Especially if they are a genetically ugly woman? (or man) Like with a poor bone structure, some disfigurements and anatomical abnormalities that cannot be corrected?

How are they supposed to cope when they finally meet someone and get married and have a family but that person is with them through lack of choice and has admitted it? Their sex life sucks because their husband or wife isn't 100% attracted to them?

No matter how much they improve themselves they will never be as good as others and how many of them are effortlessly because of their abnormalities and physical issues?

What is the point in living for these inferior people?