Bustle: Conversations About Endometriosis

Conversations with Friends executive producer Lenny Abrahamson and director Leanne Welham consulted doctors and women living with endometriosis to ensure their depiction of the disease was as accurate as possible. Given that endometriosis can also cause pain during sex and infertility, intimacy coordinator Ita O’Brien advised on the way Nick and Frances’ lovemaking might be impacted by her chronic pain condition. “The concern when the pain first started was, had she been pregnant, and what was this all about?” O’Brien says, adding that she factored Frances’ emotional journey into staging sex scenes “that further discovery of herself ... and all the complexity it brings.” After her diagnosis, Frances feels broken, sick, and unlovable and her relationship with Nick changes. She decides that she will figure out how to function with a body that actively revolts against her, alone, away from prying eyes.

France’s endometriosis might start as a side plot, but by the end of the series, it’s clear that the condition is inextricably linked emotionally and thematically to her affair with Nick. Her diagnosis arrives just as Nick starts sleeping with his wife again, and Frances learns of his desires to be a father, making her feel both broken and unwanted. “Many women contend with that question of: Is my body going to serve me?” O’Brien says. “Frances has to ask, ‘How will the endometriosis affect if I want to get pregnant, if I want to have a baby. Is my body as a woman going to do what it’s supposed to do?’”

Frances may be grappling with friendships and relationships, but by the end of Conversations with Friends, it’s clear that there is no more intimate and frustrating relationship than the one she has with herself.

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