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Understanding fibroids

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Uterine myomas, commonly called fibroids, are very common in South Asian and African women. However, the risk of them turning malignant or cancerous is very rare. In an interview with the Sunday Island, Consultant Obstetrician and Gynaecologist and Senior Lecturer in Obstetrics and Gynaecology from the Kotelawala Defense University, Dr. Romanie Fernando throws light on the causes and treatment of fibroids which are found in 30% of Lankan women over 30 years.

by Randima Attygalle

Uterine fibroids are benign or non-cancerous muscular growths which could appear in the uterus (womb), uterine wall or on its surface. The uterine wall which is made of smooth muscle becomes harder as a result of fibroids. “There is a genetic pre-disposition involved in fibroids; South Asian and African women are at a higher risk of getting fibroids and why they are more pre-disposed is still unknown,” says Dr. Romanie Fernando.

Fibroids usually appear in women of reproductive age- generally between 30-40 years although in some, they could appear earlier than that. “They are very common, so much so, one in three Lankan women above 30 years will have fibroids. However, the risk of having a malignant change is very rare. Only less than 0.5% of uterine fibroids will have the risk of turning into cancer, hence women should not have unnecessary fears about them,” Dr. Fernando says.

Causes

Genetics and hormones largely influence fibroids and their growth. Estrogen and progesterone imbalance affect fibroid growth. When hormone production slows down during menopause, these fibroids usually shrink. “Family history, age and race are the other factors which could place a woman at a higher risk of developing them,” explains the obstetrician.

Symptoms

Symptoms depend on the size and site of the fibroid. Only about 30% of women with fibroids will have symptoms and the majority will be asymptomatic (not showing symptoms). “Some fibroids are so small and are of a size of a shirt button that they will go unnoticed and won’t cause any harm, while others grow in big masses and can affect the uterus and adjacent structures causing symptoms.”

If a fibroid is found inside the uterus or the uterine cavity, it could affect the menstrual cycle resulting in pain during menstruation, heavy periods and spotting (bleeding in between two cycles). “If a fibroid is found in a woman close to menopause and if it is not causing any menstrual or pressure symptoms, we usually wait until she reaches menopause without intervening because with low estrogen, the fibroids will naturally shrink.”

Diagnosis

Diagnosis is largely an incidental or accidental finding during a clinical examination. “During a routine pelvic exam a doctor may suspect fibroids if the shape of the uterus feels irregular or unusually large. Fibroids are also diagnosed during pregnancy when routine scans are done.”

Treatment

Treatment too depends on the age of the woman, size and site of the fibroid. The growth of most of the fibroids is very slow, usually about half a centimeter in two years, explains Dr. Fernando. “However, if the growth is very rapid within a short time, it could be worrying and we need to intervene to remove it.”

Although not a very common presentation, severe backache could also be a symptom of fibroids. “Some women with fibroids could also be anemic due to increased menstrual blood loss and in such instances, we address anemia as well.”

Fibroids are treated symptomatically. If a fibroid is found to be causing pain, heavy menstrual flow or pressure on other organs such as the bladder for example, (causing frequent urges to urinate or inability to control urine) investigations will be done to determine the best mode of treatment. “Treatment could be either with oral medication or surgery depending on the severity of each case.”

Fibroids and pregnancy

If fibroids larger than five centimeters are found in a woman before her pregnancy, they are usually surgically removed to avoid complications during pregnancy. During pregnancy, the blood supply to the womb is increased, hence removal of fibroids is very risky and is postponed until after the delivery. “After a pregnancy the hormone levels and the blood supply become less and the fibroids too tend to become smaller. There had been maternal deaths when trying to remove fibroids during cesarean operations because of the inability to control the heavy bleeding,” says the consultant.

Fibroids can cause foetal growth restrictions and premature labour in some women. The positioning of the baby could also be abnormal in some cases. “If the fibroid is found closer to the uterine cavity, there could be a higher risk of miscarrying and after normal delivery heavy bleeding (post-partum haemorrhage) is also common.

Types of surgery

There are many ways to treat fibroids. The treatment that works best for each woman will depend on symptoms, reproductive plans, age, and the site of fibroids in the womb. “In younger women with reproductive wishes (those who hope to get pregnant in future), we usually remove the fibroids with myomectomy. This type of surgery removes them while retaining the healthy tissue. Myomectomy could be performed in many ways from abdominal surgery to laparoscopy,” remarks Dr. Fernando.

