This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Gynaecological Disorders in Obs., Subject name: Gynaecology & Obstetrics
All of the following may be associated with fibroid except. 
Select and explain. 
A. Pseudo-Meig's syndrome, B. Polycethemia, C. Amenorrhea, D. Dysmenorrhea
C: Amenorrhea
Answer: C: Amenorrhea 
Explanation: Ans. is c, i.e. Amenorrhea(Ref: Williams Gynae 3rd/ed, p206)There is absolutely no confusion now that fibroids can lead to polycythemia especially a broad ligament fibroid.Fibroids can lead to 2deg dysmenorrhea --"Spasamodic dysmenorrhea is pwssible when a submucous tumor stimulates expulsive uterine contractions but is not common" - Jeff orate 9th/ed, p586."Leiomyomas occasionally may cause pseudo- Merig syndrome." - Williams Gynae 3rd/ed, p206.