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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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From 1906 to today: Nestle’s 120-year journey in Sri Lanka

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Bernie Stefan - proud of Nestle’s 120 years jouney

Bernie Stefan is the Chairman and Managing Director of Nestlé Lanka Limited, overseeing Nestlé’s operations in Sri Lanka and the Maldives. He assumed this role in March 2023. Under his leadership, Nestlé has strengthened its footprint in Sri Lanka, touching individuals and families, communities and spearheading sustainable development.

Since taking charge in 2023, Stefan has brought with him over two decades of international experiences, steering the company with a clear focus on sustainability, innovation and long term growth.

Bernie describes the anniversary as a moment of pride and reflection on over a century of commitment to Sri Lanka and its people.

Under his leadership, Nestle has expanded its footprint while staying true to its mission: to improve lives by providing nutrition and wellness for all Sri Lankans. Beyond the commercial success, the company has focused on community impact – supporting local farmers. promoting sustainable practices and contributing to public health initiatives.

(Q) Nestlé has been part of Sri Lankan homes for 120 years. How has the brand evolved alongside the changing lifestyles of Sri Lankan families?

(A) We at Nestlé are extremely proud of our 120 year journey of enriching Sri Lankan lives. It has been a journey guided by purpose and working together for good – touching individuals and families, the community, and the planet. As lifestyles and needs have evolved, so, too, have our products – offering convenient, tasty and nutritious solutions that meet everyday moments, whether it’s energy on the go or a quick and tasty meal. A true symbol of this legacy is our flagship brand, Nestomalt – synonymous with power, strength and energy – which today is enjoyed as the first cup of the day by a majority of Sri Lankan households.

(Q) Many Sri Lankans have grown up with Nestlé products at their breakfast table or during tea time. How does the company stay emotionally connected with generations of consumers?

(A) Our product range caters to the nutritional needs of consumers from birth to old age. We always ensure that the consumer is at the centre of everything we do. This deep understanding of consumer preferences, ensures not only that our products deliver taste and nutrition but also our communication is in tune to the local context. Our brands have been deeply rooted in the lives of the Sri Lankan community over many decades – be it through Milo school sports programmes or Nestomalt marathons. Being an organisation that has been present in Sri Lanka for such a long time, it also means that consumers hold many nostalgic memories from their childhood with our products.

(Q) From childhood treats to everyday beverages, Nestlé products often carry nostalgic memories. How important is this sense of nostalgia to the brand’s identity?

(A) Brands need to evolve with time and remain relevant. Nostalgia does bring a deep bond and connect with consumers. However, through product and packaging renovations, we have successfully ensured that our brands remain relevant to consumers. One of our oldest Nestlé brands in Sri Lanka, Milkmaid , today, has an online recipe platform with over 300 recipes. This is another example where we have ensured that our brands are able to connect with today’s consumers.

(Q) Has Nestlé adapted its products to suit modern lifestyles while still respecting local tastes?

(A) Our ability to cater to local taste preferences has been a crucial factor to the success of our brands. With the setting up of our local manufacturing operations in 1984, we now manufacture over 90% of Nestlé products sold locally. The deep consumer understanding our teams possess, combined with our global R&D expertise in the food and beverage sector, have given us the ability to tailor make our products to cater to the Sri Lankan taste palette while offering convenience. This is evident in the success of our Nescafe and Nestea 3-in-1 variants and the Ready-to-drink beverage range of Milo and Nescafe, that deliver convenience and great taste.

(Q) How is Nestlé aligning its practices to sustainability and mindful living?

(A) We are committed to reaching net zero carbon emissions by 2050. Promoting circularity is also a focus area in this journey. We have plans to be 100% plastic neutral this year. Our sustainability initiatives cover the entire value chain, from farm to fork. In Sri Lanka, we are focusing a lot on increasing yield and promoting regenerative agricultural practices across our dairy and coconut value chains. In our manufacturing operations, we have continuously striving towards reducing water and energy usage. We have also implemented numerous initiatives to reduce our carbon footprint in logistics, such as the adoption of rail transportation. We also focus on fostering behavioural change on responsible waste disposal amongst the youth through our School Waste Management Programme.

