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Gynaecology & Obstetrics Endometriosis & H 927378f4

About adenomyosis, all are true except:-

A
Associated with dysmenorrhea and menorrhagia
B
Total hysterectomy is the treatment of choice
C
Asymmetrically enlarged and tender uterus
D
Seen in multiparous women
High-Yield Explanation
Uterus is Symmetrically enlarged in adenomyosis to not more than 14 weeks size. Adenomyosis Seen in multiparous women >40yrs Associated with Progressive Dysmenorrhea Menorrhagia Treatment Best Rx : Hysterectomy Menorrhagia: NSAIDS , Hormones Young women: Hormones, COCP for longer duration, IUCD with progesterone(mirena), Localised excision Sx Mx of Menorrhagia: D&C

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