Although several other non-surgical interventions including the latest high intensity focused ultrasound (HIFU) device which was developed for treating uterine fibroid and drugs to shrink fibroids are available in other parts of the world, locally we are still limited to treating fibroids surgically with myomectomy (removal of the fibroid) or hysterectomy (removal of the uterus), says the consultant.



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Julie Chung’s graceful goodbye

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Chung

Last chapter in Colombo

Elegant, articulate and amiable, U.S. Ambassador to Sri Lanka Julie Chung reaches the end of her term, with the quiet confidence of a woman who has shaped diplomacy across continents.

In this interview, she speaks with emotional clarity and stately restraint, offering insights shaped by memory, responsibility and a deep respect for the human stories behind public life.

A diplomat of distinction and a fashion icon in her own right, she embodies a modern elegance where intellect meets instinct and presence becomes power. She speaks of her time in Sri Lanka not as a posting, but as a chapter of memory, reflecting with grace on the experiences she will carry forward—memories woven with diplomacy, style and a deep affection for a place that became more than a destination.

As she says goodbye, Julie Chung carries with her not just memories but the very essence of the island: the warmth of its people, the quiet beauty of its moments, and a grace that will remain long after she has left. With an international career spanning Asia, Latin America, the Middle East and Washington D.C., she embodies modern diplomacy—polished, perceptive and quietly powerful. She leaves Colombo shaped by its people, moments and connections.

Q: Ambassador, as your tenure in Sri Lanka comes to a close, what moments during your posting stand out the most for you personally and professionally?

A: Celebrating the 75th anniversary of our bilateral relationship was a watershed moment and a time to reflect upon all that we’ve accomplished together- from maritime security partnerships to trade to youth engagement. Opening a beautiful, new U.S. Embassy building was also a highlight, a place where we could really come together and build a community, host our American Centre, and a physical symbol of our efforts to deepen our presence in Sri Lanka. A personal highlight was scuba diving at various wreck sites, including the Godawaya shipwreck from which artifacts were preserved through the U.S. Ambassadors Fund for Cultural Preservation, and marveling at the underwater heritage of Sri Lanka.

Q: How would you describe your overall experience living and working in Sri Lanka?

A: I’ve seen many challenges and difficulties that Sri Lanka has gone through during my tenure, but so much joy, resilience, and pride too. Sri Lankans are very proud of their tourism sites, foods, and cultural heritage- and rightfully so! I saw my role as a bridge builder between our two countries professionally, and I absorbed everything I could personally as well to delve into Sri Lankan culture. And the food–anyone who knows me knows that I have traversed the island trying and loving the amazing food here. From Jaffna crab to lamprais, I am going to go through serious spice withdrawal when I leave. My family enjoyed exploring so much of Sri Lanka with me, and even Martha, my dog loved her walks around Colombo!

Batik U.S. flag created by U.S. Embassy staff

Q What challenges did you face in strengthening US-Lanka relations and how were they overcome?

A: One of the challenges was to overcome misperceptions and misinformation about the United States and personal attacks on me. Holding this position invites a lot of attention and scrutiny, and I got my fair share of that while navigating through the public spotlight. I tried to share my personal stories, relay official positions clearly, and be authentic to the Sri Lankan public, not just as an ambassador but as a human being, a wife, and mother. I sought to engage directly with many communities across the island, not just government-to-government but truly people-to-people, speaking directly with farmers, entrepreneurs, students, speaking to them on my role and the United States role in Sri Lanka. It was not always easy, but I appreciated the candidness of everyone I met. As a Christian, it was also important for me to find places of worship to have fellowship which helped me stay faithful and resilient during the challenging times.

Q: Can you share an example of a cultural exchange, a people-to-people initiative that particularly resonated with you?

A: The return of the Peace Corps to Sri Lanka after a long hiatus was one of my proudest moments. I met young Americans willing to put in the work to learn Sinhala and Tamil, assimilate with local families, teach English at local schools—and in the process, learn from their students, too. It goes to the heart of what the Peace Corps was created to do–bringing Americans and communities together through service, learning, and shared understanding.

Q: Sri Lanka is known for its vibrant culture. Did your experience here influence your personal life or style?

