Dr. Rachel Rubin: The Menopause Symptoms Women Are Told to Ignore | Hormones, UTIs & Sexual Health | #182

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Fewer than 5% of the women who need vaginal estrogen are getting a prescription for it. Not because it is expensive, not because it is risky, but because almost nobody was trained to talk about it.

Dr. Rachel Rubin is a board-certified urologist and fellowship-trained sexual medicine specialist. We talked about vaginal estrogen, a micro-dosed cream that saves lives and reaches fewer than 5% of the women who need it. She explains the full hormone toolbox and how to find a doctor actually trained to prescribe it. This is a conversation about shame, about language, and about the fight for a testosterone product approved for women.

What we explore:

- Why vaginal estrogen cuts UTIs by more than half and lowers sepsis and hospitalization risk

- How micro-dosed vaginal hormones rebuild tissue and restore healthy vaginal pH

- Why birth control, postpartum lactation, and PCOS cause the same bladder symptoms

- How bladder infections lead to falls and fractures in older women

- Why painful sex happens in menopause and how to treat it

- What belongs in the hormone toolbox: estrogen, progesterone, testosterone, vaginal hormones

- How to find a menopause-trained doctor before you book the appointment

- Why there is still no FDA-approved testosterone for women

About Dr. Rachel Rubin:

Dr. Rachel Rubin is a board-certified urologist and fellowship-trained sexual medicine specialist in Washington, DC, and one of only a handful of physicians in the country trained to care for sexual health across all genders. She teaches clinicians, publishes research, and testifies at the FDA because she believes sexual health is simply health.

Connect with Dr. Rachel Rubin:

Website: https://www.rachelrubinmd.com

Instagram: https://www.instagram.com/drrachelrubin

YouTube: https://www.youtube.com/@DrRachelRubin

Linktree: https://linktr.ee/drrachelrubin

Timestamps

00:00 Meet The Urologist Changing Women's Health

02:35 Vaginal Estrogen Prevents Deadly Bladder Infections

06:03 Low Hormones Hit Women In Their 30s

10:52 How Estrogen Actually Heals Vaginal Tissue

14:14 When Sex Feels Like Razor Blades

16:42 I Thought Something Was Wrong With Me

24:53 Hormone Therapy Based On Facts Not Fear

29:31 Under 6% Of Doctors Learn Menopause

36:38 Testosterone For Women And The FDA Fight

45:56 Build The Army Of Women Demanding Better

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