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In this explosive episode of Menopause Mastery, Dr. Betty Murray sits down with integrative dietitian and menopause expert Esther Blum (Gwyneth Paltrow's menopause mentor!) to dissect the groundbreaking FDA panel meeting that happened just 10 days ago. If you're tired of being terrorized by black box warnings on hormones that are actually SAFER than aspirin, this conversation will fire you up. Esther and Dr. Betty dive deep into the medical civil war happening right now—with brave physicians like Dr. Rachel Rubin, Dr. Kelly Casperson, and Dr. Vonda Wright fighting to remove these ridiculous warnings, while others like Dr. Jen Gunter continue to gaslight women into suffering. But here's what really happened at that FDA meeting: Dr. Rachel Rubin testified about her own mother being in the hospital with urosepsis because doctors were too scared to prescribe vaginal estrogen. Yes, women are literally dying because of fear-mongering over hormones that have been safely used since the 1940s. Esther doesn't hold back—calling out the "biggest misogynist of all" and revealing why this weaponization of women's healthcare is the largest travesty of our time. Plus, they tackle the scary new developments with mRNA food sprays, the protein propaganda in the New York Times, and why you need WAY more protein than you think (especially if you're over 40). What You'll Learn: -Why the black box warning on hormones is complete BS -How to advocate for yourself with hormone-phobic doctors -The real protein requirements for women over 40 (hint: it's not 5 grams from overnight oats) -Why muscle protein synthesis changes as we age -How to find hormone-literate providers in your area -The documentation trick that makes doctors suddenly willing to prescribe If you're ready to stop being gaslit about your hormone health and start fighting for the care you deserve, this episode is your battle cry. Links: Get Esther's book "See You Later, Ovulator" https://www.amazon.com/See-later-Ovulator-Mastering-Self-Advocacy/dp/195701329X Esther's website: http://estherblum.com/ Instagram: https://instagram.com/gorgeousesther Podcast: "The Midlife Realignment" launching September! Menrva Telemedicine: https://gethormonesnow.com/ FREE Hormone Quiz: https://bit.ly/3wNJOec Living Well Dallas: https://www.livingwelldallas.com/ Hormone Reset: https://hormonereset.net/ Betty Murray Website: https://www.bettymurray.com/ Facebook: https://www.facebook.com/BettyAMurrayCN/ Instagram: https://www.instagram.com/drbettymurray/ Connect with Dr. Betty Murray: Website: https://www.bettymurray.com/ Facebook: https://www.facebook.com/BettyAMurrayCN/ Instagram: https://www.instagram.com/drbettymurray/ Thank you for listening to Menopause Mastery. Empowering your health journey, one episode at a time.
In this explosive episode of Menopause Mastery, Dr. Betty Murray sits down with integrative dietitian and menopause expert Esther Blum (Gwyneth Paltrow's menopause mentor!) to dissect the groundbreaking FDA panel meeting that happened just 10 days ago. If you're tired of being terrorized by black box warnings on hormones that are actually SAFER than aspirin, this conversation will fire you up. Esther and Dr. Betty dive deep into the medical civil war happening right now—with brave physicians like Dr. Rachel Rubin, Dr. Kelly Casperson, and Dr. Vonda Wright fighting to remove these ridiculous warnings, while others like Dr. Jen Gunter continue to gaslight women into suffering. But here's what really happened at that FDA meeting: Dr. Rachel Rubin testified about her own mother being in the hospital with urosepsis because doctors were too scared to prescribe vaginal estrogen. Yes, women are literally dying because of fear-mongering over hormones that have been safely used since the 1940s. Esther doesn't hold back—calling out the "biggest misogynist of all" and revealing why this weaponization of women's healthcare is the largest travesty of our time. Plus, they tackle the scary new developments with mRNA food sprays, the protein propaganda in the New York Times, and why you need WAY more protein than you think (especially if you're over 40). What You'll Learn: -Why the black box warning on hormones is complete BS -How to advocate for yourself with hormone-phobic doctors -The real protein requirements for women over 40 (hint: it's not 5 grams from overnight oats) -Why muscle protein synthesis changes as we age -How to find hormone-literate providers in your area -The documentation trick that makes doctors suddenly willing to prescribe If you're ready to stop being gaslit about your hormone health and start fighting for the care you deserve, this episode is your battle cry. Links: Get Esther's book "See You Later, Ovulator" https://www.amazon.com/See-later-Ovulator-Mastering-Self-Advocacy/dp/195701329X Esther's website: http://estherblum.com/ Instagram: https://www.instagram.com/gorgeousesther/ Podcast: "The Midlife Realignment" launching September! Menrva Telemedicine: https://gethormonesnow.com/ FREE Hormone Quiz: https://bit.ly/3wNJOec Living Well Dallas: https://www.livingwelldallas.com/ Hormone Reset: https://hormonereset.net/ Betty Murray Website: https://www.bettymurray.com/ Facebook: https://www.facebook.com/BettyAMurrayCN/ Instagram: https://www.instagram.com/drbettymurray/ Produced by Evolved Podcasting: https://www.evolvedpodcasting.com/ Connect with Dr. Betty Murray: Website: https://www.bettymurray.com/ Facebook: https://www.facebook.com/BettyAMurrayCN/ Instagram: https://www.instagram.com/bettymurray_phd/ Thank you for listening to Menopause Mastery. Empowering your health journey, one episode at a time.