(Q) What moments or milestones best reflect its connection with everyday life in the country?

(A) Our ability to provide consumers with good food moments each and every day is something that I and the team are extremely passionate about. Also, the deep connect we have with the community, be it our dairy and coconut farmers, the numerous suppliers and trade partners, has been built on trust over the years. Today, we have farmers, suppliers and even employees from across generations and this speaks volumes about our business practices and the trust we have built in Sri Lanka for over a century.

(Q) Nestlé is known globally for innovation. How do you balance global expertise with the unique lifestyle and culinary culture of Sri Lanka?

(A) As I mentioned, understanding the taste palette, nutritional needs and the lifestyles of Sri Lankan consumers and ensuring our products fulfill these needs is key. Having access to one of the world’s leading R&D facilities gives us the unique ability to ensure our products deliver to these consumer needs and preferences. Further, it enhances our ability to ensure the freshness and bio-availability of certain nutrients contained in our products. We’ve also made significant strides in packaging innovation, where we use less plastic and materials that are better suited for recycling. The introduction of Coconut Milk Powder in 1986 was a first for Sri Lanka, and this is another great example of the deep understanding we have of local culinary culture.

(Q) How is the younger generation engaged with the brand today?

(A) Appealing to the discerning youth population will be key to ensuring the future success of our brands. Understanding the nuances of each generation is important. It is also evident that consumption patterns and lifestyles across generations are evolving rapidly. Staying abreast of these changes is something we are deeply committed to. In addition to delivering on taste and nutrition, being trendy and youthful – the purpose for which our brands stand for – is equally important. NESCAFÉ and MAGGI PAPARE BLAST are two brands that have developed a strong connect with Sri Lankan youth.

(Q) What vision do you have for the next chapter in Sri Lanka, especially in shaping lifestyle trends?

(A) Looking ahead, our vision is to continue enriching Sri Lankan lives by providing tasty and nutritious products and promoting healthier and active lifestyles. We will keep innovating to meet evolving consumer needs, while strengthening local sourcing and reducing our environmental impact. The next chapter is about deepening our positive impact – supporting communities, empowering youth and contributing to a resilient food system.

(Q) As the head of Nestlé Sri Lanka, what does celebrating 120 years personally mean to you?

(A) Celebrating 120 years in Sri Lanka is deeply meaningful to us, as it reflects the trust generations of Sri Lankan families have placed in Nestlé. This milestone is a testament to the dedication of our people and the strong partnerships we have built across the country. For me personally, it is both a moment of pride and a responsibility – to honour this legacy while continuing to work together for good, doing what is right for our consumers, our communities, and Sri Lanka.

By Zanita Careem

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A hat-trick for knowledge: Saranga’s triple triumph at Raigam Tele’es

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K.C. Saranga

At a time when entertainment often overshadows education on television, K.C. Saranga has rewritten the script—securing a remarkable third consecutive win for Best Educational Programme at the Raigam Tele’es 2025.

His flagship programme, Jeevithayata Vidyawa (Science for Life), aired on Ada Derana, has not only dominated its category but also elevated the standards of educational broadcasting in Sri Lanka.

Reflecting on the milestone, Saranga described the win as more than a personal achievement. “Maintaining an award ceremony of this magnitude for 22 years is no small feat. Raigam Tele’es plays a pivotal role in uplifting the industry. By consistently recognising and rewarding Sri Lankan creators, it provides the necessary oxygen for television to evolve as a professional craft,” he said.

A veteran with over 25 years in the industry, Saranga—currently General Manager (News and Current Affairs) at TV Derana and Head of the Ada Derana News Channel—has seamlessly transitioned from hard news to impactful educational programming. His success underscores a broader vision: to harness television’s full potential as an audio-visual learning tool.

“There is a significant void in Sri Lankan television when it comes to high-quality educational productions,” he noted. “Television is an audio-visual medium; its true power lies in its ability to show, not just tell. We use multimedia elements—graphics, animation, and dynamic presentation—to grip the viewer’s attention.”

Saranga emphasised that his goal was to match global benchmarks. “If world-class science documentaries are available in English, our mission was to bring that same global standard to the Sinhala-speaking audience,” he said.

