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.
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 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 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 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.
Why is jewellry important in fashion?
Jewellery has the ability to add beauty and style to you and whatever ensemble you are wearing. Whether it is costume jewellry or fine jewellery it is the wearer’s delight as it further highlights their personality with the look that it adds to your ensemble. You’re all dressed up and on your way out when you glance in the mirror and realize… something is missing. The outfit is flawless and the shoes are perfect, and then you spot it: A gorgeous bib necklace will make you look even better in that dress! Whether you’re on a date with someone sweet or dressing to impress a potential boss, you can use statement je ellery to transform your wardrobe.
“Jewellery has the power to be the one little thing that makes you feel unique.” — Elizabeth Taylor
The human love affair with all things sparkly has a long history Jewellery has always made a fashion statement.
Some of the earliest statement jewellery was found in Egypt. Collar necklaces, dangling earrings, and thick, cylindrical rings were all prevalent in Egyptian jewellery boxes.
The Romans loved their jewels too, but they preferred rings. These rings were made with heavy stones for winter and lighter, more delicate materials for the summer. Regardless of composition, the important characteristic of Roman jewellery was history, not value. As is the case today, in ancient Rome, a bauble could be priced higher if it had an illustrious history behind it.
Coco Chanel began creating her own elaborate jewellery in the 1920s, using crystal or coloured glass in varying sizes as the Egyptians had. Coco is often credited with popularizing the concept of “costume jewellery,” creating seasonal items that mixed real and imitation stones and pearls.
Vivenne Becker, an antique jewellery veteran, talks about “The Cocktail Style” in her book, Fabulous Costume Jewellery: History of Fantasy and Fashion in Jewels. Popular during the ’30s and ’40s, this jewellery era was all about big, jewellered rings, multi-strand pearl necklaces, and extensive use of gilt metal and rose gold. She describes “cocktail jewellery” as “bubbly and extravagant, like the alcoholic concoctions from which it took its name. It was assertive, bossy, jewellery to show off in.”
While making a statement in the ’50s meant throwing on a charm bracelet, jewellery in the ’60s had a bit more punch. Designer Paco Rabanne fully embraced statement jewellery, experimenting with cheap materials like plastic and PVC and using bright colours. He said, “I made jewellery for the alternative side of women’s personality, for their madness.”
It’s a crime to talk about statement jewellery without discussing the woman whose accessories always have something to say: Madeleine Albright. In her book, she tells the stories behind some of her favourite pins. In one tale, she recalls the first pin she wore to send an intentional political message. The pin was a gold snake wrapped around a branch, which she wore after being referred to as an “unparalleled serpent” by the Iraqi press. Dr. Albright still enjoys collecting pins, though she mentions she receives many as gifts
Modern day statement jewellery is big, bold, and full of many elements from previous decades. Today, we love pieces that incorporate the glitz and glam of the ’30s and ’40s, and the colours and materials of the ’60s. Most of all, we love statement jewellery’s eternal ability to make heads turn.
Fashion trends constantly evolve, but jewellery steadfastly remains an accessory that women turn to. Nothing can make an ensemble shine quite like jewellery can. It also makes the perfect statement for self-expression.
Jewellery changes the way your outfit ‘works’. Whether you wear an extravagant ring, or a simple necklace, a statement bracelet or subtle stud earrings, your choice of jewellery has the power to elevate your look to a whole new concept. In fact, fashion designers and jewellers have long since been working together to create various styles. Also, gemstones are no longer simply embellishments – they are pieces of art. Jewellery is definitely a big part of fashion. Here are some reasons why:
New look every day
Love your white shirt and end up wearing it too often? That’s ok! Make it look different each time with different jewellery! For a formal look, pair it with gold studs or drop earrings; for a Boho look throw on some chunky bangles and stack rings, or look casual and laid-back with tassel and pom pom earrings. You can also wear your pieces to match your mood.
Certain pieces are called conversation starters for a reason. Bold or quirky, intricate or chunky, such pieces of jewellery naturally draw attention and spark friendly discussions.
Accentuates your personality
Jewellery is a great way to express yourself, so select pieces that match your personal style and personality. It also allows your creativity and individualism to shine through and speak for themselves.
