Both Sides of the Couch
Both Sides of the Couch is where therapist and human meet. Hosted by Kari Rusnak, a licensed therapist living with chronic illness, the podcast explores the messy, honest overlap between helping others and healing yourself. Through personal reflections, stories, and thoughtful conversations, Kari invites listeners to slow down, think deeply, and feel a little less alone, on both sides of the couch.
Both Sides of the Couch
Episode 11: The Ovary Atlas: Why One Scientific Breakthrough Might Change Women’s Health Forever
In Episode 11, Kari explores a major but surprisingly under discussed scientific breakthrough: the creation of a cellular atlas of the human ovary, recognized as one of the most important discoveries of 2024. Kari explains why this research is long overdue, given the historic underfunding and neglect of women’s health and the health of people with ovaries.
She begins by naming an important distinction, while this research is often framed as “women’s health,” not everyone with ovaries identifies as a woman. Throughout the episode, Kari intentionally uses inclusive language to reflect the full range of people impacted by ovarian biology, including trans men, nonbinary, and intersex people.
Kari breaks down the science in accessible terms, describing the ovary atlas as a high-resolution, cell-by-cell map created using advanced imaging and molecular sequencing. She compares it to “Google Maps for the ovary,” allowing researchers to finally see how ovarian cells develop, communicate, age, and respond to hormones, something that was previously impossible due to the complexity and variability of ovarian cycles.
She outlines why this research matters so deeply: improved understanding of fertility and unexplained infertility, major implications for menopause research, and potential breakthroughs in diagnosing and treating conditions like endometriosis and PCOS. Kari also highlights how this atlas may lead to more targeted, preventative, and personalized hormonal care across the lifespan from puberty through menopause.
Drawing from both her professional and personal experience, Kari connects this research to chronic illness, explaining how hormonal shifts affect fatigue, pain, autonomic function, migraines, autoimmune flares, and dysautonomia. She shares her own delayed diagnosis of endometriosis and reflects on how earlier scientific understanding could have changed her treatment and quality of life.
The episode also addresses the emotional impact of medical dismissal and gaslighting, naming how generations of people with ovaries have been told their symptoms were “normal,” “too emotional,” or not worth investigating. Kari emphasizes that scientific validation restores dignity and may prevent future generations from experiencing the same harm.
She closes with practical encouragement: trust your lived experience, ask informed questions, seek second opinions, and advocate fiercely. Kari frames the ovary atlas as a turning point. This blueprint will shape women’s health and ovarian research for decades and reminds listeners that while the body has always held wisdom, science is finally starting to listen.
Research Referenced in This Episode:
Cellular Atlas of the Human Ovary Using Morphologically Guided Spatial Transcriptomics and Single-Cell Sequencing
Jones AS et al. (2024)
https://www.ginecologiarobotica.com.ar/assets/documentos/CANCER-OVARIO-sciadv-adm7506.pdf
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