Lena Dunham photographed at the Village at the Lift Presented by McDonald's McCafe during the 2015 Sundance Film Festival on Jan. 25, 2015 in Park City, Utah.

Lena Dunham has taken a major step in her endometriosis journey by undergoing hysterectomy to remove her uterus and cervix.

The actress revealed in her March 2018 interview with Vogue via the Endometriosis Foundation of America that she decided on the surgery after "years of complex surgeries measuring in the double digits" and numerous attempts at treating her pain with remedies such as "pelvic floor therapy, massage therapy, pain therapy, color therapy [and] acupuncture."

However, doctors soon discovered "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." After finding out her condition was more serious than she thought, she agreed on the hysterectomy.

While her surgery means that Dunham is now infertile, she ended the essay on a hopeful note, explaining that she is excited for her options: "I may have felt choiceless before, but I know I have choices now," she writes. "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."