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Gynaecology & Obstetrics Endometriosis and dysmenorrhea 3b7e783a

True regarding adenomyosis is :

A
Most common in nulliparous women
B
Progestin are agents of choice for medical management
C
Presents with menorrhagia, dysmenorrhea, and an enlarged uterus
D
More common in young women
High-Yield Explanation
The patients are usually parous and in their foies Symptoms: Menorrhagia or Menometrorrhagia and Congestive dysmenorrhoea Relief of secondary dysmennorhoea can be tried with NSAIDs or OCPs Other options are GnRH agonists or LNG -IUS. Medical treatment is not very effective. Reference: Textbook of gynaecology; Sheila balakrishnan; 2nd edition; Pg187

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