Bachedani Mein Rasoli (Fibroid): Reading the Report and Options
The report says “bulky uterus with an intramural fibroid, 3.4 x 2.9 cm,” and the word bachedani mein rasoli has already travelled round the family WhatsApp group. Breathe. Then read on. A fibroid is a non-cancerous growth of womb muscle, very common in women in their 30s and 40s, and many never need an operation. This guide shows you how to read that line on the report, why heavy bleeding matters, and what options exist.
In brief
- What a fibroid is: a benign lump of womb muscle. Not cancer, and almost never becomes cancer.
- Often no symptoms: many are found by chance and simply watched.
- Main problem when present: heavy periods, which can cause anaemia.
- Location matters more than size: a small one inside the cavity can bleed more than a large one on the outside.
- Treatment exists: medicines, minor procedures, and surgery that can keep the womb.
How to read the fibroid line on your ultrasound report
Reports use a few standard words. Learn them.
| Word on report | What it means |
|---|---|
| Submucosal | Bulges into the womb cavity. Most linked to heavy bleeding and fertility problems. |
| Intramural | Inside the muscle wall. The most common type. |
| Subserosal | On the outer surface. Usually causes pressure, not bleeding. |
| Pedunculated | Attached by a stalk, inside or outside. |
| Bulky uterus | The womb is larger than average, often from fibroids. |
The numbers are size in two or three directions, in cm or mm. A “3.4 x 2.9 cm” fibroid is roughly the size of a walnut; 10 cm is closer to a large orange. Reports may also name the wall (anterior is front, posterior is back, fundal is the top) and whether the endometrium, the lining, looks normal. Ask your doctor to draw it. Most will.
Where a fibroid sits tells you more than how big it is.
Symptoms of bachedani mein rasoli
Many women feel nothing at all, and only learn about a fibroid because a scan was done for something else entirely, a pregnancy check, a kidney stone, a urine infection, or a routine visit, which is exactly why a fibroid found this way, causing nothing, is usually left alone and simply measured again later. When fibroids do cause trouble, it’s usually one or more of these:
- Heavy or long periods, flooding, large clots.
- Pressure: needing to pass urine often, constipation, a heavy or full feeling low in the belly, a swelling you can feel.
- Pain: aching, pain with sex, or sudden sharp pain if a fibroid outgrows its blood supply (this can happen in pregnancy).
- Fertility or pregnancy problems, mainly with fibroids that distort the cavity.
The anaemia link: count before you guess
Heavy bleeding month after month drains iron faster than food alone can replace it, and fibroid-related anaemia often creeps up so slowly that women don’t notice until they’re climbing stairs breathless, craving ice or mitti, losing hair and falling asleep over dinner, which they then blame on work or children rather than blood loss. Measure. Don’t guess.
- Count pads or cloths each day of your period. Write it down.
- Note flooding: soaking through a pad in 1 to 2 hours, or needing to change at night.
- Note clot size: clots bigger than about 2.5 cm (a large coin) count as heavy.
- Count days: bleeding longer than 7 days is heavy.
- Ask for a blood count (CBC) and ferritin. In women who aren’t pregnant, haemoglobin under 12 g/dL is anaemia.
Our guides to heavy periods and anaemia and ferritin versus haemoglobin explain the numbers. Iron-rich food helps, and our khoon ki kami food guide lists it, but with ongoing heavy loss, most women also need iron from their doctor and a plan to reduce the bleeding.
Go to emergency if you’re soaking a pad every hour for 2 hours or more, feel faint, breathless or have a racing heart, or have sudden severe pain with fever. See a gynaecologist promptly for any bleeding after menopause, bleeding between periods or after sex, or a fibroid that grows quickly, especially after menopause; these need checking to rule out other causes. If you’re pregnant and have a fibroid, tell your antenatal team. Never take hormone tablets or injections from a chemist to stop bleeding without a doctor, and be very wary of any “rasoli dissolving” course or powder; nothing sold that way has been shown to shrink fibroids, and some contain undeclared steroids or heavy metals.
Treatment options, from watching to surgery
What decides it? Symptoms, type, age, and plans for children. A fibroid with no symptoms usually just gets a repeat scan.
