Modifiers matching distress:

• extreme,
• emotional,
• persistent,
• mental,
• physical,
• significant,
• intestinal,
• personal,
• menstrual,
• psychological,
• intense,
• minor,

Simple categories matching menstrual:

• cycle,
• irregularity,
• product,
• symptom,
• condition,
• disturbance,
• syndrome,
• supply,
• distress,
• disorder,
• problem,