This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Endometriosis and dysmenorrhea, 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. Presents with menorrhagia, dysmenorrhea, and an enlarged uterus, D. More common in young women
C: Presents with menorrhagia, dysmenorrhea, and an enlarged uterus
Answer: C: Presents with menorrhagia, dysmenorrhea, and an enlarged uterus 
Explanation: The patients are usually parous and in their foies 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. Reference: Textbook of gynaecology; Sheila balakrishnan; 2nd edition; Pg187