u/existential_cosmos

I **do get periods every month most of the time**, but looking back over 8 years of tracking, I occasionally have much longer cycles. Most cycles are normal-ish, but there have been a few gaps of 40–60+ days, including one around 60+ days. So it’s not chronic amenorrhea, but I clearly have occasional prolonged cycles.

My ultrasound showed **bilateral bulky ovaries with polycystic appearance and multiple small follicles**, plus a **left adnexal simple cyst (27×20 mm)**. There was also a small uterine fibroid (19×16 mm).

I’ve also had a hormonal/metabolic work-up. **FSH/LH, thyroid, fasting glucose, insulin and HbA1c were normal.** I had androgen-related testing including **testosterone/SHBG/free androgen index**, and there wasn’t an obvious biochemical androgen excess. I don’t have significant acne or hirsutism either.

So I’m confused because I have *some* features that seem compatible with PCOS/PMOS (ovarian morphology + occasional long cycles + weight issues), but other things are pretty normal.

**For people who have been through something similar:** does this sound like PCOS, isolated polycystic ovarian morphology, or potentially something else? How did you determine whether you were actually ovulating despite having mostly regular periods? And how much can this type of picture be connected to weight gain/difficulty losing weight?

**Also, if anyone knows of recent medical research/reviews on women with polycystic ovarian morphology + mostly regular cycles + normal androgens, I’d really appreciate the papers.** Would love to hear from anyone with a similar experience too.

June 2022 — The Summer I Turned Pretty.
Dec 2023 — My Life with the Walter Boys.
2026 — Every Year After.

what’s going on with Hollywood and its obsession with two brothers and one girl?

The streak is honestly crazy. And I guess the fans have been going insane over this plot, but it’s getting kind of ridiculous at this point.
Because why does every season/show need a summer house or country estate, family drama, one girl caught between two brothers, and somehow she ends up being everyone’s favourite, especially the boy moms?

Like… what is going on? Have English producers genuinely run out of stories?

And honestly, no season can top TSITP for me.
Starting My Life with the Walter Boys was a mistake. Ugh.

30F, currently being evaluated for PMOS, but not diagnosed.

I get periods most months, but my tracker shows occasional long cycles/missed periods (some around 40–60+ days). My ultrasounds have shown bulky ovaries with multiple small follicles/polcystic morphology, plus a small simple cyst on the left side.

My bloodwork has been mostly normal: glucose, HbA1c, fasting insulin, thyroid, FSH/LH, testosterone, SHBG and FAI are all within range. No significant acne/hirsutism either.

I’m 5’3”, ~87 kg, and my main struggle is weight loss. My endocrinologist has discussed tirzepatide with me.

For those in this group: does my situation sound familiar? Did anyone with mostly normal metabolic/hormonal labs eventually get diagnosed with PMOS? And if you’ve used tirzepatide for weight management, did it affect your weight, periods or other symptoms?

I’d also really appreciate recent research/papers on tirzepatide/GLP-1s in PMOS, especially in people without diabetes or obvious insulin resistance.

Hi everyone,

I’m looking for real experiences with Lanissa (tirzepatide) by Zist Daru.

1. Have you used it for weight loss or type 2 diabetes?

2. How has your experience been so far?

3. Approximately how much does it cost you in Iran?

4. Is it easy to get with a prescription?

5. Do you generally trust Zist Daru and Iranian pharmaceutical products?

I’d really appreciate hearing honest experiences, both positive and negative.

Thank you!

Hi everyone,

I’m looking for honest opinions, especially from pharmacists, doctors, or anyone familiar with pharmaceutical manufacturing and regulation.

I’m based in Pakistan, where we now have both locally manufactured and imported brands of tirzepatide.There’s also an imported Iranian brand that’s being recommended by a well-known endocrinologist.

The part that’s confusing me is this:

The Iranian product’s retail price in Iran is roughly **US$35–40**, but through this clinic it’s being sold for around **US$240–250** (about 6–7× more).

The doctor says he trusts the Iranian manufacturer and is willing to “take responsibility” for patients using it, but he doesn’t have the same confidence in the locally manufactured product, even though both contain tirzepatide.

My questions are:

1. If you had to choose, would you trust a reputable Pakistani pharmaceutical manufacturer (Getz Pharma) or an Iranian manufacturer (Zist Daru) more? Why?
   2.Is there any objective reason to believe one country’s manufacturing standards are significantly better than the other’s?
   3.If both products are commercially manufactured and approved by their respective national regulators, would you expect a meaningful difference in effectiveness or safety?

I’m genuinely trying to make an informed decision before starting treatment and would appreciate evidence-based opinions rather than marketing claims.

**P.S.** A close friend being treated by this endocrinologist told me that the doctor advised against the locally manufactured Pakistani tirzepatide, claiming its raw ingredient comes from China, while saying the Iranian brand sources its ingredient from Belgium and is therefore more trustworthy. He also reportedly said he would only stand behind the Iranian brand, which is sold through his clinic for about **6–7×** its retail price in Iran. I haven’t been able to verify any of these statements myself, which is exactly why I’m asking pharmacists and people with experience here: **Is there any evidence that would justify this preference, or should I be skeptical of these claims?**

Hi everyone,

I'm a 29-year-old woman (86 kg, BMI 33.6) who's been struggling with weight loss for the past five years. Recently, I was diagnosed with Grade 2 fatty liver, and my ultrasound also showed polycystic ovaries. I'm still completing the remaining hormone tests to determine whether I meet the full diagnostic criteria for PCOS.

