This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Gynaecology & Obstetrics
[{'content': 'Sucheta, a 29-year-old nulliparous women complains of severe menorrhagia and lower abdominal pain for 3 months. On examination, there was a 14 weeks size uterus with fundal fibroid. The treatment of choice is: \nSelect and explain. \nA. Myomectomy, B. GnRH analogs, C. Hystrectomy, D. Wait and watch', 'role': 'user'}, {'content': 'Answer: A \nExplanation: First, let us see whether we would like to go for medical management or surgical intervention.\nThe patient is presenting with:\n\nSevere menorrhagia\nChronic lower abdomen pain\nThese indications are strong enough for surgical intervention. Earlier size of fibroid >12 weeks was also an indication for surgery but nowadays it is not.\nNow comes the question - whether myomectomy or hysterectomy should be done.\n\nAn indication of Myomectomy:\n\nMyomectomy is specifically indicated in an infertile woman or woman desirous of bearing child and wishing to retain her uterus.', 'role': 'assistant'}]