Life style
Fight like a Girl
Inspired by fellow ‘Endometriosis Warriors’ across the world and fuelled by her own struggle with the little-talked of condition, The Endometriosis Awareness and Support Foundation, the first of its kind here at home, is the brainchild of corporate lawyer, Rashani Meegama. The Endometriosis Soldier that she is, Rashani shares with the Sunday Island her chilling experience with the incapacitating condition which propelled her to reach out to fellow Sri Lankan women and young girls suffering silently …
by Randima Attygalle
“When I was 14, I almost passed out in period pain at a mid-term exam. I had to abandon the paper half way to be taken to the school sick room by my classmates where I waited for my mother to come and pick me. With the passage of time, the pain got worse and it was presumed to be just normal period pain. The obstetrician who first investigated dismissed me as a ‘fussy young girl’ who eats too much of oily food and then complains!” recollects Rashani Meegama who is a severe Endometriosis combatant.
Rashani, 41 years now, was first diagnosed with Endometriosis in her early 30s. She would go through harrowing episodes of prolonged pain, confined to bed with pain killers and heat packs. In a nerve-wracking recollection, she relives collapsing and rolling in pain in her lawn. “The washroom visits which I had to muster up so much courage to take, were agonizing due to pain and exhaustion. I would be up at wee hours in the morning with a heat pack when my mother and husband would be exhausted and flat out after attending to me and I would feel helpless, scared and desperate,” she recounted.
A painful disorder where endometrial tissue (the lining of the womb/uterus) grows outside the uterus, Endometriosis most commonly involves ovaries, fallopian tubes and the tissue lining the pelvis. “An extreme case of Endometriosis”, as she calls herself, Rashani is now at ‘Stage four’ of the condition. Still very much an unspoken topic here at home, the disease itself is a mystery she says. Although several theories have been suggested including genetics, retrograde menstruation (when some of the womb lining flows up through the fallopian tubes and embeds itself on the organs of the pelvis, rather than leaving the body as a period) and problems with immune system, none of them fully explain the reason for this ‘confusing’ and debilitating condition.
From crippling pain of body to intangible fatigue and mind fog, the condition can severely affect personal and professional life, job goals, reproductive health and self-esteem. Its symptoms varying in great degree from woman to woman, makes the diagnosis difficult. According to the Endometriosis Foundation of America, the disease affects one in 10 reproductive-aged women (aged 12-52) – an estimated 200 million individuals worldwide, and many often experience a decade-long delay in diagnosis. It is also one of the leading causes of infertility.
The physical, mental and life-altering toll Endometriosis has had on Rashani’s life drove her to champion The Endometriosis Awareness and Support Foundation (EASF) under the banner ‘Fight like a girl’. A corporate lawyer by profession, this life crippling condition has robbed so much from Rashani’s life. The excruciating pain accompanied by migraines, irritable bowels, joint and back pain, nausea, brain fog, excessive mood swings, infertility related issues, weight gain, and even bouts of depression- all by products of her condition, left her professional life at the receiving end, forcing her to give up her court practice.
“Even a small court visit would keep me tied to bed with severe migraine caused by heat, stress, and general fatigue. There were times when I had to end up in Emergency Care with injections to mitigate the pain coupled with suppositories. With all this, it would still take about five days for me to completely recover.”
No longer be able to hold to a ‘regular job’, Rashani finally created her vocation around her disease and related issues by setting up two small-scale law firms. “This way, I could have my own time and take my own leave and mercifu

missed out on many personal milestones as well as my social life,” says the vivacious lady whose smile and warm persona are infectious. “I was so sick when I was sitting for my Masters in Law and I missed out my graduation as I had to go through emergency surgery.”
lly it has worked out well,” smiles the Endometriosis trooper that she is today. “In my struggle with the condition, I have
The girl who never missed a party and was often the last to leave one muses: “friends found it difficult to understand why I would go into a shell and stay away from gatherings, parties etc. Besides my pain struggles, I also found it difficult to make people understand my difficulty in coping with daily life. Even simple chores like doing groceries is impacted due to fatigue the condition entails. The biggest issue was that it was a debilitating disease which took a hit in all areas of my life but it was an unknown and unspoken disease which resulted in more frustration confusion and misunderstanding medically and personally.”
Inspired by Padma Lakshmi – model, author, actress and television host rolling into one and the Co-Founder of The Endometriosis Foundation of America, Rashani, set up The Endometriosis Awareness and Support Foundation (EASF), the first of its kind here at home to galvanize passionate individuals to rally around it and thereby lend a voice for the cause. “One need not necessarily be an Endometriosis fighter, anyone committed to this cause either at personal or professional capacity could come join hands with EASF.” Inspired by Endometriosis warriors like Padma Lakshmi whose experience drove her to take a personal shift in her battle with the condition, Rashani has devised her own coping mechanism besides clinical interventions. Eating healthy, indulging in physical activities she enjoys, meditation and music had made wonders in her life.
