Lena Dunham Reveals She Had a Hysterectomy to Stop Pain From Endometriosis

Lena Dunham said she underwent a total hysterectomy — the surgical removal of the cervix and uterus — in an attempt to ease the pain caused by endometriosis. In an essay for the March issue of Vogue, which was excerpted by the Endometriosis Foundation of America, the Girls creator said she had the surgery to address chronic pain from endometriosis, which occurs when the tissue that lines the inside of a woman’s uterus grows in places outside the uterus. Dunham, 31, has been open in the past about her struggle with the condition, which affects about 176 million women across the globe. Dunham wrote in her essay that she elected to have a hysterectomy after “years of complex surgeries measuring in the double digits” and alternative treatments, including yoga, acupuncture and massage therapy. CNN reports that Dunham had to convince doctors that she wanted to have the surgery, which will make her unable to bear children. But Dunham, who said she always wanted to have children, wrote that she’ll now consider surrogacy or adoption. “I may have felt choiceless before, but I know I have choices now,” Dunham 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.”
Source: TIME: Health - Category: Consumer Health News Authors: Tags: Uncategorized healthytime onetime Women's Health Source Type: news

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AbstractBackgroundForty percent of exploratory laparoscopies are performed for chronic pelvic pain (CPP). However, a final diagnosis is still unreported in 35% of the patients. We decided to evaluate the identification of pathological lesions and the improvement of painful symptoms in patients with CPP and normal physical examination and imaging and who are scheduled for exploratory laparoscopy. The prospective study was designed in a tertiary referral center for endometriosis. Forty-eight patients complaining of CPP and scheduled for exploratory laparoscopy were included. Pelvic pain intensity was assessed using the visua...
Source: Gynecological Surgery - Category: OBGYN Source Type: research
Conclusions: The UBESS can be utilized to predict the level of complexity of laparoscopic surgery for endometriosis based on the RANZCOG/AGES skills levels for laparoscopy. It now needs to be externally validated in multiple centers with various surgical skill level classification systems to assess the general applicability.
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research
Publication date: Available online 8 February 2018Source: Best Practice &Research Clinical Obstetrics &GynaecologyAuthor(s): John JarrellAbstractHistorically, the evolutionary origins of menstruation have been based on two theories: the ability to eliminate infectious agents carried to the uterus with spermatozoa and the comparative conservation of energy with menstruation compared to its absence. In the menstruating species, more recent theories have identified spontaneous decidualization as the key adaptive mechanism. Spontaneous decidualization is seen as a mechanism to provide the mother with protection from th...
Source: Best Practice and Research Clinical Obstetrics and Gynaecology - Category: OBGYN Source Type: research
The objectives of this study were to critically assess and discuss the current classification of endometriosis according to pain.
Source: Best Practice and Research Clinical Obstetrics and Gynaecology - Category: OBGYN Source Type: research
Publication date: June 2018Source: Best Practice &Research Clinical Endocrinology &Metabolism, Volume 32, Issue 3Author(s): Ioannis Simitsidellis, Douglas A. Gibson, Philippa T.K. SaundersEndometriosis is a chronic incurable disorder that affects 1 in 10 women of reproductive age: associated symptoms include chronic pain and infertility. The aetiology of endometriosis remains poorly understood but patients, clinicians and researchers are all in agreement that new non-surgical therapies are urgently needed to reduce the severity of symptoms. Preclinical testing of drugs requires the development and validation of mod...
Source: Best Practice and Research Clinical Endocrinology and Metabolism - Category: Endocrinology Source Type: research
Purpose of review The risk–benefit ratio of concurrent appendectomy at the time of gynecologic surgery has long been debated and remains controversial. However, emerging data on the appendix's role in chronic pain syndromes point to a previously unrecognized link between gynecologic disorders and appendicular pathology. In this article, we review the indications for appendectomy at the time of laparoscopic gynecologic surgery for the treatment of endometriosis and chronic pelvic pain. Recent findings The incidence of appendiceal endometriosis is highly variable depending on the patient population selected. Altho...
Source: Current Opinion in Obstetrics and Gynecology - Category: OBGYN Tags: MINIMALLY INVASIVE GYNECOLOGIC PROCEDURES: Edited by Matthew T. Siedhoff Source Type: research
The objectives of this study were to critically assess and discuss the current classification of endometriosis according to pain.
Source: Best Practice and Research Clinical Obstetrics and Gynaecology - Category: OBGYN Source Type: research
Publication date: Available online 8 February 2018Source: Best Practice &Research Clinical Obstetrics &GynaecologyAuthor(s): John JarrellAbstractHistorically, the evolutionary origins of menstruation have been based on two theories: the ability to eliminate infectious agents carried to the uterus with spermatozoa and the comparative conservation of energy with menstruation compared to its absence. In the menstruating species, more recent theories have identified spontaneous decidualization as the key adaptive mechanism. Spontaneous decidualization is seen as a mechanism to provide the mother with protection from th...
Source: Best Practice and Research Clinical Obstetrics and Gynaecology - Category: OBGYN Source Type: research
Conclusions: The UBESS can be utilized to predict the level of complexity of laparoscopic surgery for endometriosis based on the RANZCOG/AGES skills levels for laparoscopy. It now needs to be externally validated in multiple centers with various surgical skill level classification systems to assess the general applicability.
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research
Publication date: June 2018Source: Best Practice &Research Clinical Endocrinology &Metabolism, Volume 32, Issue 3Author(s): Ioannis Simitsidellis, Douglas A. Gibson, Philippa T.K. SaundersEndometriosis is a chronic incurable disorder that affects 1 in 10 women of reproductive age: associated symptoms include chronic pain and infertility. The aetiology of endometriosis remains poorly understood but patients, clinicians and researchers are all in agreement that new non-surgical therapies are urgently needed to reduce the severity of symptoms. Preclinical testing of drugs requires the development and validation of mod...
Source: Best Practice and Research Clinical Endocrinology and Metabolism - Category: Endocrinology Source Type: research
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