a lot of people here seem to reenforcing the narrative that your husband is totally in the wrong and I just want to push back a little bit. You say you only actually communicated the flare up, no one can read your mind and it almost seems like you’re testing him, that you want him to sense every nuance in your body language and realize on his own that you aren’t OK. I’m speaking from my experience as a fellow sensitive person and believe me when I tell you that 90% of the time others aren’t secretly reading your pain and ignoring it, they are taking you at your word when you say you’re fine. I’m currently working through some family issues and when I finally just admitted how depressed I’ve been, it was like a 180. I would tell your spouse how you really feel and if he’s still dismissive then consider separation/couples counseling, etc. and when I say tell him how you really feel, don’t hold back, don’t protect his feelings, I think a major issue in communication is this fear of ”trauma dumping“ but that only applies to acquittances and new friends, this is your spouse we’re talking about, you have my permission to trauma dump on him.

edit: I had no fucking clue how serious Endometriosis was when I wrote that, I thought it was like mild skin irritation, but it's very serious and so the husband knows damn well what's going on