Most commonly uterine fibroid presents as heavy menstrual bleeding. Most likely cause is: (A) Hormonal imbalance, (B) Dilated endometrial venules, (C) Ruptured fibroids, (D) Torsion of fibroids
Answer is B. Dysregulation of local vasoactive growth factors is known to cause dilatation of endometrial venules which causes heavy menstrual bleeding.