Lena Dunham Undergoes Total Hysterectomy In Ongoing Endometriosis Battle

Following years of chronic pain and numerous surgeries, Lena Dunham says she has undergone a total hysterectomy in the hopes of finally ending her years-long struggle with endometriosis.

Dunham has spokenopenly in the pastabout her experiences with endometriosis — which occurs when endometrial tissue, which normally lines the inside of the uterus, grows in and on other organs. She shared the news of her hysterectomy in the March 2018 edition of Vogue. The Endometriosis Foundation of America published excerpts of the article on its website Tuesday.

The 31-year-old “Girls” creator said she’d made the difficult decision to undergo the hysterectomy, which involves the removal of the uterus and cervix, following “years of complex surgeries measuring in the double digits” and alternative treatments including pelvic floor therapy, massage therapy, acupuncture and yoga.

Dunham said her surgeons found several other issues with her reproductive organs while they were performing the procedure.

“In addition to endometrial disease, an odd hump-like protrusion and a septum running down the middle, I have retrograde bleeding, a.k.a. my period running in reverse so that my stomach is full of blood,” Dunham said. “My ovary has settled in on the muscles around the sacral nerves in my back that allow us to walk. Let’s please not even talk about my uterine lining. The only beautiful detail is that the organ — which is meant to be shaped like a light bulb — was shaped like a heart.”

Dunham has been hospitalized multiple times in recent years for endometriosis. Last April, she said she was “endometriosis-free” after undergoing surgery to move her ovaries away from her rectal wall. Weeks later, however, she suffered complications from the procedure and had to be rushed to the hospital following a red carpet appearance at the 2017 Met Gala.

Those complications forced her to cancel her “Lenny Letter: America IRL” tour. At the time she said she was in “the greatest amount of physical pain that I have ever experienced.”

“After being told I was endometriosis-free after my last procedure, more disease was found in deeper spots that required immediate surgery and now physical therapy,” Dunham wrote in a note to fans on the Lenny Letter website.

A post shared by Lena Dunham (@lenadunham)on Feb 8, 2016 at 12:42pm PST

In the recent Vogue article, Dunham expressed feeling like she finally had “choices” after feeling “choiceless” for so long. She also expressed an interest in having children in the future either through surrogacy or adoption.

“Soon I’ll start exploring whether my ovaries, which remain someplace inside me in that vast cavern of organs and scar tissue, have eggs,” she said. “Adoption is a thrilling truth I’ll pursue with all my might.”

Dunham has previously expressed hope that heropenness about her endometriosis journeywillbenefit other womenstruggling with the condition.

“So many people who suffer will never have the resources I’ve had,” she said last April. “My job is to educate people, to try to change the pathetic lack of resources for endometriosis, but it’s also to seize this gift. I’ll be more useful that way.”

Worldwide, about 176 million women suffer from endometriosis, according to the Endometriosis Foundation. In the U.S., an estimated 1 in 10 women is impacted by the condition, which can cause chronic pain and fatigue, urinary and bowel disorders and fertility issues.

There are various treatment options for sufferers of the condition, including non-surgical pain management and surgical options that can include the removal of organs. The Endometriosis Foundation urges patients to fully discuss all possibilities and risks with their physician before deciding on any one option.

This article originally appeared on HuffPost.