Both my gynecologist and endocrinologists have emphasized that weight loss is the biggest priority right now, and my gynecologist told me that losing weight may significantly improve—or even reverse—many of the issues I'm dealing with.

The problem is that I've become stuck in analysis paralysis. I've spent so much time researching different medications, doctors, and treatment options that I haven't actually started my journey.

I'd really love to hear from women who started their weight-loss journey because of fatty liver, PCOS (or suspected PCOS), or obesity.

1.Were you able to reverse or improve your fatty liver?
2.Did your ovarian cysts or menstrual cycles improve?
3.How much weight did you lose before you started noticing health improvements?

I'm honestly looking for a bit of motivation. I've spent years overthinking every decision, and I don't want another year to go by because I was too afraid of making the wrong choice. I'd really appreciate hearing your experiences and any advice you have.

Hi All!

I’m a 29-year-old woman (86 kg, BMI) who has been struggling with weight loss for the past five years.

I was recently diagnosed with Grade 2 fatty liver after an ultrasound. The scan also showed polycystic ovaries, and I’m currently completing the remaining hormone tests to determine whether I meet the full diagnostic criteria for PCOS.

My gynecologist and endocrinologists all agree on one thing: weight loss is the most important treatment right now, and they believe it could significantly improve—or even reverse—my fatty liver and many of my other health issues.

The only thing I’m stuck on is choosing the right treatment. Mounjaro isn’t realistically affordable where I live, so I’ve been advised to start a tirzepatide alternative. Unfortunately, different doctors have recommended different options, and I’ve spent so much time researching that I feel like I’ve developed analysis paralysis.

I’d really love to hear from people who had Grade 2 fatty liver and managed to improve or reverse it.
How much weight did you have to lose before your liver improved?

1.Did your follow-up ultrasound go back to normal?
2.If you used tirzepatide (or Mounjaro), how much did it help compared with diet and exercise alone?
3.Is there anything you wish you had known before starting?

More than anything, I’m looking for some motivation. I don’t want to spend another year overthinking every decision while my health continues to decline. Hearing your experiences would really help me take that first step.

Hi everyone, I am looking for reliable sources and groups who organize Ziyarat trips after Arbaeen, sometime between October and March. Ideally led by female Alimas, and strictly women only groups.

A few things I am trying to figure out:

1. What kind of budget should I realistically expect for a trip like this
2. The kafla needs to leave from Lahore
3. Anything I should keep in mind before booking, like safety, group size, accommodation, or do’s/don’ts to watch out for
4. Any timeline suggestions on when exactly between October and March is the best time to go, in terms of weather and lower crowds

This trip is something I want to gift my mom and experience together with her(if budget allows). I am also hoping to go post Arbaeen so we can experience it from a more calm and truly spiritual point of view.

Been in a relationship for almost 4 years. Best friends turned into lovers of the kind they never knew they would. Each with their own issues and set of insecurities like every other couple. Been five months that they got engaged and now wedding is planned to be happening next year 2027 in Q2.

What’s scary is the very idea of relationship itself. This process of co-existing and loving, hating and breaking at the same time. It breaks people like me so much that it just takes us back to how single life was the better life. Your own grief, your own issues with existentialism, your own coping mechanisms. No expectations. No desires.

We live in confusing times. When you come from a broken house you always live under that umbrella of fear of running yourself into a broken marriage. So you always run away from commitments. But when the stars finally align, they give you a mini death every other day. How can you love someone and be appalled by them at the same time. How can you not break or break free and choose to stay through small arguments or big. Every day cuts some part of you.

I wonder if I feel too much or if this is the ultimate reality of choosing to do life with a partner. Sometimes I don’t feel I am part of a love lock but something that happened in an arranged capacity. His family is too big while here it’s just me and my other parent in the sea of ambiguities.

How long can one hold onto life and relations? We live in terrible times and wherever I see it’s a man’s world and you are forced to live for the people by your men and everyone around you.

Seeing men change through different phases of life as a partner is another mystery. Positive change is one thing but the changes where they become someone they never was. An absolute stranger in thought. And in views. It just makes you wonder. Where you went wrong or right.

TLDR: As the two of them approached marriage timeline the more they fight. The more things fall apart and the centre cannot hold and you question everything.

Hi everyone, I could really use some perspective from people who’ve done this or seen it done well.
Quick background: I’m having a love marriage, engaged since Jan2026. My fiancé’s family is Kashmiri, and on their side it’s not customary to have a big gap between Nikkah and Rukhsati — so instead of doing Nikkah a year ahead like I’d hoped, everything is now landing on one day in April/May 2027.

My concern isn’t the merging itself — I understand the cultural and practical reasons behind it. It’s the execution. I’m someone who likes details done right, and Nikkah feels like a deeply personal, intimate moment to me. I’m worried that cramming it into the same day as the main event, with photography, guest logistics, and timing all stacked together, means it’ll get rushed or lost in the noise of the bigger function, rather than feeling like its own moment.

A few constraints to keep in mind:
Budget: I can realistically only afford one event, not two.

Guest count: Small — mostly close friends, since I come from a more fractured family setup. One parent involved, and I’m largely planning this on my own.

Logistics: His family is based in a different city. Islamabad(my fiancé) and Lahore(me)

So my question is: for those who’ve combined Nikkah and the main reception/Rukhsati into one day, how did you structure the timeline so the Nikkah still felt special and unrushed? Did you do it earlier in the day separately from guests arriving, keep it short and symbolic, or something else? Any real examples, timelines, or vendor tips (especially for solo-planned, smaller-guest-count weddings) would mean a lot.

Thank you for reading this far, I am just trying to make peace with doing this differently than I imagined, while still doing right by myself.