Translation of "والمعاناة" in English

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Examples of using "والمعاناة" in a sentence and their english translations:

غير متحررين من الشك والمعاناة

are not free of doubt and anguish

لكنّ الإنسان يتعلّم من الألم والمعاناة

but I think man learns much more from pain and suffering

لقد كانت تكلفة باهظة من حيث البؤس والمعاناة البشرية.

it's been a terrible cost in terms of human misery and suffering.