This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Disorders in Menstruation, Subject name: Gynaecology & Obstetrics
[{'content': 'Metropathica hemorrhagica is best treated by: \nSelect and explain. \nA. Curettage of uterus, B. Progestogen, C. Estrogen, D. Clomiphene', 'role': 'user'}, {'content': 'Answer: B \nExplanation: Ans. is b, i.e. ProgestogenRef: Dutta Gynae 5th/ed, p184,187, 6th/ed, pMetropathica hemorrhagica is a type of anovulatory DUB, hence logically speaking it should be best treated by progesterone therapy.It is mostly seen in premenopausal women.Patients complain of a variable period of amenorrhea followed by excessive painless bleeding.On HPE-cystic glandular hyperplasia, Swiss cheese pattern is seen, and secretory changes are absentTreatment:* In DUB due to anovular causes: Progesterones are the mainstay of therapy.* They diminish the effects of estrogen on target cells by inhibiting oestrogen receptors.', 'role': 'assistant'}]