“By raising awareness in terms of the disease, its symptoms and treatment options, EASF aspires to let the rest of society know how much women with Endometriosis go through and thereby create better communication and support at the school, family and public level, to let women in this predicament know that it’s normal to feel this way and that they are not abnormal or alone in this battle and to initiate a strong support network and improved coping mechanisms.”
Although the world is yet to find a cure for Endometriosis, it could be successfully managed, notes Rashani, if diagnosed accurately with the right team of medical practitioners on board- be it western, Ayurveda or alternate medicine. Yet it is never on a platter, says the ‘Endo-Fighter’ whose platform seeks to be a harbinger of hope and guidance in disease recognition

, treatment options and lifestyle enhancement. Empowering women with Endometriosis and their families to make informed decisions on medical and child bearing options, to help them improve their quality of life are also on EASF’s mandate.
Passionate to ensure that both our young girls and older women are aware of Endometriosis and that period pain may not always be a trivial ‘girl issue’, Rashani urges to be mindful of heavy periods, unusual weight gain in young years- early markers which ought to be flagged and investigated as she says. EASF, although still in its infancy, is confidently positioned to make a positive change in the lives of Sri Lankan women silently suffering with Endometriosis and its ripple effects. EASF also hopes to facilitate more research studies on the subject locally.
Enabling better understanding of the condition at family and corporate level is also envisaged by the Foundation. While encouraging women battling with it to ‘listen to their bodies’ and afford ‘plenty of ME time’, EASF’s founder avers: “don’t build walls around you, talk to someone about your condition outside your doctors. Never let the condition control your life, goals and dreams. Most importantly, don’t let it steal away the woman in you….”
For those who would like to rally around The Endometriosis Awareness and Support Foundation, please write to LankaEndoWarrior@gmail.com
Life style
Crafting catwalk elegance behind the scene
By Zanita Careem
While the spotlight at Colombo Fashion Week shines brightly, dazzling couture and celebrated designers, the true heartbeat of the event often lies behind the curtains. Backstage is where creativity meets pressure, precision and passion, a world powered by hairstylists, makeup artists, dress designers, choroegraphers and production teams work tirelessly against the clock.
At Colombo Fashion Week, the spotlight may belong to designers, but just behind the runway lights, another story unfolds – one of precession, pace and transformative artistry.
At the heart of it all stands Ramani Fernando, the quiet force who has shaped the face of fashion in Sri Lanka for decades. Long before the first model takes her stride, Ramani Fernando and her team are already at work. Backstage is a flurry of motion, hair dryers humming, brushes sweeping, palettes opening and closing in rhythm. Yet amid the chaos there is a remarkable sense of order. That order is Ramani. For years, she has been the official hair and beauty partner of Colombo Fashion Week, curating looks that not only complement but elevate each designer’s vision. Whether it is sleek, pulled back aesthetic for a structured collection or wild textured volume for a more experimental line her work ensures that beauty becomes an extension of fashion.
The crew of CFW is more than a just a team comprising some of the country’s most skilled stylists and make up artistry. Many of them trained in her own academy, the crew operates under intense pressure with seamless co-ordination.
“A single show can demand dozens of looks in a matter of hours. Multiple designers each with a distinct creative direction, rely on the team to interpret and excute their vision and precision. Timing is everything. There are no second takes. Every strand of hour, every stroke of make up must be fearless before the model steps onto the runway. And yet what stands out is not finish , nor the speed, but the consistency said Ramani. Colombo Fashion Week has increasingly positioned itself on the global fashion map, and beauty plays a crucial role in that evolution. Each season, Ramani Fernando’s team introduces looks that are not only trends driven but often trend-setting within the local industry.
In the end, the curtain does not just hide preparation,it protects the chaos,creativity,and colloboration that make the final moment possible.
- Crafting confidence behind the curtain
Life style
Early diagnosis, better chances and stronger hope
Senior Consultant Cancer Surgeon Dr Anuruddha Thewarapperuma on…
In a timely and though-provoking session held at Apeksha Hospital, Senior Consultant Cancer Surgeon Dr. Anuruddha Thewarapperuma addressed one of the most pressing health concerns facing modern society, the growing prevalence of cancers and the importance of early detection.
Speaking to the ‘ Sunday Island,’ Dr Anuruddha stressed that awareness and timely medical intervention continue to be the strongest weapon in the fight against cancer. In Sri Lanka many cancer patients still arrive at hospitals during the advanced stages of illness, but the role of awareness, early detection and compassionate medical care has never been more vital to most patients.
