This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: General obstetrics, Subject name: Gynaecology & Obstetrics
The cause of &;postpaum blues&; is 
Select and explain. 
A. Decreased estrogen, B. Decreased progesterone, C. Increased prolactin, D. Decreased estrogen and progesterone
D: Decreased estrogen and progesterone
Answer: D: Decreased estrogen and progesterone 
Explanation: Also called maternity blues Affects women within 3-5 days of delivery Symptoms include insomnia, unexplained weepiness, depression, anxiety, headache, poor concentration, and fatigue.The condition is self-limiting and requires only reassurance and emotional suppo especially family suppo (refer to pgno:438 Sheila 2 nd edition)