This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Tuberculosis of the Genital Tract, Subject name: Gynaecology & Obstetrics
[{'content': 'Genital tuberculosis spreads through: \nSelect and explain. \nA. Hematogenous route, B. Lymphatic route, C. Direct contact, D. Ascending infection', 'role': 'user'}, {'content': 'Answer: A \nExplanation: ANSWER: (A) Hematogenous routeREF: Shaw\'s Gynecology 13th ed p. 147"Most common route of spread of genital tuberculosis is through blood stream"', 'role': 'assistant'}]