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
Most common symptom of endometriosis is: September 2011, March 2013 
Select and explain. 
A. Dysmenorrhoea, B. Dyspareunia, C. Infeility, D. Abdominal pain
A: Dysmenorrhoea
Answer: A: Dysmenorrhoea 
Explanation: Ans. A: Dysmenorrhoea Dysmenorrhoea is the most common symptom of endometriosis Endometriosis: MC site: Ovary Common in nullipara Choclate cyst Most widely accepted theory: Sampsons theory of retrograde menstruation MC manifestation: Pelvic pain Treatment: - Progesterone - Clomiphene (infeile women) - GnRH analogues (leupolide) Surgical procedure: Ovarian cystectomy/ oopherectomy/ wedge resection