This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Normal Menstruation, Abnormal Menstruation, Menopausal Physiology and forsight of conception, Subject name: Gynaecology & Obstetrics
[{'content': 'Evidence based treatment for menorrhagia is all except: \nSelect and explain. \nA. OCPS, B. Progesterone for three months cyclically, C. Tranexamic acid, D. Methotrexate', 'role': 'user'}, {'content': 'Answer: D \nExplanation: Menorrhagia - Increased menstrual flow (>80ml) / increased duration at regular cycles. (>5 days) Treatment 1st line - NSAIDS Tranexamic acid 2nd line - hormones - Progesterone > estrogen Danazol GnRh analogues- stops periods. 3rd line - Surgical management Dilatation and Currettage Endometrial ablation Hysterectomy', 'role': 'assistant'}]