Tired woman suffering from insomnia

American actress and dancer Julianne Hough has spoken out about her struggles with endometriosis in the hope that it will help other women who also have the condition.

The 30-year-old said she was finally diagnosed with endometriosis in her twenties after years of pain, but still felt she was suffering in silence and had to "push through the pain".

Endometriosis occurs when cells from the lining of the uterus begin to grow elsewhere, including the ovaries, fallopian tubes and even the bladder. It can cause chronic pelvic pain and also pain during sex.

"I felt very lonely and like nobody understood me. I had no idea that [so many women] had endometriosis," Julianne commented.

Now, though, she explained her outlook has changed and she is much more honest about her condition, but also more easygoing with herself if she is struggling with symptoms.

Importantly, the star also spoke frankly about sex with endometriosis, revealing that she and her husband do sometimes have to "cut things short" if she is in pain.

Although Julianne said this can be frustrating, she shared that the couple's secret is plenty of foreplay on top of open and honest communication - something she recommended for other people living with the condition.

"There's so much intimacy without actually having sex. There are some cool things we've learned and it's literally been awesome," she commented.

Indeed, there are lots of things you can do if you or your partner has endometriosis. Comfortable positions often involve shallow penetration, so try spooning or a modified doggy style.

It's also important to use plenty of lubrication, plus sex toys can help to extend foreplay to smooth things along naturally.

Just don't suffer in silence like Julianne did!