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Two years after Angelina Jolie revealed she’d undergone a preventative double mastectomy, the actress delivered another bombshell: last week she had her ovaries and fallopian tubes removed.

This candid essay, like her last, was written for theNew York Times. In it, Jolie, 39, reveals that while she’d been planning the surgery for some time, preparing herself “physically and emotionally” for the early menopause that would follow, she believed she had months to schedule the procedure. Then doctors noted an increase in inflammatory markers in a recent blood test.

Husband Brad Pitt flew in immediately.

“I called my husband in France, who was on a plane within hours. The beautiful thing about such moments in life is that there is so much clarity. You know what you live for and what matters. It is polarizing, and it is peaceful.

That same day I went to see the surgeon, who had treated my mother. I last saw her the day my mother passed away, and she teared up when she saw me: “You look just like her.” I broke down. But we smiled at each other and agreed we were there to deal with any problem, so “let’s get on with it.”

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