Life style
Understanding fibroids
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.
Life style
The letter that revealed the man behind the legend
As the world celebrates the 100th birthday of Sir David Attenborough, tributes continue to pour in from scientists, conservationists, filmmakers, and millions of admirers whose lives were shaped by the legendary natural historian’s work.
But among the many messages shared this week, one deeply personal reflection from renowned Sri Lankan-born scientist Dr. Ruchira Somaweera has captured the true essence of the man behind the iconic voice.
“We all have people we look up to and hope to be like one day,” Dr. Somaweera wrote in a moving tribute marking Attenborough’s centenary. “For me, one of those people has always been Sir David Attenborough.”
The story dates back to 2013, when a BBC documentary crew visited to explore Dr. Somaweera’s pioneering work on freshwater crocodiles for a potential wildlife series. Although his research ultimately did not make it into the final production, the encounter led to something far more meaningful.
Through members of the crew, Dr. Somaweera sent Attenborough a card expressing gratitude for the profound influence he had on three generations of his family.
“What I never expected,” he recalled, “was to receive a handwritten letter from him just two weeks later, thanking me for the kind words.”
For Dr. Somaweera, the gesture revealed something extraordinary about Attenborough — not merely the global icon known to billions, but a deeply gracious and humble human being who still took time to personally respond to admirers, despite decades of worldwide fame.
“It said so much about the man behind the legend,” he reflected.
That quiet act of kindness perhaps explains why Attenborough’s influence extends far beyond television screens. Across nearly eight decades, he has become not only the world’s most recognisable natural history broadcaster, but also one of the most trusted voices in science communication and conservation advocacy.
From Life on Earth to Planet Earth, Blue Planet and countless other landmark productions, Attenborough transformed the way humanity sees the natural world.
He brought remote rainforests, coral reefs, deserts, mountains, and deep oceans into living rooms around the globe, inspiring generations to care about ecosystems they might never physically encounter.
Few communicators have bridged science and emotion with such extraordinary power.
For Sri Lankan scientists and conservationists, Attenborough’s impact has been especially profound. Many grew up watching his documentaries, developing an early fascination with wildlife through his storytelling.
Dr. Somaweera’s own career reflects that inspiration. Widely respected for his work on crocodilians, reptiles, and conservation biology, he has become an internationally recognised scientist whose research has contributed significantly to understanding freshwater ecosystems and reptile conservation.
Yet even accomplished scientists, it seems, can remain awestruck by the people who first ignited their curiosity.
The timing of Dr. Somaweera’s tribute also resonates strongly, following recent screenings of Attenborough’s powerful documentary Ocean, including an exclusive showing hosted by Spa Ceylon at SCOPE Cinema.
In the film, Attenborough reflects on humanity’s relationship with the sea with a sense of urgency sharpened by a lifetime of observation.
“After living for nearly 100 years on this planet,” he says, “I now understand the most important place on Earth is not on land, but at sea.”
The documentary explores the astonishing biodiversity of oceans while warning against destructive practices, such as industrial bottom trawling, climate change, and marine habitat destruction. But even amid alarming realities, Attenborough continues to offer hope grounded in science and collective action.
That enduring optimism may be one reason why his influence spans generations.
“Happy 100th birthday to a true giant of science communication, storytelling and conservation advocacy,” Dr. Somaweera wrote in his tribute. “The impact you have had on the world, and on countless young minds, is immeasurable.”
Indeed, for millions around the world, Attenborough’s voice became synonymous with wonder itself.
He taught humanity that the planet is not merely scenery, but a living system of intricate relationships — forests breathing for oceans, coral reefs feeding fisheries, plankton generating oxygen, predators maintaining balance, and every species playing a role in the fragile architecture of life.
At 100, Sir David Attenborough remains more than a broadcaster.
He is a witness to a changing planet. A storyteller for the natural world. And for many scientists like Dr. Ruchira Somaweera, a lifelong inspiration whose greatest legacy may lie not only in the documentaries he created, but in the curiosity, compassion, and responsibility he awakened in others.
By Ifham Nizam
Life style
Two hearts, one ocean
The first Lanka-India swim by a couple
Bengali couple,Vrushali Prasade and Danish Abdi, created history by undertaking the first ever Sri Lanka-India Ocean Water Swim, reflecting not only athlete excellence and endurance but also the deep rooted cultural and historical connection between India and Sri Lanka.
Sharing their thoughts, before the event, Vrushali Prasade and Danish Abdi expressed enthusiasm about their challenges. “We are excited to take this unique expedition and are proud to align it with a message of health and wellness. This expedition stands as a powerful symbol of unity.
The first ever Sri Lanka-India Ocean Water Swim, presented by Manipal Hospitals, is not just another event, it is a bold endurance crossing of geography, grit and shared history between Sri Lanka and India.
This message was unfolded at a press conference held at the Kingsbury Hotel, before the event, by the officials of the giant Manipal Hospitals. The spotlight, however, firmly rested on the two swimmers, a couple, who brought this vision to life.
Vrushali Prasade and her husband Danish Abdi, in their 30s from Bangalore are working in the IT industry. They learnt swimming only about four years ago, after first taking to waters during a holiday in the Maldives. The Island met them before their historic attempt.
Poised yet quietly determined, the swimmers embodied the spirit of the challenges ahead, At the press conference they spoke on true discipline, preparations and mental strength required to take on such a historic crossing.
Manipal Hospitals, India’s largest Pan Multi Speciality Hospital, are the main sponsors , symbolically connecting the two nations, India and Sri Lanka, through sport, healthcare and shared ambition.
The couple had previously swam the Indian Ocean as part of the rally but the recent Indian Ocean swim is their first solo couple effort and the longest. They were assisted by multiple boats, alongside paramedics and coast guards.
