It's been a while since I've watched her but I think I remember her doing things like lingerie shoots with her ex and would be open about sex. When turtle entered the picture she said she was done with all that and is now turning to religion. Someone can help clear the timeline up with that though since my memory is bad. I was watching Loey and Alex the most and sometimes tuning in to Sarah so I might have gotten some things wrong.
Edit: I realize I didn't even answer your question I think she might have something for it. I think she admitted to being unhappy with her surgeries or was that Alex who admitted that?