In this explosive episode of Menopause Mastery, Dr. Betty Murray sits down with integrative dietitian and menopause expert Esther Blum (Gwyneth Paltrow's menopause mentor!) to dissect the groundbreaking FDA panel meeting that happened just 10 days ago. If you're tired of being terrorized by black box warnings on hormones that are actually SAFER than aspirin, this conversation will fire you up. Esther and Dr. Betty dive deep into the medical civil war happening right now—with brave physicians like Dr. Rachel Rubin, Dr. Kelly Casperson, and Dr. Vonda Wright fighting to remove these ridiculous warnings, while others like Dr. Jen Gunter continue to gaslight women into suffering. But here's what really happened at that FDA meeting: Dr. Rachel Rubin testified about her own mother being in the hospital with urosepsis because doctors were too scared to prescribe vaginal estrogen. Yes, women are literally dying because of fear-mongering over hormones that have been safely used since the 1940s. Esther doesn't hold back—calling out the "biggest misogynist of all" and revealing why this weaponization of women's healthcare is the largest travesty of our time. Plus, they tackle the scary new developments with mRNA food sprays, the protein propaganda in the New York Times, and why you need WAY more protein than you think (especially if you're over 40). What You'll Learn: -Why the black box warning on hormones is complete BS -How to advocate for yourself with hormone-phobic doctors -The real protein requirements for women over 40 (hint: it's not 5 grams from overnight oats) -Why muscle protein synthesis changes as we age -How to find hormone-literate providers in your area -The documentation trick that makes doctors suddenly willing to prescribe If you're ready to stop being gaslit about your hormone health and start fighting for the care you deserve, this episode is your battle cry. Links: Get Esther's book "See You Later, Ovulator" https://www.amazon.com/See-later-Ovulator-Mastering-Self-Advocacy/dp/195701329X Esther's website: http://estherblum.com/ Instagram: https://www.instagram.com/gorgeousesther/ Podcast: "The Midlife Realignment" launching September! Menrva Telemedicine: https://gethormonesnow.com/ FREE Hormone Quiz: https://bit.ly/3wNJOec Living Well Dallas: https://www.livingwelldallas.com/ Hormone Reset: https://hormonereset.net/ Betty Murray Website: https://www.bettymurray.com/ Facebook: https://www.facebook.com/BettyAMurrayCN/ Instagram: https://www.instagram.com/drbettymurray/ Produced by Evolved Podcasting: https://www.evolvedpodcasting.com/ Connect with Dr. Betty Murray: Website: https://www.bettymurray.com/ Facebook: https://www.facebook.com/BettyAMurrayCN/ Instagram: https://www.instagram.com/bettymurray_phd/ Thank you for listening to Menopause Mastery. Empowering your health journey, one episode at a time.
View the Show Notes Page for This Episode Become a Member to Receive Exclusive Content Sign Up to Receive Peter's Weekly Newsletter In this quarterly podcast summary (QPS) episode, Peter summarizes his biggest takeaways from the last three months of guest interviews on the podcast. Peter shares key insights from his discussions with Paul Turek and Paula Amato on male and female fertility; Rachel Rubin on menopause and hormone replacement therapy; Brian Kennedy on the biology of aging; Tanuj Nakra and Suzan Obagi on facial aging and skin rejuvenation; and BJ Miller and Bridget Sumser on lessons we can learn from the dying about how to live. Peter highlights the most important insights from each episode and any behavioral changes he's made for himself or his patients as a result of these fascinating discussions. If you're not a subscriber and are listening on a podcast player, you'll only be able to hear a preview of the AMA. If you're a subscriber, you can now listen to this full episode on your private RSS feed or our website at the episode #358 show notes page. If you are not a subscriber, you can learn more about the subscriber benefits here. We discuss: Summary of episode topics [1:15]; Episodes on fertility with Paul Turek and Paula Amato: insights on all things male and female fertility [4:45]; How men can optimize fertility [20:15]; How women can optimize fertility [26:00]; Rachel Rubin episode: insights on women's sexual health, menopause, and HRT [31:45]; How women can prepare for menopause: proactive care, evidence-based HRT, and more [41:45]; Brian Kennedy episode: understanding aging, role of inflammation and mTOR, and current limitations of aging clocks and biomarkers [46:30]; Advice from Brian Kennedy on testing longevity interventions [56:45]; Tanuj Nakra/Suzan Obagi episode: causes of facial aging and practical strategies for prevention and treatment [57:30]; Skincare: making sense of the wide range of skin resurfacing treatments [1:06:45]; How to create a realistic, sustainable skincare routine [1:12:30]; The dangers of following unqualified aesthetic advice online and the importance of getting professional medical guidance for cosmetic treatments [1:18:00]; BJ Miller/Bridget Sumser episode: lessons about living from the dying [1:21:45]; and More. Connect With Peter on Twitter, Instagram, Facebook and YouTube
Kim Vopni AKA The Vagina Coach empowers women to strengthen their vaginas, helps with bladder training, and gives practical tips on what to do if you tear from child birth.New episodes of Welcome to Wellness released every Friday!Not listening on Spotify? Show notes at: https://www.ashleydeeley.com/w2w/thevaginacoachEpisode brought to you by: ApolloNeuroEpisode brought to you by: VieLight - Code: DEELEY10Episode brought to you by:Dry Farm Wines 4:31: The Importance of the Pelvic Floor7:22: Identifying Pelvic Floor Issues9:58: Posture and Impact on Pelvic Health11:10: Salli Saddle Chair12:53: Bladder Health and Training15:51: Preparing for Childbirth18:14: Dr. Kelly Casperson + Kim (podcast episode)18:22: Recovery from Tearing During Childbirth18:33: Pee/void for 10-15 seconds for optimal bladder health20:17: Herbal Remedies and Healing23:05The Role of Kegels in Pelvic Health26:01: Herbs for your bath (after child birth to repair vagina)27:27: JoyLux (vaginal red light therapy)33:57Strengthening the Pelvic Floor36:59: Understanding Pelvic Floor Health40:58: Exercises for Pelvic Floor Strength48:59: Navigating Menopause and Pelvic Health57:13: Common Pelvic Floor Issues1:01:38: Experts on estrogen: Dr. Kelly Casperson, Dr. Rachel Rubin, and Dr. Corinne D. MennWhere to find Kim Vopni:WebsiteInstagramLinkedInWhere to find Ashley Deeley:WebsiteInstagramFacebookYouTubehello@ashleydeeley.com
Menopause is generally completely misunderstood, even to doctors and women! So how is the male population expected to understand the changes in their partners and even to understand their own "manopause" journey? Our guest, Dr Rachel Rubin, is one of only a handful of physicians with fellowship training in sexual medicine for all genders. Dr. Rubin is a clinician, researcher, and passionate educator. Dr. Rubin completed her medical education at Tufts University, her urology training at Georgetown University, and her sexual medicine fellowship training with Dr. Irwin Goldstein in San Diego. On this show we break down all the symptoms and solutions to menopause, giving some helpful supportive tips to our male counterparts!