Speaking on the growing burden of cancer in Sr Lanka, Dr Anuruddha stressed that one of the biggest challenges we face is delayed diagnosis. Many patients first seek treatment from family doctors, or attempt to ignore symptoms, often believing they are a minor health issue. By the time they meet a specialist, the disease may already be in an advanced stage
Cancer is no longer a disease affecting the old, he explained. Today we see younger patients, as well, especially with breast cancer, colorectal cancer, and lung and oral cancer
Dr Thewarapperuma, who specialises in complex cancer surgeries, including breast, colorectal, pancreatic and lung cancers, highlighted that breast cancer remains one of the most common cancer among women in Sri Lanka. He urged women to undergo regular screenings and immediately seek medical advice if they notice unusual lumps, skin changes or discharges. Colorectal cancer, another rapidly rising concern, often begins with silent symptoms. He pointed out that warnings signs, such as changes in bowel habits, rectal bleeding, unexplained weight loss and persistent abdominal discomfort, should never be ignored. Lifestyle changes, unhealthy diets, and lack of excercise, are among the contributing factors behind the increasing numbers.
With Sri Lanka witnessing a steady rise in cases of breast cancer, colorectal lung and oral cancers, he noted many lives could be saved through routine screenings and greater public education. He said that we must not only be aware of medical facts but also on changing attitudes towards cancer.
He explained that fear, stigma and misinformation often prevent patients from seeking treatment early.
Cancer, detected early, can often be treated successfully, he emphasised, encouraging the public to pay attention to warning signs and prioritise regular health check-ups.
According to the veteran surgeon, the impact of modern lifestyles specially fast foods, smoking, dietary habits and environment influences are contributory factors. Many patients walk into my room frightened, not knowing what the future holds. Dr Thewarapperuma explained, some men and women worry about their children, some fear of losing thier identity, while others are terrified simply because of the word cancer itself. He stressed the emotional healing is just as important as medical treatment. Dr Thewarapperuma noted that not only the patient even families also experience emotional strain .
He said different cancers affect patients emotionally in different ways, yet fear and uncertainty remains common to all.
Speaking further on breast cancer, he said it remains one of the most common cancers affecting women worldwide and in Sri Lanka. Many women initially struggle with shock and insecurity. They are emotinally shattered, He maintained with early diagnosis and medical treatment many cancer patients go on to lead healthy and confident lives.
He always focussed on the fact that early detection and timely treatment are crucial in improving survival rates and ensuring better quality of life for the patient. Breast cancer can often be treated successfully if detected early, he noted. Women should never ignore changes in their breasts, even if there is no pain
He encouraged women to become familiar with their own bodies, through regular self examinations. Common warning signs are a lump, changes in breast shape or size,,nipple discharge, a lump under the arm are a few symptoms women should be aware of.
He noted awareness, education and regular screenings and mammograms continue to play a vital role in reducing risks and improving survival rates.
Dr Thewarapperum also highlighted the growing incidence of colon cancer which is becoming increasingly common in Sri Lanka, yet many people are unaware of its early warning signs. This cancer is common among middle aged and older adults.
Symptoms such as persistent abnominal pain, changes in bowel habits, unexplained weight loss, blood in stools and ongoing fatigue should never be ignored
According to the Senior Consultant, many patients delay in seeking medical attention; they panic only after the disease reaches an advanced stage.
Talking about oral cancers, it continues to be one of the most common cancers in Sri Lanka, largely due to lifestyle habits, such as smoking, betel chewing and excessive alcohol consumption.
Colon cancer, is more frequently diagnosed in individuals above the age of 50.
Nevertheless youngest individuals, with unhealthy lifestyle habits, are also increasingly at risk
Also speaking about lung cancers Dr Thewarapperuma said this cancer affects both men and women and remains one of the leading causes of cancer-related deaths.
He warned that even non-smokers are now at risk due to increasing exposure to harmful pollution.
According to him, many cancer patients seek medical attention, only at the advanced stage, because early symptoms are often overlooked by most people.
Despite these challenges, he expressed confidence in the advances made in cancer treatment in Sri lanka. Modern technology, improved surgical techniques,and multi disciplinary care have significantly improved patient outcomes and survival rates
However, delayed diagnosis among patients in Sr Lanka continues to remain one of the biggest challenges in cancer management.
Dr Anuruddha highlighted throughout our discussion the importance of early diagnosis significantly have higher success rates and better quality of life, after treatment.