A: I loved learning about the arts in Sri Lanka. I’ve attended the annual Kala Pola art fair where I could interact with both seasoned and up and coming artists and made a few purchases myself. I learned about Sri Lanka’s unique batik making culture and integrated various modern takes to batik design in clothes I wear. Our embassy community visited Sonali Dharmawardena’s batik workshop to learn first-hand about batik making and created a beautiful American flag artwork that hangs inside our embassy now.

Q: Who were your favourite designers or fashion experiences that stood out to you during your time here?

A I’ve loved admiring and showcasing so many talented local designers here, who also became my close friends. I consider them artists more than designers because it really is artistry and it comes from their hearts, reflecting who they are as individuals. Sonali Dharmawardhana, Charini Suriyage, Darshi Keerthisena, Kamil Hewavitharana, and Sammani Pathiranagama have been some of my favorites! I leave with a very full suitcase and I can’t wait to share my love of Sri Lankan design with Americans.

Q How did participating in Sri Lanka’s cultural and social events help in strengthening diplomatic relationships?

Two U.S. C-130s supported cyclone Ditwah response by transporting donated goods across the country

A Diplomacy is not just about having official meetings but diving into a country’s culture and personality; it provides us a deeper understanding and at the same time offers an opportunity to share the immense richness of American culture as well. When we invited our sports diplomacy ambassadors and arts envoys to come to Sri Lanka, it created avenues for more people-to-people connections. Every conversation I had, every trip I took, and every photo I snapped created that tapestry that led to my love for Sri Lanka. I took part in Sri Lanka’s social and cultural events while also creating opportunities for others to engage with American arts and culture.

Q: Were there moments in Colombo’s social scene that brought you joy or surprise?

A: I really enjoyed attending the Royal Thomian cricket match! It was my first ever cricket match and was so exciting to see the fans, the festive mood, and I joined along with the dancing, too. It was nice to see people from all walks of life and political factions come together in such a way for the love of the game.

Q: What memory of Sri Lanka will you carry with you forever?

A: One memory I will always carry with me is how Sri Lankans came together to support one another during the tragic period following Cyclone Ditwah. I was deeply moved by the compassion and solidarity shown at the community level. When we were able to offer $2 million in humanitarian aid and bring two C130 airplanes to deliver supplies, it really made me proud. Personally taking part in some of those flights and talking to the military forces and local communities was memorable. As a diplomat, I believe it’s important we get involved hands-on and not just watch from afar. Seeing Americans and Sri Lankans working side by side, physically unloading goods off of our planes was a powerful reminder that in difficult moments, our partnership is strongest, and that the friendship between our two countries is built on ordinary people and shared values.

Q: If you could relive one day of your tenure here, which day would it be and why?

A: It would be to climb back up to the peak of Sri Pada again with my husband and see the sun rising above the mountains and the shadows of the temple, and take in the natural glory of that moment in such a special cultural place. It was not just the natural beauty, but the friendliness of the pilgrims and fellow climbers who encouraged each other, even me, as I took on that climb. Moments along the journey—sharing a cup of tea or listening to someone’s story—kept me energized.

Q: What are the strongest impressions of Sri Lanka that you will take back with you?

A: Sri Lanka is such a diverse island- from its landscape and tourism sites to its religions, ethnicities, and cuisines. I say this often, it is a magical island that bursts with passion, energy, and a richness that makes every part of the country feel distinct yet deeply connected. I travelled throughout Sri Lanka, by boats, cars, planes, and trains – the sounds, smells, and beauty will stay with me forever.

Q: How would you describe the spirit of the Sri Lankan people to friends and colleagues abroad?

A: The spirit of Sri Lankans is definitely something I’ve come to learn about and admire so much – it goes beyond resilience during tough periods and is reflected in the humor and creativity of its people and traditions. That can be seen through the arts, literature, and even political cartoons. The Sri Lankan people are amazing and have given me memories that will last a lifetime. I am grateful for my time here and will carry it with me always.

By Zanita Careem ✍️

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Gilded glamour at Grand Kandyan

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Celebrations with grandeur

The Grand Kandyan transformed into a sanctuary of elegance this past New Year’s Eve, hosting a spectacular gala dinner dance that seamlessly blended tradition with high-energy celebration.

From the moment guests arrived, they were swept into a world of luxury. The hotel and ballroom were meticulously decorated, setting a festive tone that promised an unforgettable night. The evening commenced with a sophisticated cocktail hour in the lobby, where guests mingled before being ushered into the majestic Royal Peacock Ballroom for the main event.