Dr. Rachel Rubin of Spark Admissions, earned international media attention in 2012, while at Harvard, for her groundbreaking research on how the 75 most selective U.S. colleges and universities make admissions decisions. Using a strategic, data-driven approach, she talks the when, how to apply, tips on admission process, college essays, etc.
The FDA finally held a hearing on menopause—and it was long overdue. Georgie Kovacs breaks down the powerful expert testimony, the systemic failures, and why this matters for every woman navigating midlife care.In this grounded recap, you'll learn:Why the FDA's black box warning on vaginal estrogen may be misleadingThe difference between systemic and local hormone absorption—and why it mattersHow testosterone access for women remains limited despite clear clinical needWhat experts like Dr. James Simon, Dr. Heather Hirsch, and Dr. Rachel Rubin said that might change the gameOne big thing missing: progesterone. Should women with a uterus be taking it?“Can we fix menopause care if doctors aren't trained, patients are afraid, and the FDA mislabels essential treatments?” -Georgie KovacsResources Mentioned:Watch the full FDA hearing on menopauseGeorgie's YouTube RecapResources and episodes on Perimenopause & Menopause and sign up for the Perimenopause and Menopause newsletter
Send us a textHow can picture books and play combine to spark creativity, empathy, and joy in our youngest learners? Join the conversation with Rachel Rubin and Annie Dycus, the innovative minds behind L-M-N-O Play, a subscription service that uses open-ended play and amazing picture books to engage young minds (while sparking wonder in their grown ups as well).“Something we really need in our world is children who think outside the box and know how to solve problems. And we think play and picture books —the marriage of the two — is the perfect solution for helping to raise kind, smart, brilliant, imaginative children.” — Annie Dycus, co-founder, L-M-N-O Play“Not only are we always looking to find that next great kind of undiscovered potential in a great picture book, but also to share with families how they can do this at home and make these amazing moments through just a really simple act.” — Rachel Rubin, co-founder, L-M-N-O PlaySummary: Dive into the transformative power of picture books and play in early childhood education with Rachel Rubin and Annie Dycus, co-founders of L-M-N-O Play. Learn how their unique approach to connecting play with picture books fosters creativity, problem-solving, and empathy in children, while providing a fresh perspective for adults. From beloved childhood classics to new favorites, Rachel and Annie share insights on how interactive storytelling and playful activities create profound connections and broaden horizons. Discover the magic of storytelling as a tool for cultural awareness, and explore the timeless value of play and picture books in a digital age. Whether you're a parent, educator, or simply love children's literature, this episode offers invaluable advice and inspiration to cultivate a lifetime love for reading and play in our youngest learners.Chapters:1:01: Origins of L-M-N-O Play4:03:Importance of Learning Through Play7:08:A Horse Named Steve: Walking Through L-M-N-O Play Process 13:39:Open-ended and closed-ended play17:19:Social-emotional learning through books and play19:51:Building core connections to picture books22:13:Value of First Book Friends26:57:Power of Play and Picture Books Across Ages and Stages32:42:Favorite Books Featured in the L-M-N-O Play Subscription34:59:Finding Hope Through Play and EmpathyLinks:L-M-N-O Play WebsiteFollow @lmnoplaynyc on Instagram and FacebookFollow Annie Dycus and Rachel Rubin on LinkedInSupport the showSubscribe & Follow: Stay updated with our latest episodes and follow us on Instagram, LinkedIn, and the Adventures in Learning website. Don't forget to subscribe on Apple Podcasts, Spotify, or wherever you get your podcasts! *Disclosure: I am a Bookshop.org. affiliate.
I have a wonderful guest today, who is a well respected physician in my community. I ask every question you ever wanted to ask about perimenopause, menopause, hormones, drive, and issues that impact drive in a woman's 40's and beyond! She taught me so much I didn't know, including all about clitoral adhesions, the impact of birth control on hormones and even a method I never heard of, how to combat medication side effects, and so much more. Dr Christine Vaccaro is a double board certified and fellowship trained urogynecologist, who has been in practice for over 20 years. She is an associate professor of gynecologic surgery at the Uniformed Services University in Bethesda. She recently retired from the military, and was in charge of the Urogynecology Fellowship at Walter Reed, which is the largest training program in the nation. She now practices Urogynecology and Sexual Medicine at a private practice in Bethesda, MD with Dr Rachel Rubin. She is also involved in multiple national medical committees, and has extensively published in medical journals, books and online. When not at work she enjoys hot yoga and attending her kid's sporting events.Follow Dr. Vaccaro at instagram.com/drchristinevaccaro, email her at drvaccaro@rachelrubinmd.com, check out her practice at rachelrubinmd.com, or call her office to schedule at 202-888-6731.
