An alcoholic woman has

Options

A. Reduced fertility
B. Little menstrution
C. Spontaneous abortion
D. All the above

Answer

### Step-by-Step Solution:

1. **Understanding the Question**: The question asks about the effects of alcoholism on a woman’s reproductive health. The options provided are reduced fertility, little menstruation, spontaneous abortion, or all of the above.

2. **Hormonal Impact of Alcohol**: Alcohol consumption in women affects the levels of two key hormones: estrogen and progesterone.

3. **Role of Estrogen**: Estrogen is responsible for regulating the menstrual cycle and the development of secondary sexual characteristics in females.

4. **Role of Progesterone**: Progesterone plays a crucial role in maintaining the inner lining of the uterus (the endometrium), making it suitable for implantation of a fertilized egg.

5. **Effects of Hormonal Alteration**: When alcohol alters the levels of estrogen and progesterone, it can lead to irregularities in the menstrual cycle.

6. **Consequences of Low Progesterone**: Low levels of progesterone result in improper development of the uterine lining. Since the endometrium is not adequately developed, it may not shed properly during menstruation, leading to little or no menstrual bleeding.

7. **Conclusion**: Given the effects of alcohol on hormone levels and menstrual health, the correct answer to the question is that an alcoholic woman has "little menstruation" due to the improper development of the inner lining of the uterus.

### Final Answer: Little menstruation.

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