside an increase in genitourinary symptoms. During this stage, women often experience more noticeable physical changes associated with aging, which may include various symptoms related to the genitourinary system, such as vaginal dryness, urinary urgency, and incontinence. These symptoms are significant as they can affect the quality of life and overall well-being of women going through this transition.

While emotional disturbances may occur during menopause, they are not specifically defined as the primary characteristic of stage +2. Similarly, slight improvements in menstrual regularity or continued high levels of fertility do not align with the typical experiences of women in this stage, as fertility significantly declines during menopause. Therefore, the correct answer accurately captures the essence of changes experienced during this particular stage.