Through Jeevithayata Vidyawa, complex scientific concepts—from aerodynamics to cyclones—are presented in a manner that is both accessible and engaging, redefining the notion of “edutainment” in local television.

Expressing gratitude, Saranga credited his team and network for the continued success.

“This achievement is a result of a shared vision. My deepest gratitude goes to the management of Ada Derana. In an industry often driven by conventional ratings, they have consistently provided a sanctuary for creative freedom, allowing ‘out-of-the-box’ ideas to flourish,” he said.

He added: “To my incredible production team—this trophy belongs to you. Your technical skill and commitment have transformed simple ideas into a national standard. Finally, thank you to our viewers; your curiosity is our ultimate motivation. We will continue to prove that learning is an inspiring journey.”

Saranga’s hat-trick stands as a testament to the power of innovation in educational broadcasting—proving that knowledge, when presented with creativity and purpose, can captivate audiences just as effectively as mainstream entertainment.

By Ifham Nizam

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‘Style Surge’ blends glamour with a cause

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Lighting up the evening with effortless charm

The event “Style Surge,” organised by the Lions Club Elevate, was an evening filled with glamour, leadership and purpose collided in a spectacular fusion. The grand Ballroom at Galle Face Hotel became a canvas of fashion; every detail, from the floral centrepiece to the curated lighting, whispered elegance, while glamour set the stage, purpose was the back bone.

The show featured a curated selection of Sri Lankan designers, each bringing their signature styles to the stage.

The designers captivated the audience with bold, contemporary silhouettes that fused modern trends with traditional influence, creating pieces that were both sophisticated and wearable.

The batik ensembles by doyen of Batiks, Eric Suriyasena, were masterpieces, demonstrating the designer’s mastery in balancing artistry and practicality. Each piece told a story, highlighting the cultural nuances of Sri Lanka, while contributing to the glamour of the event.

The hair and make up for the models were curated by Salon Avra by Thushari de Silva and was nothing short of perfection,

From sleek, modern looks to elegant textured styles, Salon Avra ensured every model complemented the designer’s vision, highlighting the intricate details of each ensemble. The artistry on stage reflected a seamless collaboration between fashion beauty and presentation.

Style Surge unfolded an evening of elegance, creativity and purpose. It brought together Colombo style conscious crowd, social leaders and fashion enthusiasts and transformed the venue into a vibrant celebration of couture and compassion.

As the lights dimmed,the runaway came alive with a striking showcase of designs, ranging from contemporary chic to timeless sophistication, by designers like Eric Suriyasena, Anushko, Azeena Sulaiman and Jaywanthi Panibharatha. Leading fashion brands showcased were Aluminium, Disala, Eriq and Elegant Closet, and they presented a blend of contemporary and traditional fashion. Jewellery for the show was designed and sponsored by Blue Majestara Ceylon, . The Chief Guest was District Governor Lion Mahesh Borolugoda and his wife Lion Lady Sunethra Borolugoda.

Beyond glamour, this event, Style Surge, carried a meaningful mission to help rennovate two schools and improve educational facilities for future students

Lions Club of Colombo Elevate district 306D6, the organisers of this event, have been long synonymous with community development .The event underscores the power of fashion as a force of good.

Proceeds and awareness generated though the evening will be directed towards the clubs ongoing humanitarian initiatives, reinforcing its commitment to uplifting communities while engaging the public in an inspiring way.

In every sense, the event was more than a fashion show, it was a statement. This event reaffirms that glamour can also carry a purpose, creativity can spark compassion, and a runaway that can become a powerful platform for social change. This fashion show was graced by distinguished guests of honour , including designers Aseka Wijewardena, Michael Wijesuriya, Yolande Aluwihare, and Shyara Mendis

This event was organised by Lion Diana Nilanthi, Shen, Lion Thushari de Silva and Lion Shashika Hettiarachchi, whose commitment to creativity and attention to detail transformed the event into a truly memorable evening. They were the driving force that brought the vision of the show to life. Their meticulous planning, conceptualising the theme, coordinating the designers ensured the show ran seamlessly, from start to finish Pix by Thushara Attapathu

By Zanita Careem

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