This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Endometriosis and dysmenorrhea, Subject name: Gynaecology & Obstetrics
[{'content': 'Treatment of choice of perimenopausal adenomyosis is : \nSelect and explain. \nA. OCP, B. LNG IUCD, C. GnRH agonists, D. Hysterectomy', 'role': 'user'}, {'content': "Answer: D \nExplanation: A diagnostic hysteroscopy combined with a curettage is the initial step in the management of adenomyosis because of menorrhagia. Since most women are elderly and past the age of childbearing, total hysterectomy is the treatment. Reference: Shaw's Textbook of Gynaecology 16th edition page no 421", 'role': 'assistant'}]