The biggest question probably is, how to choose jewellery that will complement your look, your mood and your personality. Also, how to style the pieces so they will enhance your wardrobe. Here are a few tips and tricks to help you dazzle!
Jewellery styling tips
. Define the focus of your look: jewellery or clothing?
When you start dressing, decide on this first. A simple outfit can be transformed into something spectacular with the right jewellery, or a statement piece. If the focus is on your clothing and it is bold, then choose small, subtle pieces as highlights, such as the Bliss solo stone bracelet with a mother of pearl.
Layer and stack
Experiment with layering your necklaces and stacking your earrings, rings and bangles! Mixing different lengths, shapes, textures and colours and seeing what works is a lot of fun! Layering necklaces of differing lengths can bring focus to your face. You can also stack rings in different gemstone colours or combine ear cuffs with hoops for an interesting look. Mixing your jewellery on your wrist can create a friendly jangle as you move your arm.
Experiment with mixing metals
Wearing a silver necklace? You don’t have to pair it with other silver jewellery as a rule. Contrast your pendant colour with its chain, or stack rings with different metal or gemstone colours. Try the same with your bangles and bracelets. If it looks good and makes you feel confident, just go with it!
Don’t follow trends blindly
Evolve your own style. Whatever accessory you choose, own it, flaunt it, be confident wearing it. Pick jewellery that suits your style, looks good on you and complements your colouring, and mostly, your personality.
Don’t overdo it
When you’re enthusiastic about jewellery, it’s easy to sometimes over-accessorise. So just watch out to make sure you’re not cluttering your look with excess. For instance, if you’re drawing attention to your neckline with a statement choker or layered necklace, don’t stack too many bracelets that compete for attention. Or, if you’re wearing bold pendant earrings, then a simple, matching necklace should be enough – or even no necklace.
How to match jewellery with your outfit
If you’ve ever been stuck wondering what jewellery to pair with which outfit, then this is for you! Just go with these handy hints:
Consider where you’re going and what you’ll be doing, when selecting your jewellery If you’re dressing up for work and will be using your keyboard most of the day, avoid jangling bangles and hanging bracelets. Wear the longer, dressier earrings for formal events and parties and the more flamboyant pieces for casual outings.
Choose jewellery that
complements your skin tone
Jewellery is a great way to highlight your skin tone. Warm skin tones go well with yellow so gold is a good choice. Silver and white gold illuminate natural tones.
Pair busy patterns with
You get a confused, gaudy look when you marry a busy print with loud, ornate jewellery.
Instead, consider simple, solid pieces.
Highlight your face with
If you want the spotlight on your face, then don a pair of statement earrings. Go for the flashy, glittering ones that make your eyes sparkle! Also, consider the shape of your face when choosing your earrings. For instance, studs and triangular earrings look best on an oval face.
From runways to red carpets, clogs are making a major comeback
In case you haven’t noticed, clogs are having a moment – and we’re here for it. These ’90s “it shoes” have been popping up everywhere, from runways (Alaïa, Givenchy and Gucci to name a few), to social media, and even on the red carpet (Justin Bieber wore the Balenciaga Hardcrocs to the Grammy’s.) Although they may seem like a relic of the past, the folkloric footwear have been reimagined time and again with modern twists. This time around, designers chose rubber materials, unconventional colours and cozy textures as some of the ways to update the traditional style.
Even if your aesthetic isn’t all about the ’90s, clogs make the perfect shoes for any occasion they’re stylish and comfortable enough to wear all day long and easy to slide on and off. But they also add an interesting element to jazz up your outfits as the new season starts.
Whether you choose to pair them with a flowery dress or a pair of oversized jeans, there’s something about the quirky slip-ons that people can’t get enough of.
Clogs have emerged as one of the top footwear choices for pandemic living. They function like a slipper (comfortable and easy to get into), but with elevated style (and height) — and soles sturdy enough to wear for hours.
Doctors and nurses rely on them for long shifts, as do chefs and anyone else who stands at work all day.
They look cool, giving off equal parts art teacher, with-it parent, and fashionable ceramicist. Clogs are popular from the stylish ones worn by famous people to the hippie-ish ones preferred by men.
If you’ve seen a celebrity in clogs, chances are those clogs were from No.6. It’s the brand worn by Claire Danes, Julianne Moore, Michelle Williams, and Maya Rudolph, who wore several pairs in her Amazon show Forever.
