A lot of people don’t really care for Lena Dunham, and they don’t care for her for a number of reasons.

Those reasons are all very valid, but one admirable thing about Lena is that she’s always been ready and willing to talk about her endometriosis.

Endometriosis is no joke — it can cause debilitating pain and it affects millions of women — but it’s still pretty misunderstood, and there’s not as much research happening on it as there should be.

Women who have the disease are often brushed off by being told that they’re simply being dramatic about their periods when really it’s so much more than that.

As Lena revealed in an essay she just wrote for Vogue, it can actually change your entire life.

If you’re serious about your celebrity gossip, there’s a good chance that you’ve heard about Lena’s endometriosis before.

She’s had multiple surgeries to try to combat the symptoms — which for her have mostly seem to be lots and lots of pain — and last spring, she had to leave the Met Gala to be hospitalized for complications.

In this new essay, she explains that a few months ago, she had yet another surgery: a hysterectomy.

“In August, the pain becomes unbearable,” she writes. “I am delirious with it, and the doctors can’t really explain. The ultrasound shows no cysts, no free fluid, and certainly no baby.”

She says that from then until November she tried to “manage this new level of pain,” and that she tried several different kinds of therapy, as well as acupuncture and yoga, to try to find some relief.

“Finally I ask my doctor if my uterus needs to come out,” she recalls. “She says, ‘Let’s wait and see.'”

After two days

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