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
Concerning fibroids: 
Select and explain. 
A. Use of GnRH analogues cause permanent reduction in size, B. Pregnancy following myomectomy is about 80%, C. Recurrence rate following myomectomy is about 30%, D. Growth factors (IGF-1, EGF) stimulates myoma to grow
D: Growth factors (IGF-1, EGF) stimulates myoma to grow
Answer: D: Growth factors (IGF-1, EGF) stimulates myoma to grow 
Explanation: Option a: Incorrect as regrowth of myoma occurs after 3 months of GnRH therapy
Option b: Is also incorrect as pregnancy rate following myomectomy is 50–60% and not 30%.
Option c: Recurrence rate is 1%, 10% and not 30% hence it is also incorrect.
Option d: “Epidermal growth factor (EGF), insulin like growth factor (IGF 1), transforming growth factor (TGF), stimulate the growth of the leiomyoma either directly on via estrogen” Dutta Gynae 6th/ed p 272. Hence option d is correct.