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 for adenomyosis is \nSelect and explain. \nA. Estrogens only, B. OCP, C. Laser endoscopy, D. Hysterectomy', 'role': 'user'}, {'content': 'Answer: D \nExplanation: Treatment of adenomyosis: Diagnostic hysteroscopy combined with curretage is the initial management Total hysterectomy is the treatment in elderly Ref: Shaw Gynecology 17 e pg 186.', 'role': 'assistant'}]