The Chief Operating Officer, Manipal Health Enterprise Karthik Rajagopal said this historic swim reflects not only athlete excellence and endurance, but also the deep rooted cultural and historical connection between the two countries, The swimmers Vrushali and Danish Abdi said, before the event: ” Swimming is for all ages whether you are a kid or a matured person, it is never too late to start for any age group. When asked about their challenges of undertaking such a historic feat, they said. “The Palk Strait is no gentle stretch of water, its currents are unpredictable, its tides restless . Unlike the the controlled calm of a swimming pool, the sea offers no guarantee, one moment they may bring a steady rhythm, the next, a surge that breaks it entirely. But we are excited to take on this unique expedition and proud to resonate the message of health and wellness to the world’
Fatigue, inevitably becomes a companion and also long hours in open water test not just muscle strength but mental resilience. Jellyfish often drift with currents making the calm swim into a painful endurance test.
“With limited visibility, we can suddenly brush against tentacles, turning a steady rhythm into a moment of sharp pain. In the vast unpredictability of the ocean, we have to chose whatever the sea offers.”
They also said the route across the Palk Strait is deceptively complex. Though relatively shallow, those waters are known for shifting currents, strong tidal pulls and unpredictable winds. We cannot rely on a straight path, we move guided by pilots on escort boats who constantly adjust the direction based on the sea conditions. Then we have the unpredictability of the sea itself. Floating debris, sudden weather shifts and there is no wall to hold onto, no pause button only the rhythm of our stroke and breath. Vrushali and Danish expressed enthusiasm about these challenges . We are very excited to overcome all these challenges.’
‘Our decision, however, to take on the challenging stretch across the Palk strait is rooted in more than a personal achievement, said the couple. They spoke of the partnership aspect of the swim calling it both their biggest strength and unique challenge.
Behind the drama of the sea and the determination of the swimmers, lies a quieter crucial force,the medical backbone. As title sponsor, Manipal Hospitals was not merely lending its name to this event. They actively shaped the safety framework that make such a ambitious feat possible.
Manipal Hospitals is the largest Pan India Speciality Hospital network by bed capacity, boasting over 12,300. It is known for its expert medical expertise multi speciality care and commitment to patient centric care and also well connected to Sri Lanka’s medical and patient community especially for spine and oncology services.
Medical teams were stationed on escort boats equipped to respond instantly to issues ranging from hydration and hypothermia to jellyfish stings or muscle cramps. All in all the hospital’s participation underscores a broader message, promoting health, endurance sports and cross border collaboration.
In the end what the couple did places them in the same conversation as some of the world’s most daring open water swimmers, those who have conquered icy channels relentless tides and vast strong winds.
As the couple moved through the waters of the Palk Strait, their journey becomes a powerful metaphor for the relationship between Sri Lanka and India, two neighbours bound by history, culture and shared oceans. It is a quiet but powerful gesture of goodwill, reminding that while seas may separate lands, they can also bring them together.
By Zanita Careem
Life style
Galle Face Hotel introduces “La Sérénité”
Limited-Time Saturday Brunch at 1864 Limited Edition
The spirit of leisurely weekend dining came alive recently as La Sérénité Saturday Brunch unfolded in elegant style at 1864 Limited Edition at the iconic Galle Face Hotel.Set against the timeless charm of Colombo’s most historic seaside hotel. guests were treated to an indulgent culinary afternoon where sophistication, flavour and oceanfront glamour blended seamlessly.
The heritage charm of Galle Face Hotel, with its polished floors, high ceilings and whisper of history, created a backdrop that is both grand and intimate.Within this setting the brunch emerges not just as a culinary offering but as a carefully orchestrated experience. At the heart of this orchestration was the vision of the General Manager Suresh Abbas. A veteran in the hotel industry, under his leadership, the culinary team delivered a menu for selected invitees, a menu that balanced European finess with contemporary flair .
From gourmet seafood and international delicacies to locally inspired creations and decadent desserts, the spread offered a luxurious journey for discerning brunch lovers.
The GM’s influence is most visible in the intangible details, The curated menu, personalised service and elegant ambience all echoed the hotel’s dedication to offering memorable gastronic experience.The brunch remained international in character while still grounded in place.
La Sérénité, a thoughtfully conceived brunch experience, at 1864 Limited Edition, brings together a sense of calm, continuity, and culinary storytelling within one of the city’s most enduring landmarks.
Set against the pace of a restless world, La Sérénité is designed as a quiet counterpoint, an invitation to pause, to gather, and to ease into the weekend with intention. Since 1864, Galle Face Hotel has existed within this paradox, offering a sense of stillness and reassurance even as the world around it has continually evolved. This brunch extends that legacy, creating a space where time softens, conversation flows unhurriedly, and presence takes precedence.
At its core, La Sérénité is not only about the experience of slowing down, but also about the stories we return to through food. The menu is conceived as a subtle journey through culinary history, drawing from moments across continents and generations, where dishes have been shaped by instinct, refinement, and time.
There is a quiet familiarity in this approach. Classics are not reimagined for novelty, but carefully refined, preserving their essence while elevating their form. The experience moves between contrast and balance, simplicity and indulgence, tradition and gentle reinterpretation. In doing so, it offers something both recognised and rediscovered.
In this way, La Sérénité becomes more than a brunch. It is a curated timeline of taste, an experience that brings together memory, familiarity, and thoughtful refinement within a setting that invites calm.
Presented as a limited-time experience, La Sérénité commenced on 2nd May and takes place every Saturday at 1864 Limited Edition.
- Sheana Gardiner – where guests become part of the experience
- Chef curating best menu
- GM’s vision in every detail
- Young invitee embracing timeless hospitality
- Smiles, conversations, and exquisite plates … La Serenite brings people together
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