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
Raja Devi 45 yrs old women present with history of polymenorrhea for last six months. The first line of management is: 
Select and explain. 
A. Hysterectomy, B. Progesterone for 3 cycles, C. Dilatation & curettage, D. Oral contraceptive for 3 cycles
D: Oral contraceptive for 3 cycles
Answer: D: Oral contraceptive for 3 cycles 
Explanation: The first line of management for polymenorrhea is OCPs. Then comes surgical, dilatation and curettage. Ref: Textbook of Gynecology By D C Dutta, 3rd Edition, Page 182 ; Textbook of Gynecology By Sudha Salhan, 2012, Page 70