Karine Ingraham, MSN, APRN, FNP-C

A gap worth filling: "I began my career as an acute care nurse in 2014, spending most of my bedside career in the medical and surgical ICU. In 2021, I returned to Gonzaga University to become a nurse practitioner. While working in family medicine, I saw how many women in midlife were struggling to find knowledgeable menopause care, so I made it a priority to deepen my expertise and help fill that gap."

Helping women feel seen: "I cared for a woman in her mid-40s who was trying to balance a demanding career, family responsibilities, her parents' declining health, and the emotional and physical changes of perimenopause. She believed her weight gain and mood changes meant she just wasn't doing enough. By the end of our visit, she felt relieved to realize she wasn't failing—she was carrying an enormous load while navigating hormonal changes. Helping women replace self-blame with understanding is one of the most rewarding parts of my work."

On the same team: "I see myself as both a clinician and a coach. My role is to bring medical expertise, explain the options, and help patients choose the path that feels right for them. They're the captain of the team—we're working toward the same goal. We'll adjust the plan as needed, celebrate the wins, and navigate challenges together so they always feel supported and empowered."