Apeksha Hospital’s multi disciplinary approval to cancer management combining experienced consultants, advanced surgical procedures, diagnostic facilities and personalised patient care, has contributed positive treatment outcome across several common cancers including breast, colon, oral, lung and other cancers.
Dr Thewarapperuma explained that modern cancer care are not limited to surgery alone.
Timely screening, accurate diagnosis, coordinated specialist care and emotional support, all play a major role in successfull recovery.
“We at Apeksha Hospital continues to focus on patient centred treatments while creating awareness on prevention and early detection through educational programmes and medical discussions.
We remain committed to offer hope, confidence and quality healthcare to patients facing cancer diagnosis.
His message to the public was clear – awareness, early screening, and timely medical attention remains the strongest weapons in the fight against all kinds of cancer. He says cancer, when detected early, is no longer a battle that must be faced without hope and this disease is not the end of life either. Early detection saves lives and emotional strength gives patients the courage to continue their journey, said this well known Senior Consultant Cancer Surgeon. He is attached to several leading hospitals, including the istitute at Maharagama (Apeksha Hospital) and also Hemas and Asiri Surgical hospitals.
Life style
A milestone of excellence
Dr Sarah Fazy, also known as Dr Cherry, recently marked a major professional milestone by recieving the ISO certification. It is more than a professional achievement – it is a statement of discipline, vision and modern excellence in aesthetic medicine.
360 Skin Clinic & 360 Aesthetics has achieved a significant milestone in its journey of clinical excellence and service innovation after being awarded the prestigious ISO 9001:2015 / SLS ISO 9001:2015 certification, reinforcing its position as one of Sri Lanka’s leading providers of cosmetic, aesthetic and wellness care.
Issued by the Sri Lanka Standards Institution (SLSI), the certificate of conformity recognises that 360 Wellness Centre (Pvt) Ltd., has successfully implemented a Quality Management System that meets the rigorous international standards of ISO 9001:2015, one of the world’s most respected benchmarks for quality assurance and continual improvement.
Founded by renowned cosmetic and aesthetic physician Dr Sarah Fazy, widely known as Dr Cherry, the 360 brand has built a reputation for combining medical expertise with personalised care, advanced technology and a strong commitment to client wellbeing. Over the years, the clinic has expanded its services while maintaining a steadfast focus on ethical practice, innovation and trusted results.
Commenting on the certification, Dr. Sarah Fazy, Founder of 360 Skin Clinic & 360 Aesthetics, said “This certification is a proud moment for our entire team and a reflection of the standards we strive to uphold every day. Quality care, patient safety and professional excellence have always been at the heart of our vision. Achieving ISO 9001:2015 recognition validates our commitment to delivering world-class services to every client who places their trust in us.”
The achievement marks a new chapter for 360 Skin Clinic & 360 Aesthetics, ensuring that every treatment, consultation and customer interaction is guided by internationally recognised processes focused on consistency, safety, efficiency and patient satisfaction.
ISO 9001:2015 is a globally recognised framework developed by the International Organisation for Standardisation (ISO). It provides organisations with a structured model to enhance operational efficiency, maintain consistent service quality and continually improve customer experiences.
Dr. Sarah further stated, “At 360 Skin Clinic & 360 Aesthetics, we believe beauty and wellness should be approached with responsibility, precision and compassion. This milestone motivates us to continue raising the bar in aesthetic medicine and wellness care in Sri Lanka.”
For 360 Skin Clinic & 360 Aesthetics, the certification demonstrates its commitment to delivering dependable, high-quality services, maintaining robust quality control systems, continuously improving internal processes, ensuring transparency, accountability and professionalism, and prioritising patient safety and satisfaction.
The certification scope covers a broad portfolio of services, including medical and cosmetic skincare, haircare solutions, aesthetic consultations, facial treatments, cosmetic procedures, nail care, surgical enhancements and hair transplantation services.
This recognition provides customers with added confidence that they are receiving care aligned with internationally accepted standards, delivered by trained professionals using advanced techniques and modern technology.
Since its inception, 360 Skin Clinic has been driven by a mission to redefine beauty, wellness and self-care in Sri Lanka. What began as a visionary concept has evolved into a trusted brand supported by a multidisciplinary team of specialists dedicated to helping clients look and feel their best.
The clinic is known for conducting detailed consultations and personalised assessments to create bespoke treatment plans tailored to individual skincare and wellness goals. Its medical aesthetic team continues to invest in state-of-the-art technology and evidence-based treatments to remain at the forefront of the industry.
With the attainment of ISO 9001:2015 / SLS ISO 9001:2015 certification, 360 Skin Clinic & 360 Aesthetics strengthens its promise to deliver elevated care, trusted results and a standard of excellence clients can feel confident in.
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