A Symphony of Black and Gold

The ballroom was a sight to behold, draped in a striking theme of black and gold. The color palette exuded sophistication, providing a glittering backdrop for the night’s festivities.

Lavish international buffet

Taking charge of the evening’s proceedings was the charismatic Javed Bongso, whose expert compering kept the energy high. The musical heartbeat of the night was provided by the popular band Lunu Dehi, whose infectious performance immediately filled the dance floor. As the night progressed, DJ Harsha took over the decks, keeping the crowd moving with a seamless mix of floor-fillers.

Prizes and Pageantry

The gala was punctuated by moments of excitement and engagement. Beyond the music, guests participated in:

Multiple Raffle Draws: Featuring a variety of high-value prizes.

Interactive Games: Engaging the audience and adding a touch of playful competition.

Grand Giveaways: Ensuring many guests walked away with more than just memories.

A highlight of the evening was the prestigious crowning of the “Grand Kandyan Queen,” a moment of true pageantry that added a layer of classic glamour to the night’s program.

A Culinary Masterpiece

No celebration at The Grand Kandyan would be complete without a culinary showcase. Guests were treated to a lavish international buffet, specifically decorated for the occasion.

A Global Family Celebration

The Grand Kandyan hotel General Manager, . Thusith Samaraweera, remarked on how wonderful it was to see a vibrant mixture of local and foreign guests coming together. He noted that seeing everyone ushering in the New Year alongside the “Grand Kandyan family” was the perfect embodiment of the hotel’s spirit of hospitality.

The night concluded as a resounding success, marking the start of 2026 with style, spirit, and community.

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“Best International Hotel for Weddings” at Travel+Leisure India’s Best Awards 2025

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Saman Villa

Jetwing Saman Villas, part of Jetwing Luxury Reserves, has been awarded “Best International Hotel for Weddings” at the 14th edition of Travel+Leisure India & South Asia’s Best Awards, held on December 16, 2025, in New Delhi. This prestigious accolade celebrates the resort’s exceptional ability to create unforgettable wedding experiences, placing Sri Lanka firmly on the global map as a leading destination for romance.

The annual India’s Best Awards, driven by reader votes, honours excellence across the travel spectrum, from hotels and destinations to wellness retreats and culinary experiences. This year’s theme, “Passports to Possibility,” highlighted the transformative power of travel and brought together global hospitality leaders for an evening of recognition and inspiration.

Perched on a dramatic cliff overlooking the Indian Ocean, the 27-suite resort is Sri Lanka’s pioneering luxury boutique hotel and a haven for intimate celebrations. The property offers one of the most unique settings on the island: a garden on a rock surrounded by nothing but incredible ocean views. From pre-wedding rituals to gourmet receptions, the property specializes in intimate weddings that feel truly exclusive and deeply personal. Beyond the ceremony, Jetwing Saman Villas doubles as an idyllic honeymoon retreat, offering luxurious private-pool suites, indulgent spa rituals, and romantic dining experiences under starlit skies, making it the perfect beginning to a lifelong journey together.

“We are truly honoured to bring this recognition to Sri Lanka,” said Hashan Cooray, Director of Marketing and Development at Jetwing Hotels. “As the country’s first and leading boutique hotel, this award reinforces Sri Lanka’s true potential as a premier destination for romance and weddings.”

Farrel Blom, General Manager of Jetwing Saman Villas, added, “Weddings are deeply personal, and for us, it’s never just about one evening, but it’s about creating an experience that feels like home. Many couples stay with us for several days, allowing us to be part of their story. Seeing them return for holidays and hearing their heartfelt feedback is the greatest reward.”

With a legacy spanning over half a century in the tourism industry, Jetwing Hotels has established itself as a pioneer in curating unique experiences and offering the best of legendary Sri Lankan hospitality, with the values of passion, humility, tenacity, and the spirit of family being at its core. As a family-owned brand, Jetwing Hotels continues to be a leading advocate for sustainability and responsible tourism, with ongoing initiatives focused on community upliftment, environmental conservation, and resource efficiency. With over 35 properties across the island, the brand’s diverse portfolio includes a range of Luxury Reserves, Premium Hotels, Select Hotels, and Essentials, each offering a unique perspective on Sri Lanka’s rich cultural heritage and natural beauty.

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