Because the girl being the monster and the girl being fucked by the monster are two distinct things.
People who have a fetish for the monster being the girl, don't necessarily like the monster being on the other end(?)
which is why "monster girl" gets its own tag
perhaps a completely new "monster" tag then? but how much really falls under that umbrella?
tags are made so because it contains something because it is a specific fetish
say.. for example not everyone enjoys every possible form of non-penetrational sex
so we have paizuri and ashikoki...