A captivating conversation between Sonya and Jo explores the rapidly evolving landscape of menopause healthcare, research, and politics in Australia. In this episode we begin by unpacking the viral podcast between Dr. Rachel Rubin and Dr. Peter Attia – a two-and-a-half hour deep dive into menopause, vaginal health and GSM that's being celebrated as "the best podcast that has been recorded to date on this topic." What makes it exceptional isn't just the content but the peer-to-peer dynamic between two medical professionals sharing both evidence-based information and clinical experience.The conversation takes a powerful turn when journalist Jamila Rizvi's health journey is discussed. At just 31, a missed period led to the discovery of a rare brain tumour affecting her hormone production – a sobering reminder that health changes should never be dismissed without proper investigation. This naturally leads us to a discussion of exciting new research published in Clinical Endocrinology that examines the relationship between sex hormones and dementia risk.Politics takes centre stage as we celebrate Australia's increasingly female Parliament, with two major parties now led by women and gender equality achieved in the Labor cabinet. The shift in ministerial portfolios sees Rebecca White stepping into the Assistant Minister for Health role. We wrap up with news of an Australian company developing the first new estrogen patch in 22 years, potentially addressing supply issues and skin irritation problems plaguing current options.Links:ABC Conversations with Jamila RizviDr Rachel Rubin and Dr Peter Attia Podcast - Apple PodcastsDr Rachel Rubin and Dr Peter Attia Podcast - YouTubeSex Hormones and Risk of Incident Dementia in Men and Postmenopausal Women - Clinical Endocrinology ArticleThank you for listening to my show! Join the conversation on Instagram
View the Show Notes Page for This Episode Become a Member to Receive Exclusive Content Sign Up to Receive Peter's Weekly Newsletter Rachel Rubin is a board-certified urologist and one of the nation's foremost experts in sexual health. In this episode, she shares her deep expertise on the often-overlooked topic of women's sexual health, exploring why this area remains so neglected in traditional medicine and highlighting the critical differences in how men and women experience hormonal decline with age. Rachel explains the physiology of the menstrual cycle, the complex hormonal shifts of perimenopause, and the wide-reaching health risks associated with menopause, including osteoporosis, cardiovascular disease, dementia, and recurrent urinary tract infections. She also breaks down the controversy surrounding hormone replacement therapy (HRT), particularly the damaging legacy of the Women's Health Initiative study, and provides guidance on the safe and personalized use of estrogen, progesterone, and testosterone in women. With particular emphasis on local vaginal hormone therapy—a safe, effective, and underused treatment—Rachel offers insights that have the potential to transform quality of life for countless women. We discuss: Rachel's training in urology and passion for sexual medicine and women's health [3:00]; Hormonal changes during ovulation, perimenopause, and menopause: why they occur and how they impact women's health and quality of life [5:30]; Why women have such varied responses to the sharp drop in progesterone during the luteal phase and after menopause, and the differing responses to progesterone supplementation [14:45]; The physical and cognitive health risks for postmenopausal women who are not on hormone therapy [17:45]; The history of hormone replacement therapy (HRT), and how misinterpretation of the Women's Health Initiative study led to abandonment of HRT [20:15]; The medical system's failure to train doctors in hormone therapy after the WHI study and its lasting impact on menopause care [29:30]; The underappreciated role of testosterone in women's sexual health, and the systemic and regulatory barriers preventing its broader use in female healthcare [35:00]; The bias against HRT—how institutional resistance is preventing meaningful progress in women's health [46:30]; How the medical system's neglect of menopause care has opened the door for unregulated and potentially harmful hormone clinics to take advantage of underserved women [53:30]; The HRT playbook for women part 1: progesterone [57:15]; The HRT playbook for women part 2: estradiol [1:05:00]; Oral formulated estrogen for systemic administration: risks and benefits [1:13:15]; Topical and vaginal estrogen delivery options: benefits and limitations, and how to personalize treatment for each patient [1:17:15]; How to navigate hormone lab testing without getting misled [1:24:15]; The wide-ranging symptoms of menopause—joint pain, brain fog, mood issues, and more [1:31:45]; The evolution of medical terminology and the underrecognized importance of local estrogen therapy for urinary and vaginal health in menopausal women [1:37:45]; The benefits of vaginal estrogen (or DHEA) for preventing UTIs, improving sexual health, and more [1:41:00]; The use of DHEA and testosterone in treating hormone-sensitive genital tissues, and an explanation of what often causes women pain [1:50:15]; Is it too late to start HRT after menopause? [1:56:15]; Should women stop hormone therapy after 10 years? [1:58:15]; How to manage hormone therapy in women with BRCA mutations, DCIS (ductal carcinoma in situ), or a history of breast cancer [2:00:00]; How women can identify good menopause care providers and avoid harmful hormone therapy practices, and why menopause medicine is critical for both women and men [2:06:00]; and More. Connect With Peter on Twitter, Instagram, Facebook and YouTube
Late Breaking news today! Now we have guidelines! Thanks to Dr. Rachel Rubin for coming on IG to do this live with me! AUA GSM Guidelines Learn more about your ad choices. Visit podcastchoices.com/adchoices
In this episode of the EMJ Podcast, Jonathan Sackier speaks with Rachel Rubin, a urologist and sexual medicine specialist, about the need for patient-centred care, the importance of multidisciplinary approaches, and breaking the stigma around sexual health. Rubin also shares insights into improving medical education and advancing healthcare policies to better support sexual medicine. Timestamps: 00:00 - Introduction 02:51 - Importance of patient-centred care in sexual medicine 06:05 - Benefits of a multidisciplinary approach to sexual health 11:45 - Gaps in sexual medicine education and training 15:20 - Addressing stigma in sexual health 23:21 - Reframing menopause in clinical practice 29:15 - Training in male and female sexual medicine 38:35 - Gender reassignment and gender-affirming care 47:45 - Three wishes for the future of sexual healthcare
Are you ready to transform your understanding of pleasure and midlife? Join me as we celebrate a milestone 50th episode of Pleasure in the Pause, reflecting on the most powerful conversations that have reshaped how women understand their bodies, sexuality, and personal power during perimenopause and menopause.Are you ready to awaken your sensuality and feel more empowered in your body? Access the FREE Pleasure Upgrade Bundle at https://www.pleasureinthepause.com/gift.Highlights from our discussion include:Discover the truth about female pleasure from Sheri Winston's groundbreaking insights into the female erectile networkLearn how medical professionals like Dr. Rachel Rubin are revolutionizing women's sexual health educationUnderstand the critical role of testosterone in women's wellness with Dr. Susan Hardwick-SmithExplore the concept of "weathering" and its impact on women's health with Denise PinesGain insights into vulva health and body awareness from Dr. Maria UlokoPleasure is more than a moment. It's a journey of self-discovery, connection, and empowerment. Take the first step today by embracing your body, exploring your desires, and advocating for your sexual and overall wellness. Your pleasure matters, and your story is just beginning.If you're seeking to reclaim your pleasure and vitality, join Gabriella at www.pleasureinthepause.com for this enlightening journey into the heart of female pleasure and empowerment.CONNECT WITH GUESTS:Sheri Winston InstagramIntimate Arts CenterDr. Rachel Rubin InstagramDr. Rachel Rubin WebsiteDenise Pines LinkedInThe [M] FactorDr. Susan Hardwick-Smith InstagramComplete Midlife WellnessDr. Maria Uloko WebsiteDr. Maria Uloko InstagramCONNECT WITH GABRIELLA ESPINOSA:InstagramLinkedInWork with Gabriella! Reclaim your sensuality and step into a powerful new chapter. The Midlife Pleasure Collective is a monthly membership designed to help midlife women reconnect with their bodies, embrace their desires, and cultivate deeper pleasure. Join the founding members for just $20/month - spots are limited, so apply now at pleasure-in-the-pause.com/collective. Full episodes on YouTube.
