As she reflects on her health journey,Lena Dunhamis proud of how far she’s come.

“What a difference a year makes,” Dunham started. “First photo was indeed a year ago today, on the first night after my hysterectomy for severe endometriosis. I was smiling but my eyes say it all: full of anxiety and grief that I couldn’t locate through the layers of pain meds and benzos.”

“Severe undiagnosed PTSD, feelings that my worth and purpose were being taken from me, angry and self-pitying with no sense of how I’d emerge,” she continued. “Plus, my hair had fallen out in odd clumps and I’d taken it upon myself to dye what remained electric blue cuz if you’re gonna spiral why not SPIRAL.”

Lena Dunham/Instagram

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Dunhamhad several surgeriesin the years leading up to the hysterectomy and was rushed to the hospital during the 2017 Met Gala for endometriosis complications.

The hysterectomy was not the end of Dunham’s health difficulties. In October, shehad her left ovary removedto address remaining pain.

“The second pic was taken tonight, happy joyous and (substance) free,” Dunham added in the Instagram post. In October, Dunham revealed onDax Shepard‘s podcastArmchair Expertthat shewas six months soberafter kicking her use of Klonopin, which she took for anxiety.

Lena Dunham.Charles Sykes/Bravo/NBCU Photo Bank/Getty

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“I surprised myself,” Dunham concluded. “I bet you can surprise yourself too.”

RELATED VIDEO: Lena Dunham Had a Full Hysterectomy to Remove Her Uterus and Cervix and End Endometriosis Pain

Dunham’s post spoke to others struggling with health problems. “Thanks for reminding me it’s gonna get better,” wrote a fan who had surgery earlier in November.

The actress replied, “Every day it’s getting better and one day it IS better.”

“This gives me hope through my chronic pain, one year can make a difference,” another person wrote.

“I never could have imagined and I didn’t have to do much but surrender, my love,” Dunham answered.

Dunham has celebrated her progress in the past. In August, in honor of the 9-month anniversary of the hysterectomy, sheposted a series of nude selfies.

“I’ve never celebrated the 9 month anniversary of anything and I realized last night why that number feels so funny- I won’t ever do it the way I planned to,” she captioned thepicturesat the time. “My body is mostly healed and every day I find a new bruise on my heart, but today I offer myself gratitude: from the most pained place, I somehow knew to choose myself.”

source: people.com