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
True regarding adenomyosis is 
Select and explain. 
A. Most common in nulliparous women, B. Progestin are agents of choice for medical management, C. More common in young women, D. Presents with menorrhagia, dysmenorrhea, and an enlarged uterus
D: Presents with menorrhagia, dysmenorrhea, and an enlarged uterus
Answer: D: Presents with menorrhagia, dysmenorrhea, and an enlarged uterus 
Explanation: The patients are usually porous and in their forties
Symptoms: Menorrhagia or Menometrorrhagia and Congestive dysmenorrhoea
Relief of secondary dysmennorhoea can be tried with NSAIDs or OCPs
Other options are GnRH agonists or LNG -IUS.
Medical treatment is not very effective.