This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: All India exam, Subject name: Microbiology
False for pelvic congestion syndrome is 
Select and explain. 
A. A recognized cause of chronic pelvic pain in women, B. Associated with lumbo-ovarian vein varices, C. Dyspareunia, when present, may be a poor prognostic indicator, D. Symptom are often worse after Menstruation
D: Symptom are often worse after Menstruation
Answer: D: Symptom are often worse after Menstruation 
Explanation: Pelvic congestion syndrome is a recognized cause of chronic pelvic pain in women that has been associated with lumbo-ovarian vein varices.Dyspareunia, when present, may be a poor prognostic indicator. Symptoms are often worse with fatigue, before menstruation, and in the upright position.