Why is half the world's population walking around with an ignored, misunderstood body part? If the clitoris and penis are made of the same tissue, why is one thoroughly studied and the other barely mentioned in medical training?The clitoris is more than just a pleasure center—yet most doctors barely acknowledge it, let alone know how to examine it properly. Dr. Rachel Rubin joins me to expose the medical blind spots surrounding clitoral health, including the shocking lack of education on clitoral adhesions and why so many women suffer in silence.We also dive into the impact of testosterone in women's health, how outdated medical biases are keeping life-changing treatments out of reach, and why the FDA's warning labels on vaginal estrogen are doing more harm than good.Dr. Rachel Rubin shares her groundbreaking research on sexual medicine, why simple procedures like clitoral lysis can be life-changing, and how she's fighting to get doctors to start asking the right questions about sexual function.This episode is packed with critical insights on women's health, pleasure, and the science that's been overlooked for far too long.Episode Highlights:Why the clitoris and penis are made of the same tissue—but only one gets studiedThe hidden problem of clitoral adhesions and how they impact sensationHow testosterone plays a crucial role in women's health (and why most doctors ignore it)The truth about vaginal estrogen, the FDA's misleading warning, and the fight to fix itThe urgent need for better education on sexual health in medical schoolsIf you found this episode eye-opening, don't forget to subscribe, like, and comment! Share your thoughts and help us spread the conversation about women's sexual health.Dr. Rubin's BioDr. Rachel S. Rubin is a board certified urologist with fellowship training in sexual medicine. She is an assistant clinical professor in urology at Georgetown University and owns her own practice in Washington DC. Dr. Rubin provides comprehensive care to all genders. She treats issues such as pelvic pain, menopause, erectile dysfunction, and low libido. Dr. Rubin is the former education chair and current Director-at-Large for the International Society for the Study of Women's Sexual Health (ISSWSH), and she serves as associate editor for the Journal of Sexual Medicine Review and the Video Journal of Sexual Medicine. Her work has been featured in the NYT, NPR and PBS. She was named a Washingtonian Top Doctor in 2019-2024.Get in Touch with Dr. Rubin:WebsiteInstagramXYoutubeBlackbox AdvocacyGet in Touch with Dr. Rahman:WebsiteInstagramYoutube
Sexual health is often misunderstood and neglected in medical training. What happens when a passionate student decides to challenge the system and ignite change?The medical field often hesitates to tackle less-explored topics, but Dr. Jen Romanello is breaking new ground as a young advocate for advancing sexual medicine.As a medical student, Jen identified a glaring gap in education on female sexual health and decided to act. She founded the Medical Student Forum on Female Sexual Medicine, an initiative that has expanded to impact students across the U.S. and beyond.In this episode, we delve into Jen's journey from medical student to resident, exploring her mission to tackle the stigma surrounding sexual health in medical education. From collaborating with leading experts like Dr. Rachel Rubin and Dr. Andrew Goldstein to hosting groundbreaking symposiums, Jen has made waves in an underserved area of healthcare.We also explore the challenges of navigating medical systems that often overlook sexual medicine and how Jen's leadership is paving the way for students, clinicians, and patients alike. Whether it's addressing medical trauma or fostering a deeper understanding of patient care, Jen's work highlights the importance of multidisciplinary collaboration and a patient-first approach.Her insights go beyond the clinic, offering practical advice for medical students, residents, and professionals interested in bridging gaps in education and care.Join us for an inspiring conversation that showcases how one person's determination can spark systemic change and improve countless lives.Don't miss this eye-opening episode. If you enjoyed the conversation, please subscribe, leave a review, and share it with your network to spread awareness about the importance of sexual medicine. Your feedback helps us continue these critical discussions!Dr. Romanello's Bio:Jen Romanello MD is an intern physician in internal medicine at NYU and attended medical school at Rush Medical College in Chicago. She is President of the Medical Student Forum on Female Sexual Medicine (The Forum), which she founded in 2020. The Forum is an independent trainee-led organization that has facilitated over 1000 trainees to connect to educational, writing, research, conference, and mentorship opportunities in the field of Female Sexual Medicine (FSM).Her professional interests include sexual medicine and menopause, reproductive mental health, neuroplastic pain, metabolism and nutrition, and lifestyle medicine. Her clinical research and publications have focused on topics including clitoral adhesions,chronic pelvic pain, and medical education. She is a member of the International Society for the Study of Women's Sexual Health, the Menopause Society, and the Association for the Treatment of Neuroplastic Symptoms. She loves speaking with medical students who are deciding which specialty to pursue about how there are many great ways to approach this field.Don't miss this eye-opening episode. If you enjoyed the conversation, please subscribe, leave a review, and share it with your network to spread awareness about the importance of sexual medicine. Your feedback helps us continue these critical discussions!Get in Touch with Dr. Romanello:WebsiteInstagramMedical Student ForumAcademic ArticleGet in Touch with Dr. Rahman:
Send us a textConnection is something most of us are lacking. Which is weird, because most of us are surrounded by people daily.But it's not just people that give you connection. It's being able to show up, be yourself, ask for help, be vulnerable, and support others that creates connection.We need a balance of give and take. Period. And most of us aren't getting that, but we need that. If you are lacking this in your life, struggling as a women physician, and wanting more connection, Unbound is for you.Join us in Unbound: Women Physicians Reclaiming their Lives. This group, exclusive to women physicians (MD, DO or MBBS), starts December 1, 2024, and it's your opportunity to move ideas that we talk about on this podcast into your life. Out of your head, into your life. Together. The doors are open now for registration AND, shout out to my friend, the amazing Dr Rachel Rubin, who asked me to add a buddy option. As in, bring along another woman physician and get special savings. Such a great idea!Link to Register for Unbound: Women Physicians Reclaiming their Liveshttps://www.healthierforgood.com/offers/azBmHaNZ Support the showTo learn more about my coaching practice and group offerings, head over to www.healthierforgood.com. I help Physicians and Allied Health Professional women to let go of toxic perfectionist and people-pleasing habits that leave them frustrated and exhausted. If you are ready to learn skills that help you set boundaries and prioritize yourself, without becoming a cynical a-hole, come work with me.
