This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Miscellaneous (Gynae), Subject name: Gynaecology & Obstetrics
[{'content': 'A 55-year-old postmenopausal lady with simple endometrial hyperplasia with atypia. What is the management? \nSelect and explain. \nA. Hysterectomy, B. Mirena, C. Progestin, D. Estrogens', 'role': 'user'}, {'content': 'Answer: A \nExplanation: Ans. is a i.e. Hysterectomy* Women with atypical hyperplasia should undergo a total hysterectomy because of the risk of underlying malignancy or progression to cancer.* A laparoscopic approach to total hysterectomy is preferable to an abdominal approach as it is associated with a shorter hospital stay, less postoperative pain and quicker recovery.* Postmenopausal women with atypical hyperplasia should be offered bilateral salpingo oophorectomy together with the total hysterectomy.', 'role': 'assistant'}]