Choice A rationale:

The statement "Early menarche is a protective factor against Endometriosis" is not accurate.

Early menarche, which is an early onset of menstruation, is actually considered a risk factor for developing endometriosis.

The rationale behind this is that women who start menstruating at a younger age have a longer exposure to estrogen, which is believed to contribute to the development of endometriosis.

Choice B rationale:

The statement "Nulliparity does not increase the risk of developing Endometriosis" is not accurate.

Nulliparity, which means never having given birth to a child, is indeed considered a risk factor for endometriosis.

Women who have not had children are at a higher risk because pregnancy and childbirth have protective effects against the development of endometriosis.

Choice C rationale:

The statement "Prolonged menstrual cycles are not associated with Endometriosis" is not accurate.

Prolonged menstrual cycles, or irregular menstrual cycles, can be associated with endometriosis.

This is because endometriosis can lead to menstrual irregularities and changes in the menstrual cycle.

Choice D rationale:

The statement "Family history of Endometriosis is a risk factor for developing the condition" is accurate.

Family history is indeed a risk factor for endometriosis.

Women who have close relatives (such as a mother or sister) with a history of endometriosis are at an increased risk of developing the condition themselves.

This suggests a genetic predisposition to the condition.