Although No.6 clogs are no longer trendy, they’re not passé either. The brand has become so ubiquitous they’re practically canonized. Its clogs come in a bunch of different styles, including sexy high heels, flat heels and come in different colours and patterns .– Hello
How Does Your Sense of Style Change as Your Age?
Life is an adventure about constant discovery, and the longer you live, the more you learn about yourself. And this is no more evident than in the style of clothing you wear.
As kids and young adults, clothing is about freedom, mobility, and daring to show skin. Fashion choices are riskier and in tune with current trends. At a young age, our personalities and sense of style are not fully formed yet, so a lot of experimentation is to be expected. This is both thrilling and a chore, so enjoy it while it lasts.
Our Growing Sense of Style
As we move into our twenties and thirties, styles become more about personality, a sense of self-promotion, and respectability. Careers are blossoming, date nights are still regular, and hangouts with friends keep the social calendar filled.
Kids also start to enter the picture here and while the social activities may see a decrease, the need for quality fashionable looks does not. Even if your days are spent following the young ones around, dressing up for yourself improves your wellbeing. Get into the fashionable athleisure look that is dominating casual comfort. Casual tees, joggers, and a pair of fashion sneakers elevate your style, improve your mindset, and are still practical for everyday wear.
Movin’ Up in Years
Moving forward into 40’s and 50’s style becomes more sophisticated with key pieces worn exceptionally well for a put-together look. At this point, you will have learned that fashion isn’t about cost per wear but rather joy per wear. It’s important to cast aside the old mantra of when you hit 40 fashion dies. Stick to what you know and experiment with some new styles and you’ll stay in the game for life. A staple tee, pair of shorts, and hat are the perfect summer go-to, at all ages.
From 60’s onward, style changes into comfort with exceptional style. However, you get a second wind of showcasing personality now that there is more time to focus on yourself again without kids or a job in the way. From fancy lip colors to new shoes to bright jackets, women over 60 are finding fashionable accessories to pair with their looks for a fresh and invigorating look.
A Modern Sophisticated, and Stylish Approach to Aging
As you age your sense of style becomes more modern, sophisticated, and stylish in a way that is uniquely you and fits into your lifestyle. However, when so many stores predominantly offer clothes for a more youthful market, it can be hard to find the pieces that your lifestyle requires.
To keep up with style, shift your focus from trending items to fabrics and looks that stand the test of time. Classic white tops, black pants, and a belted dress are a must-have. These choices lead to a more refined look with more sophisticated that make your style timeless no matter what decade we’re in.
A Changing Focus
As your style changes over the years, the appeal of dated and trendy looks diminishes, and rising in its place is a desire for an effortless and classic look to fit a greater variety of occasions. The tendency is to choose styles that distance ourselves from childish appearances, such as the frills and bows of our youth. Styles for more mature audiences focus more on clean lines, well-fitted items, and classic colors and patterns.
Changing Body Shape
One aspect of an evolving style as you age that tends to redefine how we dress is body shape. Body shape changes that occur with age is a natural process of life, especially if kids are in the picture. Your choice of style should complement your beautiful shape, and leave you feeling confident, comfortable, and ready for anything that life throws your way.
This doesn’t mean you need to wear baggy clothing. In fact, wearing well-made, tailored clothing will make you feel most comfortable. Choose styles made of fabrics with a little built-in stretch for more flexibility. Another great option is to choose pieces that are versatile, such as a jean jacket, a tunic top, and the everyday jean. It’s an important facet of changing style as aging occurs to continue to embrace yourself and have confidence in the growing maturing and self-awareness you possess. Be stylish, and be comfortable. But mostly be you and pick clothes that fit into your lifestyle, not the other way around. You’ll be much happier in the end.
Celebrate the Journey
You can tell a lot about someone’s personality and age by their style and choice of dress. Every detail about your presentation communicates something. So it’s important to be aware of this and celebrate yourself and your message as you age. Many changes happen as you go through life from lifestyle to body and even coloring preferences. It’s important to enjoy the process of styling and dressing as you age because it’s a reflection of you and channel for self-expression.
The media might try to tell you that fashion and style all about age. But the truth is that fashion gets even more exciting as you mature, so celebrate your journey.
– Lifestyle Mag.
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