Probably because I didn’t suffer from menstrual pain, I was totally clueless and insensitive to the mother at our shelter who was absolutely rendered helpless by it. “Why doesn’t she get a job?” I asked an equally clueless co-worker. The mom finally had surgery and got some relief. But she died at an early age, likely caused by trauma and her years of physical duress. Your post will hopefully shed light on this affliction.