Send us a textHow do we take care of ourselves when we have BIG feelings, when we are used to taking care of everyone else.I'm not talking politics today, though I acknowledge that I, and many of you, have some big emotions right now, which are not limited to disappointment, but too numerous to mention.If you struggle with hard times, like most humans do, this is one to lean into. I'm sharing how to hold on to hope, acknowledge the feelings, and take care of yourself through the feelings.This is big work my friends. But it's important. We will always hit major challenges; the question is who do we want to be, how do we want to be in these moments?I'm also thrilled to announce the start of a new group coaching program, Unbound: Women Physicians Reclaiming their Lives. This group, exclusive to women physicians (MD, DO or MBBS), starts December 1, 2024, and it's your opportunity to move ideas that we talk about on this podcast into your life. Out of your head, into your life. Together. The doors are open now for registration AND, shout out to my friend, the amazing Dr Rachel Rubin, who asked me to add a buddy option. As in, bring along another woman physician and get special savings. Such a great idea!Link to Register for Unbound: Women Physicians Reclaiming their Liveshttps://www.healthierforgood.com/offers/azBmHaNZ Support the showTo learn more about my coaching practice and group offerings, head over to www.healthierforgood.com. I help Physicians and Allied Health Professional women to let go of toxic perfectionist and people-pleasing habits that leave them frustrated and exhausted. If you are ready to learn skills that help you set boundaries and prioritize yourself, without becoming a cynical a-hole, come work with me.
Send us a textFeeling a bit fiery today, but I want you to sit with this one.I am done believing that I should look, work or speak a certain way, based on internalized norms passed down from generations of patriarchy in medicine. I don't want to practice that way, I don't want to speak that way, and I don't want to receive my care that way. But in order for us to change the dynamic, WE are going to need to show up differently, and ASK for things we've not asked for.I'm also thrilled to announce the start of a new group coaching program, Unbound: Women Physicians Reclaiming their Lives. This group, exclusive to women physicians (MD, DO or MBBS), starts December 1, 2024, and it's your opportunity to move ideas that we talk about on this podcast into your life. Out of your head, into your life. Together. The doors are open now for registration AND, shout out to my friend, the amazing Dr Rachel Rubin, who asked me to add a buddy option. As in, bring along another woman physician and get special savings. Such a great idea!Link to Register for Unbound: Women Physicians Reclaiming their Liveshttps://www.healthierforgood.com/offers/azBmHaNZ Support the showTo learn more about my coaching practice and group offerings, head over to www.healthierforgood.com. I help Physicians and Allied Health Professional women to let go of toxic perfectionist and people-pleasing habits that leave them frustrated and exhausted. If you are ready to learn skills that help you set boundaries and prioritize yourself, without becoming a cynical a-hole, come work with me.
Information Morning Moncton from CBC Radio New Brunswick (Highlights)
Ryan Gamm and Rachel Rubin live in Sackville.
Send us a textWhat happens when you clean up other people's messes?They don't get to solve the problem (and learn)They don't get to experience the consequences (and learn)You feel exhausted, and internalize that you SHOULD be the one who fixes ALL the problems.In today's episode, I'm going to walk through what this can look like, and invite you to think about these challenges differently. You are such a good problem solver. And there are some problems that truly only you can solve. But it's easy to believe that you are the only path to a solution, and that is not tenable.I'm also thrilled to announce the start of a new group coaching program, Unbound: Women Physicians Reclaiming their Lives. This group, exclusive to women physicians (MD, DO or MBBS), starts December 1, 2024, and it's your opportunity to move ideas that we talk about on this podcast into your life. Out of your head, into your life. Together. The doors are open now for registration AND, shout out to my friend, the amazing Dr Rachel Rubin, who asked me to add a buddy option. As in, bring along another woman physician and get special savings. Such a great idea!Link to Register for Unbound: Women Physicians Reclaiming their Liveshttps://www.healthierforgood.com/offers/azBmHaNZ Support the showTo learn more about my coaching practice and group offerings, head over to www.healthierforgood.com. I help Physicians and Allied Health Professional women to let go of toxic perfectionist and people-pleasing habits that leave them frustrated and exhausted. If you are ready to learn skills that help you set boundaries and prioritize yourself, without becoming a cynical a-hole, come work with me.
How can we educate women about vaginal estrogen for genitourinary syndrome of menopause, especially given the black box warning? In this Brief, Dr. Rachel Rubin and host Dr. Suzette Sutherland discuss misconceptions around the use of estrogen creams and suppositories, particularly focusing on dosage and application for safe, effective treatment. They address common factors leading to inadequate results and the safety of low-dose vaginal estrogen. The doctors emphasize the importance of patience with treatment, correct understanding of hormone products, and education of patients to combat misinformation. Dr. Rubin and Dr. Sutherland also challenge misleading black box warnings associated with vaginal estrogen and stress the necessity for advocacy to update these labels and educate patients. TIMESTAMPS 00:00 - Introduction 00:20 - Debunking Myths About Estrogen Cream Usage 04:10 - Safety and Proper Usage/Dosage of Estrogen Products 05:48 - Patient Education and Compliance 08:23 - Addressing the Black Box Warning on Vaginal Estrogen 10:48 - Conclusion CHECK OUT THE FULL EPISODE OBGYN Ep. 33 - Genitourinary Syndrome of Menopause (GSM): Improving a DRY Topic https://www.backtable.com/shows/obgyn/podcasts/33/genitourinary-syndrome-of-menopause-gsm-improving-a-dry-topic
Send us a textOk, who else here likes to feel in control? Likes it too much, I mean. As in, tries to take control of every situation and then wonders why she feels so stressed, tight and yell-y.Today I'm talking about the idea that you can have complete control or complete freedom, but not both. Although this too is an illusion because we can't actually control much of what we try to control. We can have rules and structure and try to manipulate people and situations, but we don't actually succeed. We just mostly alienate people and give ourselves a headache.Let's talk about moving ourselves along the spectrum towards more freedom, flexibility, relaxation, and what that brings to the table.I'm also thrilled to announce the start of a new group coaching program, Unbound: Women Physicians Reclaiming their Lives. This group, exclusive to women physicians (MD, DO or MBBS), starts December 1, 2024, and it's your opportunity to move ideas that we talk about on this podcast into your life. Out of your head, into your life. Together. The doors are open now for registration AND, shout out to my friend, the amazing Dr Rachel Rubin, who asked me to add a buddy option. As in, bring along another woman physician and get special savings. Such a great idea!Link to Register for Unbound: Women Physicians Reclaiming their Liveshttps://www.healthierforgood.com/offers/azBmHaNZ Support the showTo learn more about my coaching practice and group offerings, head over to www.healthierforgood.com. I help Physicians and Allied Health Professional women to let go of toxic perfectionist and people-pleasing habits that leave them frustrated and exhausted. If you are ready to learn skills that help you set boundaries and prioritize yourself, without becoming a cynical a-hole, come work with me.
