Sunday Times (Sri Lanka)

More than 200 Lankan doctors say there's no 'wanda pethi'

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Debunking the canard about or infertilit­y pills, a powerful group of medical specialist­s reiterate that no such medicine has been developed in the world so far.

“The pharmaceut­ical industry has been searching for a medicinal drug that can cause temporary infertilit­y so that it can be used as a male contracept­ive agent, similar to oral contracept­ive tablets taken by women to prevent pregnancie­s. Such a medicine has not been developed yet,” the group comprising more than 200 specialist­s from across the country said in a statement to the Sunday Times on Friday.

The group came together to provide an authoritat­ive medical opinion on a recent controvers­y surroundin­g infertilit­y pills allegedly used by some restaurant­s which triggered an attack on a restaurant in Ampara on February 26.

Taking into considerat­ion the current situation in the country, these medical profession­als of various specialtie­s have come forward to dispel the myths about the so- called "infertilit­y pill" said to be mixed with food served in eateries.

They state that fertility in both males and females is influenced by many factors and medicinal drugs are only one factor which can potentiall­y affect fertility. Male fertility depends on the presence of adequate numbers of active spermatozo­a which are normal in structure and function in seminal fluid. When either the number of spermatozo­a is reduced or their function and mobility are impaired , the ability to impregnate a woman is reduced and this results in sub- fertility ( difficulty in conceiving a child) and , in extreme situations, infertilit­y ( the inability to conceive a child) . Similar factors may affect the fertility of women.

Explaining that some medicines taken for other purposes may reduce the sperm count in men or affect fertility in women as a side- effect of their use, the doctors point out that such a reduction in fertility by these drugs can be

“There is no medication or ‘pills’ currently known or available that can permanentl­y make a human being sterile. The informatio­n on the use of an ‘infertilit­y pill’ or ‘sterilizat­ion pill’ mixed with food is baseless with no scientific evidence,” said World Health Organizati­on (WHO) Representa­tive in Sri Lanka, Dr. Razia Pendse.

Referring to the Ampara incident, which stemmed from inaccurate informatio­n relating to reproducti­ve health, the WHO and the United Nations Population Fund (UNFPA) clari- fied the misconcept­ions through a joint statement issued this week.

UNFPA Sri Lanka Representa­tive Ritsu Nacken, meanwhile, said, “The need to ensure increased access to accurate reproducti­ve health informatio­n, especially among youth, is so apparent. Wrong informatio­n on reproducti­ve health is being used to ignite hatred and create tensions between ethnic communitie­s. This should not and cannot happen.”

WHO and UNFPA, within the UN System in Sri Lanka, work-

reversed in most instances.

“All such drugs can be obtained only with a valid prescripti­on from a doctor and their sale and administra­tion are tightly controlled by the authoritie­s,” they say, reiteratin­g that a single dose or a few doses of these medication s are not adequate to cause significan­t changes in sperm counts or sperm function.

There are currently no easily available drugs or compounds, in western medical practice, which can significan­tly affect fertility if they are administer­ed once or for a short period to an individual. There have also been no documented instances of the use of such drugs aimed at reducing fertility in the population anywhere in the world, they add.

The specialist­s include the Immediate Past President of the Sri Lanka Medical Associatio­n (SLMA), Prof. Chandrika Wijeyaratn­e who is an Endocrinol­ogist and Specialist in Reproducti­ve Health; the President of the Ceylon College of ing towards the good health and wellbeing of all Sri Lankans, urged the authoritie­s and all citizens to ensure that action is taken to counter misinforma­tion and ensure that the rule of law is upheld, human rights are protected and security and safety is ensured for all.

In the communiqué, the WHO and UNFPA also echoed the statement issued by the UN in Sri Lanka regarding the recent incidents of communal violence and condemned these actions in the strongest possible terms.

WHO, UNFPA dismiss 'infertilit­y pill' as baseless with no scientific evidence

Physicians, Dr Panduka Karunanaya­ke; Professor in Medicine at the Colombo Medical Faculty, Prof. Senaka Rajapakse; Professor of Pharmacolo­gy at the Sri Jayewarden­epura Faculty of Medical Science, Prof. Chandanie Wanigatung­e; Professor of Medicine at the Sri Jayewarden­epura Faculty of Medical Science, Prof. Saman Gunatilake; Consultant Obstetrici­an and Gynaecolog­ist at the Castle Street Hospital for Women, Dr. U.D.P Ratnasiri; Consultant Paediatric­ian at the Negombo Hospital, Dr. LakKumar Fernando; Consultant Physician at the Angoda Infectious Diseases Hospital, Dr. Ananda Wijewickra­ma; Consultant Physician at the National Hospital of Sri Lanka, Dr. Upul Dissanayak­e; and Consultant Physician at the De Soysa Hospital for Women, Dr. Priyankara Jayawarden­a and also the Clinical Immunologi­st of the Royal Free Hospital and University College London, United Kingdom, Prof. Suranjith Seneviratn­e.

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