<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 32-year-old woman presents to clinic complaining of pelvic pain and heavy menstrual bleeding for the past 2 years. The patient reports that her last menstrual period was 1 week ago and she soaked through 1 tampon every 1-2 hours during that time. She does not take any medications and denies alcohol and cigarette use. She is currently trying to have a child with her husband. She works as a school teacher and exercises regularly. Her temperature is 97.0F 36.1C, blood pressure is 12280 mmHg, pulse is 93min, respirations are 16min, and oxygen saturation is 99 on room air. Physical examination reveals an enlarged, irregularly-shaped uterus palpable at the level of the umbilicus. Laboratory studies are ordered as seen below.Hemoglobin: 9.0 gdLHematocrit: 29MCV: 70 fLLeukocyte count: 4,500mm3 with normal differentialPlatelet count: 188,000mm3Urine:hCG: NegativeBlood: NegativeLeukocytes: NegativeBacteria: NegativeWhich of the following is the most effective treatment for this patient?? A: Folate, B: Hysterectomy, C: Iron, D: Myomectomy, E: Oral contraceptive pills,  <response>: This is a patient with symptoms of heavy menstrual bleeding and pelvic pain. The history and physical exam findings of an enlarged irregular uterus are consistent with uterine fibroids. She has iron-deficiency anemia likely from chronic menstrual blood loss, evidenced by the low hemoglobin, hematocrit, and MCV. The differential diagnosis includes adenomyosis, endometrial polyps, and endometrial hyperplasia, but uterine fibroids are most likely given the enlarged irregular uterus on exam. The most effective treatment for symptomatic fibroids in a patient desiring fertility is myomectomy to remove the fibroids and conserve the uterus. Hysterectomy would treat the fibroids but at the expense of fertility. Oral contraceptives would help regulate menstrual cycles but do not treat the underlying cause. Iron supplements may help improve the anemia but do not address the fibroids themselves. Folate supplementation is not indicated based on the information provided.D: Myomectomy 