This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: NEET Jan 2020, Subject name: Gynaecology & Obstetrics
[{'content': '18 Year old girl comes to gynae OPD presenting with 6 months of amenorrhea, with h/o low grade fever, weight loss, pain abdomen, generalized weakness. On examination pelvic mass felt on left side with features of ascites. Diagnosis? \nSelect and explain. \nA. TB pelvis with tubo ovarian mass, B. Ectopic pregnancy, C. Granulosa cell tumour, D. Fibroid degeneration', 'role': 'user'}, {'content': 'Answer: A \nExplanation: Tubercular PID Pathogenesis of amenorrhea Endometritis - endometrial destruction- Asherman syndrome --> amenorrhea (non responsive to withdrawl by estrogen + progesterone) Oligomenorrhea Hypomenorrhea Amenorrhea ( m/c) C/F : low grade fever weight loss , pain abdomen, generalized weakness. Amenorrhea', 'role': 'assistant'}]