I do not play with the other lifestates besides regular sims. I don't need so much realistic gameplay in the game. There are mods to get the type gameplay you are looking to do, which isn't something you may have wanted to hear. What you are asking for would give the game a mature rating, which is not something EA is willing to do. Btw, I am nearing my 50's and don't even relate to that gameplay. I play video games to relax from real life. As a woman who irl has very negative symptoms with my own cycles, I see no need for any of that to be mimicked in-game.