This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Miscellaneous (Gynae), Subject name: Gynaecology & Obstetrics
What is the earliest most common presenting feature of anterior cervical fibroid? 
Select and explain. 
A. Frequency of urine, B. Bleeding, C. Acute abdomen, D. Constipation
A: Frequency of urine
Answer: A: Frequency of urine 
Explanation: Ans. is a, i.e. Frequency of urineRef: Dutta Gynae 6th/ed p284Symptoms of cervical fibroid are predominantly due to pressure effect on surrounding structures.Anterior cervical fibroid irritates the trigone of bladder causing frequency of micturition or even retention due to pressure effects.In lateral cervical fibroid, vascular obstruction may lead to hemorrhoids and rarely, edema of legs. The ureter is pushed laterally and below the tumor.Posterior cervical fibroid predominantly presents with retention of urine and constipation.