This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Endometriosis, Subject name: Gynaecology & Obstetrics
True regarding adenomyosis is: 
Select and explain. 
A. Most common in nullipara, B. Progestin are agents of choice for medical management, C. Presents with menorrhagia, dysmenorrhea, and an enlarged uterus, D. More common in young women
C: Presents with menorrhagia, dysmenorrhea, and an enlarged uterus
Answer: C: Presents with menorrhagia, dysmenorrhea, and an enlarged uterus 
Explanation: Ans. is c, i.e. Presents with menorrhagia, dysmenorrhea and an enlarged uterusRef: Shaw 15th/ed, p474-5; Novak 15th/ed, p484-5Adenomyosis is a condition where there is ingrowth of endometrium (both gland + stroma) directly into the myometrium.Q Earlier it was called as Endometriosis internaIt is more common in MultiparousQ females (i.e. option a is correct).It is more common in elderly patients (>40 years, i.e. option d is incorrect).Mainly manifests as menorrhagia, dysmenorrhea and enlarged uterus (i.e. option c is correct).