Amy Schumer has hit back at people who criticised her appearance during a recent TV appearance.
The comedian had recently appeared on The Tonight Show Starring Jimmy Fallon and The View, but viewers of the shows had gone on to make comments about how she had looked.
Specifically, they made comments about how her face had appeared 'puffier'.
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But Schumer has now taken to Instagram to hit back against the critics with a comment.
On February 15, she posted: "Thank you so much for everyone's input about my face!
"I've enjoyed feedback and deliberation about my appearance as all women do for almost 20 years. And you're right it is puffier than normal right now."
She went on to explain that she had some 'medical and hormonal' things which may have affected how she looks at the moment, adding that she is 'okay'.
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Schumer has clarified that this is a result of endometriosis, a condition in which tissue similar to the lining of the uterus grows outside of the organ.
The 42-year-old comedian wrote: "There are some medical and hormonal things going on in my world right now but I'm okay.
"I also believe a woman doesn't need any excuse for her physical appearance and owes no explanation. But I wanted to take the opportunity to advocate for self love and acceptance of the skin you're in."
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Schumer added: "Like every other women/person some days I feel confident and good as hell and others I want to put a bag over my head.
"But I feel strong and beautiful and so proud of this tv show I created. Wrote. Starred in and directed. Maybe just maybe we can focus on that for a little."
Around one in ten people with a uterus have endometriosis, which can cause chronic pelvic pain, impact on fertility, and severely exacerbate pain during menstruation.
While there is not currently a way to cure the condition completely, it can be managed with proper treatment.
Despite impacting a large number of people, endometriosis is frequently under-diagnosed as the pain associated with the condition is mistaken for regular menstrual cramps or anxiety.
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The condition can also take a long time to diagnose for this reason, as symptoms which are actually a result of the condition are dismissed as 'normal'.
In the US, patients can commonly live with the condition for more than ten years before it is finally diagnosed, according to the National Institutes of Health.
This can also be exacerbated in the case of people of colour. According to the Nuffield Department of Women's and Reproductive Health at the University of Oxford, black patients are 50% less likely to be diagnosed with the condition compared to white patients.
Topics: News, US News, Amy Schumer, Celebrity