For readers of Susannah Cahalan’s Brain on Fire and Porochista Khakpour’s Sick, this exquisitely wrought debut memoir recounts a lifelong struggle with chronic pain and endometriosis, while speaking more broadly to anyone who’s been told it’s all in your head

In Catholic grade school, Emma Bolden has a strange experience with a teacher that unleashes a short-lived, persistent coughing spell-something the medical establishment will later use against her as she struggles through chronic pain and fainting spells that coincide with her menstrual cycle.

With The Tiger and the Cage, Bolden uses her own experience as the starting point for a journey through the institutional misogyny of Western medicine-from a history of labeling women hysterical and parading them as curiosities to a lack of information on causes or cures for endometriosis, despite more than a century of documented cases. Recounting botched surgeries and dire side effects from pharmaceuticals affecting her and countless others, Bolden speaks to the ways people are often failed by the official narratives of institutions meant to protect them.

Bolden also interrogates a narrative commonly imposed on menstruating bodies- the expected story arc of marriage and children. She interrogates her body as a painful site she must mentally escape and a countdown she hopes to beat by having a child before a hysterectomy. Only later does she find language and acceptance for her asexality and the life she needs to lead. Through all its gripping, devastating, and beautiful threads, The Tiger and the Cage says what Bolden and so many like her have needed to hear- I see you, and I believe you.