This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Uterine fibroid, Subject name: Gynaecology & Obstetrics
[{'content': 'Concerning fibroids \nSelect and explain. \nA. Use of GnRH analogues cause permanent reduction in size, B. Pregnancy following myomectomy is about 80%, C. Recurrence rate following myomectomy is about 20%, D. Growth factors (IGF-L EGF) stimulates myoma to grow', 'role': 'user'}, {'content': "Answer: D \nExplanation: EGF, IGF-1, TGF stimulates the growth of leiomyoma either directly or estrogen GnRH analogues reduces 50%-80% of myoma size when used for 6months Pregnancy rate following myomectomy is 40-60% Recurrence and persistance following myomectomy is 30-50% D.C.DUTTA'S TEXTBOOK OF GYNECOLOGY,Pg no:272,281,282,6th edition *Intramural fibroid : endometrial sampling next step of management", 'role': 'assistant'}]