Lena Dunham just got very raw about her personal health. The Girls star had a total hysterectomy back in February of this year, and this morning she revealed on Instagram that she had an additional surgery last night to remove her left ovary.

In a lengthy caption, Dunham explains that her ovary had been encompassed by a painful mass of scar tissue and fibrosis, making it difficult for her to 'walk/pee/vamp.' She also addressed her critics on social media, who have claimed her previous issues were all in her head.

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'Yesterday I had a two hour surgery to remove my left ovary, which was encased in scar tissue & fibrosis, attached to my bowel and pressing on nerves that made it kinda hard to walk/pee/vamp. Over the last month it got worse and worse until I was simply a burrito posing as a human,' Dunham wrote. 'A lot of people commented on my last post about being too sick to finish promoting my show by saying my hysterectomy should have fixed it (I mean *should* is a weird one). That I should get acupuncture and take supplements (I do). That I should see a therapist because it’s clearly psychological (year 25, y’all. These are the fruits!).' (Read her full comments below.)

Dunham shared an equally personal post when she had her hysterectomy, writing that the 20 million women in America who have had hysterectomies are 'linked forever by this experience and our refusal to let it hold any of us back from even the grandest dreams.'

Here's hoping for a speedy recovery for Lena Dunham.

Yesterday I had a two hour surgery to remove my left ovary, which was encased in scar tissue & fibrosis, attached to my bowel and pressing on nerves that made it kinda hard to walk/pee/vamp. Over the last month it got worse and worse until I was simply a burrito posing as a human. *** My mother took this picture after I spent 9 hours in the post op recovery area with v low blood pressure, the nurses were diligently monitoring. I was so out of it that I thought I looked sensually moody a la Charlotte Rampling (turns out it was more of a constipation vibe.) *** A lot of people commented on my last post about being too sick to finish promoting my show by saying my hysterectomy should have fixed it (I mean *should* is a weird one). That I should get acupuncture and take supplements (I do). That I should see a therapist because it’s clearly psychological (year 25, y’all. These are the fruits!) But a big lesson I’ve learned in all this is that health, like most things, isn’t linear- things improve and things falter and you start living off only cranberry juice from a sippy cup/sleeping on a glorified heating pad but you’re also happier than you’ve been in years. I feel blessed creatively and tickled by my new and improved bellybutton and so so so lucky to have health insurance as well as money for care that is off my plan. But I’m simultaneously shocked by what my body is and isn’t doing for me and red with rage that access to medical care is a privilege and not a right in this country and that women have to work extra hard just to prove what we already know about our own bodies and beg for what we need to be well. It’s humiliating. *** My health not being a given has paid spiritual dividends I could never have predicted and it’s opened me up in wild ways and it’s given me a mission: to advocate for those of us who live at the cross section of physical and physic pain, to remind women that our stories don’t have to look one way, our pain is our gain and oh shit scars and mesh 'panties' are the fucking jam. Join me, won’t you?

From: ELLE US
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Holly Rhue
ELLE.com Contributor
Holly Rhue is a writer and editor in New York City.