This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Normal Menstruation, Abnormal Menstruation, Menopausal Physiology and forsight of conception, Subject name: Gynaecology & Obstetrics
[{'content': 'Pain due to pelvic congestion syndrome is relieved by: \nSelect and explain. \nA. OC pills., B. Tamoxifen, C. Mefenamic Acid., D. Mifepristone.', 'role': 'user'}, {'content': 'Answer: A \nExplanation: PELVIC CONGESTION SYNDROME There is congestion or dilatation of uterine or ovarian plexuses. Symptoms: Patient has a congestive type of dysmenorrhea without any demonstrable pelvic pathology. other symptoms include: bilateral lower abdominal pain, dyspareunia, abnormal uterine bleeding, chronic fatigue and irritable bowel symptoms Diagnosis: clinical, Tranuterine venography, MRI are for primary diagnosis. Pelvic USG and laparoscopy may disclose varicosities Management: Pain relief: Oral Contraceptive Pills (containing low estrogen and high Progesterone), GnRH analogues Hormonal suppression: medroxyprogesterone acetate (30 mg daily), Goserelin (GnRH analogue) Non responsive: Percutaneous transcatheter embolisation', 'role': 'assistant'}]