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
Period of amenorrhea followed by massive bleeding is seen in premenopausal women with 
Select and explain. 
A. Irregular ripening, B. Irregular shedding, C. Metropathia hemorrhagica, D. All of the above
C: Metropathia hemorrhagica
Answer: C: Metropathia hemorrhagica 
Explanation: Irregular ripening is anovulatory bleeding due to deficient corpus luteal function. the breakthrough bleeding occurs before the actual menstruation in the form of spotting or brownish discharge
Irregular shedding is due to persistent corpus luteum. the menstruation comes on time, is prolonged but not heavy