Medicines for heavy bleeding
Non-hormonal tablets taken only on period days, the hormonal coil (if the cavity isn’t distorted), the combined pill or progestogens. They reduce bleeding. Shrinking? Not much. Your doctor chooses and sets the amount.
Medicines that shrink fibroids for a time
Some hormone-blocking treatments shrink fibroids temporarily, often before surgery. Side effects like hot flushes and bone thinning limit how long they’re used.
Procedures
- Hysteroscopic removal: for submucosal fibroids, through the vagina with no cut on the belly.
- Myomectomy: removing fibroids and keeping the womb, by keyhole or open surgery.
- Uterine artery embolisation: a radiologist blocks the fibroid’s blood supply through a small tube in the groin or wrist.
- Hysterectomy: removing the womb, for women who’ve finished having children and have severe symptoms. A choice. Not the default.
Fibroids depend on oestrogen, so they usually shrink after menopause, and for women close to it, waiting with iron and bleeding control is sometimes the most sensible route. Ask.
Unani medicine describes growths in the womb as rasoli and prescribes compounds said to “dissolve” them, and Ayurveda has its own formulations. There’s no reliable evidence that any herb or powder shrinks a fibroid. Some herbal mixtures sold for this contain steroids, and heavy metals have been found in some others. If you want to see a hakeem, tell your gynaecologist, keep your scans on schedule, and treat any claim to “melt” a rasoli as a warning sign about the seller.
Fibroids and pregnancy
Good news first. Most women with fibroids have normal pregnancies, although fibroids that bulge into the cavity can make conceiving harder or raise the chance of miscarriage, and larger ones can cause pain in pregnancy or affect how the baby lies. If you’re planning a pregnancy, a gynaecologist can look at where yours sits, how big it is and how your periods behave, and tell you honestly whether it’s likely to matter, whether it’s worth removing first, or whether the better plan is simply to start trying and keep an eye on it through the pregnancy with the antenatal team. Ask early. For pregnancy loss in general, see miscarriage: early signs and what is not your fault.
Fibroid and rasoli questions answered
Is a fibroid (rasoli) cancer?
No. Fibroids are benign growths of womb muscle. A rare cancer called sarcoma can look similar, which is why rapid growth, especially after menopause, is checked carefully. Ordinary fibroids don’t turn into cancer.
What size fibroid needs surgery?
There’s no single size. Surgery is discussed for symptoms (heavy bleeding, pressure, pain, fertility problems) more than a number. A large fibroid causing nothing may be watched; a small submucosal one causing flooding may be removed.
Can bachedani mein rasoli go away naturally?
They often stop growing and usually shrink after menopause. Before menopause, they don’t normally disappear on their own, though small ones may stay the same for years.
Can medicine shrink bachedani ki rasoli?
Some hormone-blocking medicines shrink fibroids temporarily, usually before surgery, and they regrow after stopping. Other medicines reduce bleeding without shrinking them. Only a doctor should prescribe either.
Do fibroids cause weight gain or a big belly?
Large fibroids can make the lower belly swell, which looks like weight gain. Small ones don’t. A swelling you can feel is worth a scan.
Can I get pregnant with fibroids?
Usually yes. Fibroids inside the cavity are the ones most linked to difficulty conceiving or miscarriage. A gynaecologist can assess yours before or during trying.
What does intramural fibroid mean on my report?
It means the fibroid sits within the muscle wall of the womb. It’s the most common type. Whether it causes symptoms depends on size and whether it presses into the cavity.
Can fibroids cause heavy bleeding and anaemia?
Yes, especially submucosal ones. Monthly heavy bleeding can drain iron and cause anaemia. A blood count and ferritin test show whether that’s happening.
Is hysterectomy the only treatment for fibroids?
No. Options include medicines, hysteroscopic removal, myomectomy that keeps the womb, and embolisation. Hysterectomy is one option for women who’ve finished having children and choose it.
Do herbal remedies dissolve fibroids?
No herbal product has been reliably shown to shrink fibroids, and some sold for this contain hidden steroids or contaminants. Ask your gynaecologist before taking anything.
How often should a fibroid be scanned?
Your doctor decides, often every 6 to 12 months for fibroids being watched, or sooner if symptoms change. Keep your old reports so sizes can be compared.
Explore more women’s health guides in Desi Remedies.