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
Treatment of choice for adenomyosis is 
Select and explain. 
A. Estrogens only, B. OCP, C. Laser endoscopy, D. Hysterectomy
D: Hysterectomy
Answer: D: Hysterectomy 
Explanation: Treatment of adenomyosis: Diagnostic hysteroscopy combined with curretage is the initial management Total hysterectomy is the treatment in elderly Ref: Shaw Gynecology 17 e pg 186.