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Input: Lena Dunham  took permanent measures to help  her  fight  her  years-long battle with endometriosis.
The âGirlsâ alum revealed in a personal essay for Vogue that  she  underwent a hysterectomy â the removal of  her  uterus and cervix â after âyears of complex surgeries measuring in the double digits.â
Dunham  31  has been open about  her  endometriosis  which occurs when the tissue lining of the uterus is found outside the uterus.
In April   she  wrote in  her  Lenny newsletter that  she  was endometriosis-free after several surgeries  but more was discovered after  she  was rushed to the hospital during the Met Gala in May.
 Lena Dunham  wasnât involved in Timeâs Up  says  Tessa Thompson
Lena Dunham  had  her  uterus and cervix removed to help  her  battle with endometriosis. (Rich Fury/Rich Fury/Invision/AP)
During  her  hysterectomy   Dunham  wrote  surgeons discovered more medical problems.
âIn 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 â  she  said in  her  essay  according to the Endometriosis Foundation of America.
Now unable to have children herself   Dunham  who recently split from boyfriend Jack Antonoff after five years   said  she  will explore other options  including adoption and surrogacy.

Lena Dunham underwent a hysterectomy to help endometriosis