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
Fibroids cause infertility and pregnancy wastage because 
Select and explain. 
A. Inhibit normal ovulation, B. Endometrial inflammation, C. Pressure effect on ovaries, D. Hyperestrogenic state
B: Endometrial inflammation
Answer: B: Endometrial inflammation 
Explanation: Fibroids are associated with endometrial inflammation and vascular changes that may disrupt implantation.