Is it worth it?

If a friend says or does something that upsets you, but if you tell them they upset you they get annoyed or stop speaking to you…is it worth telling them? I always think they’d want to know if they’ve done something that upset me, if they care about me surely they care I’m upset. But it never works out that way, they’re always just offended that I dare to complain. So what’s the point. Either I’m upset and they’re oblivious, or I’m upset and they’re not happy with me. Is it worth even telling them or am I meant to just accept when they say or do something that upsets me and just be grateful that they bother with me at all?

I genuinely don’t know anymore.