Lena Dunham has had a full hysterectomy

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Twelve days later, at the age of 31, she finally undergoes a hysterectomy.

The likelihood of Lena carrying a child on her own after the procedure is close to none, which has to be a tough reality to accept considering she writes about always wanting to be a mom.

"With pain like this, I will never be able to be anyone's mother", she wrote. In other words: It can completely turn your life upside down.

Dunham checked herself into the hospital in November, intent on not leaving until they could either do something about the pain or perform a hysterectomy.

Endometriosis affects an estimated 1.5 million women in the UK. What the actress had done "is rarely performed since there are effective medical treatments that allow women to live comfortably with mild to moderate endometriosis". As you may know, Kim Kardashian had a baby through a surrogacy this year as well.

Recently, the former Girls star made the hard and incredibly emotional decision to undergo a hysterectomy at 31 - and now she's opening up about why. "Because I had to work so hard to have my pain acknowledged, there was no time to feel fear or grief".

While Dunham wrote that, physically, she recovered "like a champ", she also described her emotional roller-coaster.

Last April, she said she was "endometriosis-free" after undergoing surgery to move her ovaries away from her rectal wall. Surgery is complex because the tissue grows around organs and fuses them together. Nothing worked, which is why she opted for the total hysterectomy. That meant she had to sit through consultations with two therapists, one of whom was recommended by her doctor, while she managed extreme chronic pain, she said. Even dietary changes can help, says Gelbard.

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'My lovely partner, who has seen me through so much pain with compassion and care, has to be away for work, and I can feel us growing slowly apart, since life is so determined to display its full complexity right now, ' she said.

However - and perhaps surprisingly - a hysterectomy is not a sure cure for the condition.

Dunham was candid about her desire to have children one day.

This prompted Dunham to have elective surgery to remove her reproductive organs as an attempt to end the pain once and for all.

According to Dunham's endometriosis specialist, NY gynecological surgeon Dr. "Even if I could get pregnant, there's nothing I can offer", she said. While it's unclear what causes it, it affects roughly one in ten women in the USA, possibly more, as the condition often goes undiagnosed. Emotional support is essential, says Gelbard.

There are many symptoms and they can vary hugely in severity from woman to woman. That's why, having a network of supporters who have educated themselves about the process, as well as a trusted therapist, can be invaluable. "Lena was incredibly lucky to have that".

"In addition to endometrial disease", Lena wrote in a Vogue article.

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