But the reality TV starlet, who married Odom in September 2009 after a month of dating, didn't specify what was troubling their marriage, instead making allusions to greater issues, his depression and emotional issues and her reservations about having a baby.
The 29-year-old also took to social media in the days after the episode aired to defend herself and family.
As rumors of an inevitable divorce, cheating, drugs and a new romance continue to plague their marriage, here are some of the cryptic statements she made during Sunday's episode:
"I'm not ready to continue with fertility treatments. There are some things that not everybody knows and me and Lamar are the only two people that need to know that."
Kardashian Odom's fertility struggles had been chronicled on the show previously and emphasized by her elder sisters' pregnancies. In the episode, which appeared to be filmed over the summer, Kim, pregnant with daughter North at the time, urged her to see an adoption lawyer to explore all her options.
"I don't know if I'm there yet," Kardashian Odom said, also telling the lawyer that she was concerned about mental illness in the child's family and Odom's traveling schedule.
"It's not that I'm against adoption but right now I'm in a place in my life where there are a lot of moving parts. Lamar doesn't know where he's going to play basketball and it's complicated."
Kardashian Odom had previously been told by a doctor that she had no eggs, and decided to return to get checked up after a year. During her visit, she had a repetitive phone conversation with her husband, saying, "He's so weird right now, I have no idea" and that she had "anxiety" because he urgently needed to talk to her.
"I am not someone who really likes to, I guess, bore people with my problems, and I also think no one really understands what someone's going through unless they walk a mile in their shoes," she said in the testimonial.
Then, when it was time for her test, she said she was nervous.
"I'm a little nervous about being examined. I'm scarred from the last time. It was probably the worst time of my life. I'm putting on a brave face, hoping for the best. All we can do is see what happens."
When she was then told she "could be fine carrying a pregnancy," she wasn't exactly leaping for joy in front of the cameras either.
"My results are good, they're positive, but I'm just not at that place right now to get pregnant," she said.
Then later, during lunch with her younger half-sister Kylie while at her mother's house, she had an irritated phone conversation with Odom. Odom called her repeatedly, and she said, "He's so annoying right now; go back to basketball." The athlete, who has been the focus of drug-use and cheating rumors for months, appeared to exhibit bizarre and not "logical" behavior, she said, so she told him, "I think you're tired, you're buggin' just a little bit."
"I mean there's a lot of emotional issues I think Lamar has," Kardashian Odom told the camera. "You know I do want to help or cater to Lamar but there's also only so much anybody could take."
"Lamar, he is a very depressed person, which is sad but understandable for everything he's been through in his life. And I do love Lamar with every ounce of who I am, but it's really scary when someone's in such a deep lull and you know they're relying on you to get them out and you're trying, and you're trying, and you're trying and nothing's really working."
The episode ended there, but Kardashian Odom continued her defense on in a series of tweets after live tweeting during the show's East Coast airing.
"Speculate all you want. The armor I put around MY family can't melt or even scratch. So continue to throw your daggers. (1)" she wrote Sunday, continuing with "You will never cut us, you will just tire yourself out. Strong and united we will still stand."
Then on Tuesday she posted more and sounded like she was standing by her man.
"Not all scars can be seen and not all love can be explained. The deepest love is also the hardest to express. Only those in it, understand," she added Tuesday, saying, "If I love u. Its a deep 4ever love. Ride til the end. Family/friend. Its simply called love. I take it seriously. Dont judge unless u r in it."
"We all have our own journeys in life. So even if u don't accept mine. Be kind....We all have a journey 2travel & I want to walk mine, my way"
"Two things define you: your patience when you have nothing and your attitude when you have everything."
And if that wasn't enough, she told people not to read too far into things.
"Why do peps take everything so literally?!? Relax...."
"Peps make up whatever THEY want to believe. Would rather stay quiet then have my words twisted," she said, adding, "My motto lately.... [expletive] you"
So will we see more about Kardashian Odom's woes on the show? Perhaps, but they still have the whole saga of her sister's giving birth to North West to deal with this season. It'll be interesting to see which storyline trumps the other.
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