Lena Dunham underwent a total hysterectomy after battling chronic pain from endometriosis, she shared in the March 2018 issue of Vogue.

“In addition to endometrial disease,” she wrote, “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. 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.”

Lena, who recently split from longtime boyfriend, Jack Antonoff, remains optimistic about having children.

“I may have felt choiceless before, but I know I have choices now,” she wrote. “Soon I’ll start exploring whether my ovaries, which remain someplace inside me in that vast cavern of organs and scar tissue, have eggs. Adoption is a thrilling truth I’ll pursue with all my might.”