But you should understand the words “cries out” and “is in pain” in this way. Until the angel of God told Joseph that what had been conceived in Her was of the Holy Spirit (Mt 1:20), the Virgin, as was fitting for Her, remained in sorrow. She blushed before Her betrothed and reflected: might he not truly suspect that She was pregnant from a secret union?
Thus John, according to the laws of rhetoric, called sorrow and grief a cry and pain. This is not surprising. To the divine Moses, who spiritually conversed with God and had become despondent, God said: “Why do you cry to Me?” (Ex 14:15). For he saw Israel in the wilderness, surrounded by the sea and by enemies.
So here also the vision calls the sorrowful condition of the Virgin’s mind and heart a cry.