Okay THEY perhaps have never had a period cramp, and I can speak for most women in that we do not bleed little and we are not free of discomfort. For me raging PMS was a fact of life, and I see too late it was one more indication of the lack of health I lived with all of life. Today I am interested in keeping body parts and helping them heal, and about cayenne - I like to take some a few times a week - never have adverse affects, but then I have no typical MENO symptoms, just loss of libido, leveling of emotions, with very sneaky thyroid stuff, and a gradual decline in health followed the abrupt and quiet END of menses. Just because one may not have glaring symptoms does not mean that hormones are not whacked!!! I focus on adrenals for this. No HRT's for me.