This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Endometriosis, Adenomyosis, Subject name: Gynaecology & Obstetrics
Laparoscopic uterine nerve ablation (LUNA) is used most commonly in the treatment of- 
Select and explain. 
A. Mild to mod Endometriotic lesions, B. Severe Vasomotor symptoms of menopause, C. Conservative management of Fibroids, D. Pain relief in Ca Ovary
A: Mild to mod Endometriotic lesions
Answer: A: Mild to mod Endometriotic lesions 
Explanation: Ablation of endometriotic lesions along with laparoscopic uterine nerve ablation (LUNA) in minimal to moderate disease reduces pain associated with endometriosis Ablation of endometriotic lesions plus adhesiolysis in minimal to mild endometriosis is more effective than diagnostic laparoscopy alone in improving feility LUNA: involves the destruction of the uterine nerve fibres that exit the uterus through the uterosacral ligament. Impoant complication is devervation of pelvis and uterine prolapse PSN: Pre Sacral Neurectomy: interruption of sympathetic innervation of the uterus at the level of superior hypogastric plexus