This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Gynaecology & Obstetrics
GnRH agonists given along with progestins cause 
Select and explain. 
A. Decrease in size of fibroid, B. Increase in growth of fibroid, C. No change in size of fibroid, D. Decrease size of only vascular fibroids
B: Increase in growth of fibroid
Answer: B: Increase in growth of fibroid 
Explanation: If progestins, are given simultaneously with GnRH agonists, there is typically increased leiomyoma growth.