150. Meds for Low Desire and Clitoral Phimosis with Dr. Rubin

150. Meds for Low Desire and Clitoral Phimosis with Dr. Rubin

How sexual function is biopsychosocial and the meds that affect the “bio” part of this There are two FDA approved meds for women with low desire. They work in 50-60%of people that take them. They work by boosting dopamine. Addyi - filbanserin - came out in 2015. It is an oral nightly medication. Side effects are sleepiness and may include weight loss. It is safe to use if you are on antidepressants. Vyleesi – bremelanotide – an on demand injection – likely works by increasing dopamine. Do we fix hormones first or use these meds first? How to navigate prescribing these meds as a provider? Dr. Rubin talks about her work changing national guidelines. 23% of women have clitoral adhesions Clitoral phimosis - workup and meds versus surgery – Dr. Rubin’s pilot study How do we prevent recurrence? Resources discussed today https://www.instagram.com/drrachelrubin https://www.rachelrubinmd.com/ https://www.facebook.com/DrRachelRubin/ ISSWSH Find a provider: https://app.v1.statusplus.net/membership/provider/index?society=isswsh NAMS find a provider: https://portal.menopause.org/ SMSNA find a provider: https://app.v1.statusplus.net/membership/provider/index?society=smsna Our podcast sponsor is Bonafide Bonafide products help women embrace the natural changes that occur throughout all phases of life. Discount code for 20% off: NOTBROKEN Sales link: https://hellobonafide.com/notbroken This Podcast is not approved for credit by CMEfy, however, you may reflect on how this Podcast applies to your day-to-day and engage to earn AMA PRA Category 1 Credit(s)™ via point-of-care learning activities here: https://earnc.me/X8BGyS --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit podcastchoices.com/adchoices

Avsnitt(365)

365. The Awakened Brain

365. The Awakened Brain

In this episode of You Are Not Broken, I sit down with Dr. Lisa Miller — psychologist, researcher, and author — to talk about something we don’t discuss enough in medicine: spirituality as a measurabl...

5 Apr 49min

364. Marriage, Midlife and Staying Connected with the Whites

364. Marriage, Midlife and Staying Connected with the Whites

In this episode of You Are Not Broken, I sit down with Dr. Kate White and Jay White to talk about something we don’t discuss enough: what actually happens to marriages in midlife. Because midlife isn...

29 Mars 57min

363. Mesh, Vaginal Estrogen, Female Urology and More with Dr. Una Lee

363. Mesh, Vaginal Estrogen, Female Urology and More with Dr. Una Lee

In this episode of You Are Not Broken, I sit down with urologist Dr. Una Lee to talk about what women actually need in midlife care — and why the system still makes it so hard to get. We dive into th...

22 Mars 52min

362. The Pink Pill

362. The Pink Pill

Today I talk with the producers, directors and star (Cindy Eckert) of The Pink Pill out on Paramount +  @thepinkpillfilm   Aisling Chin-Yee, Director: @aislingchinyee  Cindy Eckert: @cindypinkceoEx...

15 Mars 30min

361. Midlife Comedy and Transformation - An Inspiring Story

361. Midlife Comedy and Transformation - An Inspiring Story

In this episode of You Are Not Broken, I sit down with Susan Guidi — and this conversation is such a beautiful reminder that it is never too late to become who you were meant to be. Susan shares her ...

8 Mars 58min

360. ISSWSH 2026 Review

360. ISSWSH 2026 Review

On today's episode I review the 2026 ISSWSH conference, sharing insights on women's sexual health, hormone therapy, and recent research developments. This episode covers upcoming events, new products,...

1 Mars 40min

359. Fitness Tips and Inspo For Midlife with Alicia Erickson

359. Fitness Tips and Inspo For Midlife with Alicia Erickson

This week on You Are Not Broken, I’m joined by the strong, grounded, and refreshingly honest Alicia Erickson for a conversation about midlife reinvention — from hormones to heavy lifting. We talk abo...

22 Feb 45min

358. It Was Never All In Her Head with Dr. Elizabeth Comen

358. It Was Never All In Her Head with Dr. Elizabeth Comen

This week on You Are Not Broken, I sit down with breast oncologist and historian Dr. Elizabeth Comen to talk about her powerful book All in Her Head and the long, complicated history of how women’s he...

15 Feb 39min

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