This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: recent papers  obst, Subject name: Gynaecology & Obstetrics
[{'content': '45 years female with 3 months menorrhagia. USG showing 2 cm submucosal fibroid. First line of management is \nSelect and explain. \nA. Ocp for 3 months, B. Progesterone for 3 months, C. Endometrial sampling, D. Hysterectomy', 'role': 'user'}, {'content': 'Answer: C \nExplanation: * American College of Obstetricians and Gynecologists recommends endometrial assessment in any woman older than 45 years with AUB, and in those younger than 45 years with a history of unopposed estrogen exposure such as seen in obesity or polycystic ovarian syndrome (PCOS), failed medical management, and persistent AUB. * Then management is done accordingly depending upon HPE repo. Ref:- Williams gynecology 3rd Edition; Pg num:- 184', 'role': 'assistant'}]