u/ReesNotRice

I got back my ACTH stim test results recently, hooray! The endocrinologist diagnosed me with PMOS in the end. Though, I still am still pondering about all of the lab work and discussions I've had.

Labwork presented: DHEA-S was elevated (first 400s, second time during ACTH Stim test was upper 300s), free testosterone was in range but high, everything else was normal for what is deemed female. 17-Hydroxyprogesterone from the stim test was like... 177 ng/dl. A1c and insulin test showed prediabetes (like the start of it) and insulin resistance.

Other history: I have given birth multiple times and don't experience irregular or absent periods. From whatever ultrasounds I've had in the distant past, I don't recall anyone saying they looked abnormal or had a lot of cysts. Birth control and losing significant weight never improved my symptoms, nor did the opposite of either improve things. I also had this bizarre and similar experience while I was very ill with covid with a multi-day fever as someone I personally know with CAH had when ill with a different severe illness. When I asked, she said it what she had was a mild adrenal crisis. Although, I got out of mine fine, within hours after eating a little bit of food and trying to keep a calm atmosphere. Because of that, her encouraging me to test for NCAH, my having low blood pressure, among other things from extensive research, I reached to the present day with a diagnosis!

So, I am in this weird space where I have been experiencing hirsutism that has only gotten worse since I was an older teen and I only fit 1/3 criteria for PMOS while I am showing no signs for any other condition. My endocrinologist even said my history and labworks didn't really indicate either PMOS or NCAH, but it didn't mean it was impossible for either.

So... I guess that this is it? Unless I messed up my tests or forgot something, I suppose I have PMOS? Haha! Anyways, I'll always support every person's journey to advocacy and getting answers for their health. It irked me so much about the clinical overlap of PMOS and NCAH, yet NCAH was often untested for and unmentioned in the medical field. I've learned so much and am grateful to have learned from amazing folk like you on here, r/intersex, and even r/PCOS! Thank you guys <3

I have reported numerous **limitless** bots that use source materials of minors in the media. Some of these pictures use real-life images of minors under the age of 18. Many have closed definitions and some have undefined ages and are smut.

Despite *some* bots being moderated or removed, some creators have re-uploaded the bots without a change or just with a filtered image of source material of the minor. Does this mean that the mods are ok with lazy filters of minors being used for bots and no age clarification in the description?

Re-reporting offending bots, reporting concerning creators, and an email or two has resulted in nothing. Its been months for a few and over a month for others. So, what else is there to do? Or is this actually acceptable to the TOS? Genuinely asking for guidance and enlightenment here.

Without linking to the website's guidelines, here is where I am concerned about:

**Strict prohibition on minor-coded characters**

"JanitorAI maintains a zero-tolerance policy regarding any content involving characters who are coded, depicted, or described as minors (under 18 years old), including user personas. This policy exists to to safeguard minors and preserve the platform as an adult-only space. All minor-coded content is prohibited and must be removed, and violations may lead to account termination depending on severity. Even if the bot is intended to be wholesome, if the character is under 18 years of age, it is not allowed.

The most severe violations occur when minor-coded characters are involved in NSFW, sexual, or romantic themes. Any such combination, whether conveyed through images, descriptions, or coding results in immediate and permanent account termination. This includes explicit material as well as suggestive or romantic framing involving anyone under 18, regardless of how the content is framed or justified."

**Visual and Descriptive Requirements**

"All character must be explicitly defined as adults within the character's personality section or scenario. Writing that a character is an adult in the blurb, title, tags, or initial message is not sufficient, as these are not reliably retained by the system. Any claim that a character or persona is 18 or older will only be recognized if it is clearly and permanently defined within the personality or scenario fields. If a character's age is not specified in these fields, or is only stated elsewhere, the content will be removed.

Stating that a character is 18 or older does not automatically establish compliance. Age representation must be supported consistently across visuals and text. If an image appears to depict someone under 18, it will be removed regardless of any adult age coding. Similarly, if a character's age is left unspecified, described vaguely, coded via temporary tokens, or paired with details that contradict an adult status, the character will be treated as underage for enforcement purposes. Any inconsistency that calls the stated adult age into question renders the content non-compliant. This includes, but is not limited to:

References to guardianship or being supervised by "adults"

Compulsory schooling typical of minors

Framing the character as a "teenager"

No clear age/adult status ("age: same as user," "you can be whatever age," "younger/older than user," etc.)

Separation language such as "the adults" vs. the character

Excessive emphasis on innocence, purity, virginity, naivety, childlike behavior, or lack of understanding of basic bodily or sexual functions, especially if paired/accompanied by repeated use of minor-coded descriptors such as "childish," "tiny," "petite", "innocent," or similar language

Basically, if we exclude the age and the characters is described in a way that gives the overall impression of being a minor, it will be considered one.

The underlying principle across all minor-related policies is that both visual presentation and textual description must clearly, consistently, and unambiguously establish that all characters, including user's persona, are adults. Age designation must align with behavior, setting, relationships, and contextual cues. When any element, visual, narrative, or coded creates ambiguity or contradiction regarding a character's age, the content violates our policies.

Creators are responsible for ensuring that every component of a character's design, including images, descriptions and coded behaviors, consistently presents adult characters to avoid any potential policy violations."

**Aging up Minor Characters**

Characters who are canonically under 18 in their original source material may not appear in their underage form. Aging up such characters is allowed only when done clearly, thoroughly, and consistently. The character must be explicitly identified as 18 or older within the personality or description, but a numerical age alone is insufficient.

All narrative elements must reflect a genuine adult life stage. Settings, roles, and circumstances associated with being a minor (as previously established) are not acceptable for an aged-up portrayal. The character's maturity, history, and interactions must reasonably correspond to adulthood.

Visual representation must also depict a convincingly mature, adult version of the character. Official or third-party artwork that presents the character as underage cannot be used, even if the text claims they are an adult. If an aged-up portrayal lacks consistency or credibility, the character will be treated as their original underage version under these guidelines.

The responsibility for demonstrating a clear, consistent, and credible age-up rests entirely with the creator. Any character that fails to meet all previously established criteria will be treated as a minor under these guidelines and removed from the platform."

**Underage celebrities or individuals**

"Content that depicts real, existing minors is strictly prohibited under all circumstances. This applies to any individual who is under the age of 18 in real life. Attempts to "age up" such individuals, whether through visual representation, descriptive text, deepfakes, or explicit statements (e.g., "they're 18+ in this") do not make the content permissible and remain disallowed. The concept of "aging up" is only applicable to **fictional **characters and must never be applied to real people."

Hi, I am suspected to have PMOS or N/CAH. I am currently on my third period day and experienced something interesting that I was wondering if anyone else experienced?

My period bleeding slowed down while on the clear liquid diet and practically halted during suprep and procedure! Usually, I am a heavy bleeder the first few days of my period. However, I do recall telling my spouse that it felt like my period was acting slow to start this time, after seeing my first spotting the day before the big diet change. When I had my procedure done, I didn't see any blood on the pad. However, after eating my first meal on the car ride home, I finally bled onto my pad at some point.

I guess it could all be related to stress, both mental and physical. But it was just weird.