I need to scream

Her stomach turns and cramps, her body feels as if a million needles are stabbing her from the inside. She grips the roots of her hair and rips and tears them from her skin. She scrubs herself clean till blood reached every surface of her. She must scream.
Her body runs with fire.
She must scream
Bile creeps up her throat and pushes its way out of her mouth but not a noise escape her.
She must scream.
Her lungs cannot take a full breath, cutting off the air before a satisfying breath.
She must scream.

But she cannot scream
He's sorry, he says..... So is she
"It won't happen again" he says..... It will
"It's not that bad" he tells her..... it was
So when she hits her breaking point
she screams
she screams so loud her vocal cords burn and tears streak down her face. But no one hears her. Shes not loud enough, she will never be loud enough. She is no longer of value to listen to.
Her wails can be heard, but she is a nuisance to those around her, nothing will change, no one will come to her aid, no one will hear her scream.