Do you use vaginal estrogen? Recommended by top menopause specialists, backed by multiple studies, vaginal estrogen is proven to work to prevent or treat the Genitourinary Syndrome of Menopause (GSM). GSM is incredibly common and includes bladder leaks, vaginal dryness, painful sex, and frequent UTIs, which can be deadly as we age. But many women are scared of vaginal estrogen due to an outdated and misleading FDA-mandated warning label that treats local vaginal estrogen with the same broad brush as systemic estrogen. In this episode, Katie connects with three women's health leaders behind a new campaign called “Unboxing Menopause” which calls for the FDA to update or remove this misleading warning label. Top urologists Drs. Kelly Casperson and Rachel Rubin give us an explainer on how vaginal estrogen prevents the tissue decline and infections that kill too many elderly women and costs the economy billions. Let's Talk Menopause co-founder Donna Klassen loops us in on the goals of the campaign and how you can help move this critical women's health initiative forward. SHOW NOTES + TRANSCRIPT acertainagepod.com FOLLOW A CERTAIN AGE: Instagram Facebook LinkedIn GET INBOX INSPO: Sign up for our newsletter AGE BOLDLY We share new episodes, giveaways, links we love, and midlife resources Learn more about your ad choices. Visit megaphone.fm/adchoices
In a menopause muddle? In this Menopause Day special, Liz sits down to answer YOUR questions on the menopause - from HRT conundrums to body image worries. In this episode, Liz gives advice to Valentine on whether she should take HRT despite having no menopause symptoms, answers Jane's question on whether she can start HRT at age 60, helps Julie to find the right type of HRT for her, and shares advice on vaginal oestrogen for Jane. Meanwhile, Liz covers pelvic floor and prolapse for Lesley, helps Tina with breast pain and her body image worries, shares her own personal experience with HRT for Sophia, and reveals an ideal menopausal breakfast for Jo. Links mentioned in the episode:Purchase Oestrogen Matters by Avrum Bluming Visit the Balance websitePurchase the Pelvic Floor Bible by Jane SimpsonPurchase Me & My Menopausal Vagina by Jane LewisListen to our podcast with Gabrielle Lyon on proteinListen to our podcast with Dr Rachel Rubin on vaginal oestrogenListen to our podcast with Dr Milli Raizada on hormone healthListen to our podcast with Dr Louise Newson on the practicalities of HRT Purchase A Better Second Half by Liz EarleEmail us your questions at podcast@lizearlewellbeing.com Hosted on Acast. See acast.com/privacy for more information.
In honour of World Menopause Month, Liz reflects on some of our most fascinating podcast conversations on all things menopause - from libido to weight gain, oestrogen to testosterone - to help you better navigate this often tricky transition. Liz reveals the biggest menopause revelations that she found most startling, and considers her own personal journey with menopause and HRT. This episode shares highlights from Avrum Bluming on what oestrogen is and why it matters, Dr Louise Newson on getting back to basics with HRT, Dr Sarah Hillman on developing a testosterone patch, Dr Rachel Rubin on genitourinary syndrome of menopause (GSM), Dr Kuki Avery and Dr Laura Flexer on bone health, and Pauline Cox on oestrogen and metabolic health. Links mentioned in the episode:Listen to What oestrogen is why it matters, with Avrum BlumingListen to The practicalities of HRT, with Dr Louise NewsonListen to Developing the world's first testosterone patch, with Dr Sarah HillmanListen to Vaginal oestrogen could save your life, with Dr Rachel Rubin Listen to Oestrogen and bone health, with Dr Kuki Avery and Dr Laura FlexerListen to Eating for hormones, with Pauline CoxFollow Kate Muir on InstagramPurchase A Better Second Half by Liz EarleEmail us your questions at podcast@lizearlewellbeing.com Hosted on Acast. See acast.com/privacy for more information.
OBGYN Briefs - Managing Genitourinary Syndrome of Menopause Frequent UTIs and vaginal atrophy/dryness are common signs of genitourinary syndrome of menopause (GSM). In this Brief, Dr. Rachel Rubin discusses the management of GSM and why estrogen is so vital to these tissues. They address the lack of information and awareness about GSM among urologists and gynecologists while emphasizing its impact on the urinary and genital symptoms experienced by menopausal women. Dr. Rubin details how GSM is not just a matter of vaginal atrophy but involves broader symptoms like urinary tract infections and bladder issues. The doctors also discuss a range of treatment options available, including local vaginal supplementation products like estradiol creams and DHEA suppositories, and their benefits for urinary health. TIMESTAMPS 00:00 - Introduction 00:20 - Understanding Genitourinary Syndrome of Menopause (GSM) 01:42 - Symptoms and Implications of GSM 03:00 - Vaginal Supplementation Products 05:09 - DHEA and SERM Therapy 08:44 - Estrogen and Vaginal Health CHECK OUT THE FULL EPISODE OBGYN Ep. 33 - Genitourinary Syndrome of Menopause (GSM): Improving a DRY Topic https://www.backtable.com/shows/obgyn/podcasts/33/genitourinary-syndrome-of-menopause-gsm-improving-a-dry-topic
I can't believe that I'm about to say this, but I think I've hit perimenopause!
