Which of the following symptoms is commonly seen with estrogen deficiency in older women?

The symptom commonly seen with estrogen deficiency in older women is dyspareunia, which refers to painful intercourse. Estrogen plays a crucial role in maintaining the health of vaginal tissues and lubrication. As women age and estrogen levels decline, particularly during and after menopause, they often experience changes such as vaginal dryness, thinning of the vaginal walls, and decreased elasticity. These changes can lead to discomfort or pain during sexual activity, which is clinically recognized as dyspareunia.

In contrast, erectile dysfunction is primarily associated with male sexual health and is not a symptom directly related to estrogen deficiency in women. Increased libido is generally not expected with estrogen deficiency; instead, it often decreases due to hormonal changes. Improved sexual arousal would also be unlikely in the context of lower estrogen levels, as estrogen is vital for facilitating sexual response and arousal in females. Thus, dyspareunia is the symptom that most accurately reflects the effects of estrogen deficiency in older women.