Lena Dunham has joked the worst part of having a hysterectomy is not being able to use her period as an ''excuse not to do stuff''.

The 32-year-old writer-and-actress has had her uterus surgically removed due to severe endometriosis - a condition which causes the tissue that normally lines the inside of the uterus to grow outside of it - but Lena has been happy to make light of her situation on Twitter.

The 'Girls' creator quipped: ''The worst part of a hysterectomy is not being able to use your period as an excuse not to do stuff. (sic)''

Lena previously revealed she is planning to return to full health before starting a family.

The American star - who split from musician Jack Antonoff in 2017 - confirmed she's determined to regain her health before having a baby via a surrogate.

Asked how she's been feeling since her hysterectomy - which leads to infertility in the patient - Lena explained: ''I completely have ups and downs. I'm so lucky to have work that I love and an incredible community and friends and family.

''But yes, of course I do, because just that change in your body, that change in your hormones, that change in the ecosystem in your body is going to rock you and change you in ways you couldn't have imagined. I think it takes some time to stabilise.''

Lena insisted she is willing to be patient before she starts a family.

She said: ''I'm taking some time to get healthy.

''Some women don't have the ability to take that time. It would be harvesting eggs and putting them into a donor - that would be the situation if I were going to do it and figure out who the donor is going to be and a surrogate carrying the baby.''