Content Warning: This episode includes an honest, courageous conversation about the mental health toll of hormone deficiency, including a moment of profound hopelessness. Sarah speaks to this with full self-awareness and strong support in place. If you or someone you love is struggling, please reach out to the 988 Suicide and Crisis Lifeline by calling or texting 988.

What happens when a nurse practitioner who specializes in women's hormonal health spends an entire year fighting to get her own hormones covered by insurance?

That is exactly what happened to Sarah Katkhouda, FNP-C.

Sarah is a women's health nurse practitioner and a provider at MIDI Health. In this episode, she pulls back the curtain on one of the most frustrating and overlooked realities in women's healthcare: the gap between what women need and what the system is actually willing to provide.

After undergoing a hysterectomy and oophorectomy for pelvic congestion syndrome, Sarah was plunged into surgical menopause overnight. What followed was a year of insurance denials, medication shortages, dose trials, canceled appointments, and a slow but deliberate fight to reclaim her health, her strength, and her sense of self.

In this episode, we cover:

What pelvic congestion syndrome is, why it is underdiagnosed, and what women need to know before pursuing surgical intervention
The critical differences between surgical menopause and natural menopause, and why treating them identically is doing women a serious disservice
How to optimize estrogen, progesterone, and testosterone, and why the sequence and method of delivery matter
The role of muscle in hormonal health, metabolic resilience, and longevity, and what happens to musculoskeletal integrity when hormones are out of range
How to self-advocate when you feel dismissed or worn down by a system that was not built with women in mind

Sarah does not sugarcoat what this year has cost her. She also does not stop there. She shares what she has learned, what she wishes she had known, and why she is committed to making sure other women do not have to fight as hard or as long as she did.

Connect with Sarah Katkhouda, FNP-C:

Sarah is a provider at MIDI Health, a telehealth organization focused on women's midlife health. MIDI accepts insurance and is available in all 50 states.

MIDI Health: https://www.joinmidi.com

Disclaimer: This episode is for educational and informational purposes only. It does not constitute medical advice. Please consult a qualified healthcare provider for guidance specific to your individual health needs.

#MenopauseHealth #HormoneReplacement #SurgicalMenopause #WomensHealth #HRTAwareness #TestosteroneForWomen #PelvicPain #PelvicCongestionSyndrome #MenopauseSupport #HormoneOptimization #MidlifeWomen #WomensHealthAdvocacy #ThriveonPlants #DrDaphneBascom #PerimenopausalHealth #MuscleAndHormones #MentalHealthAndMenopause

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