Do you find it difficult to talk to your doctor about your sexual health? Where do you even begin finding the right doctor who will listen? And how can you empower yourself with the knowledge to understand your own sexual anatomy so you can advocate for yourself in the doctor's office and in the bedroom? Dr. Rachel Rubin is on a mission to change the landscape of sexual medicine and sexual education for medical practitioners and patients alike. Get comfortable and ready for a real education. This week, episode 21 of Pleasure in the Pause is about changing the landscape of sexual medicine and education! In this episode of Pleasure in the Pause, Dr. Rachel Rubin shares the importance of knowing your anatomy and what normal looks like for you and actionable steps you can take right now to better advocate for yourself at the doctor's office. Highlights from our discussion include:The importance of understanding patients' unique experiences and connecting with them on a personal level.The benefits of vaginal estrogen and why the FDA black box warning is misleading. Why we need open discussion about the physical changes that happen at puberty and menopause.Encouraging women to advocate for themselves and seek out specialized care for sexual health issues.For more resources regarding women's sexual health and to find a specialized provider, check out the International Society for the Study of Women's Sexual Health (ISSWSH) website.Are you ready to awaken your sensuality and feel more empowered in your body? Access the FREE Pleasure Upgrade Bundle at https://www.pleasureinthepause.com/gift.If you're seeking to reclaim your pleasure and vitality, join Gabriella at www.pleasureinthepause.com for this enlightening journey into the heart of female pleasure and empowerment.Dr. Rachel S. Rubin is a board-certified urologist and sexual medicine specialist. She is one of only a handful of physicians with fellowship training in sexual medicine for all genders. Dr. Rubin is a clinician, researcher, and passionate educator. In addition to being the former education chair and current Director-at-Large for the International Society for the Study of Women's Sexual Health (ISSWSH), she serves as associate editor for the journal Sexual Medicine Reviews. CONNECT WITH DR. RACHEL RUBIN:LinkedInInstagramX (formerly Twitter)WebsiteCONNECT WITH GABRIELLA ESPINOSA:InstagramLinkedInWork with Gabriella!
Sexual health is not discussed enought in midlife. Menopause can bring about painful sex, dry vaginas and frequent UTI's. On this replay episode, we discussed these problem and solutions with Dr. Rachel Rubin. Dr. Rubin is a board-certified urologist and sexual medicine specialist. She is also a researcher, passionate educator and the the former education chair and current Director-at-Large for the International Society for the Study of Women's Sexual Health (ISSWSH). From vaginal estrogen to lifestyle changes, we discuss it all because as Dr. Rubin says : Sexual Health is Health! Website/Show Notes: www.hotflashescooltopics.com FOLLOW US ON: Instagram: https://www.instagram.com/hotflashesandcooltopics/ Youtube: https://www.youtube.com/channel/UC6ssWfO0qeZYEIs6TzrKBHQ Facebook: https://www.facebook.com/groups/657557054765087 Want to Leave a Review for Hot Flashes and Cool Topics? Here's How: For Apple Podcasts on an iPhone or iOS device: Open the Apple Podcast App on your device. Click on the “search” icon Type into the search bar “Hot Flashes and Cool Topics” and click on the show Towards the bottom, look for “Ratings and Reviews” Click on “Write a Review” and leave us your thoughts and comments! For Apple Podcasts on a computer: On the Apple Podcasts website, go to the search bar and type “Hot Flashes and Cool Topics” After clicking on the show, find the “Listen on Apple Podcasts” button and click on it The “Hot Flashes and Cool Topics” podcast should open on the Apple Podcasts application Keep scrolling on the page until you see “Ratings and Reviews” Click on “See All” If you want to give us a five-star rating, hover over the empty stars! If you want to leave your thoughts and comments, click on “Write a Review”!
Vulvodynia - is it a mucosal issue, a pelvic floor issue, a psychological issue...or all of the above? That was the question I asked on my Instagram feed recently, paraphrasing the research into this topic by Chisari et al. So in this week's episode, I'm delighted to welcome Dr Jessica Reale back to the podcast, this time, to discuss Vulvodynia. It can be an intimidating diagnosis for both patient and provider but we explore what it takes to be an effective clinician working with people on this journey. Some of the topics we talked about - hypermobility, inflammation, dermatological considerations, ruling drivers like hips, spines and nerves in or out as contributors and of course, bowel health gets a mention here too! Jessica of course, along with Nicole Cozean, is one of the co-founders of Pelvicon and they are running a Vulvodynia Symposium with luminaries such as Stephanie Pendergast, Dr Rachel Rubin, Dr Jill Krapf, Dr Alex Milspaw and more. It's happening July 13 2024 and registration is opening on Tuesday the 9th of July - head over to pelvicon.com for registration info But also: Do you want to find out more about working with women living with pelvic pain diagnoses such as Vulvodynia, Endometriosis, IC/ Bladder Pain Syndrome and/or Pelvic Neuralgias? (And get the Functional Female Pelvic Anatomy course FOR FREE?!) My online Female Pelvic Pain Rehab course is available online with evergreen access and membership of a private student support group - you can find all the info on my website CelebrateMuliebrity.com To stay up to date on all the latest in women's health, make sure you're following me on Instagram @michellelyons_muliebrity Until next time, Onwards & Upwards! Mx (and if you enjoy this content, I'd be grateful if you could subscribe, rate & review this podcast wherever you're listening to it!
With more than half of women experiencing at least one urinary tract infection in their lifetime, Liz chats to urologist and sexual medicine specialist Dr Rachel Rubin to reveal why UTIs must be taken more seriously.Rachel shares the realities of how dangerous UTIs can be, plus how the lack of knowledge on this common infection is just another example of medical misogyny.Rachel talks Liz through the symptoms of genitourinary syndrome of menopause (GSM) and how vaginal oestrogen could be lifesaving.Links mentioned in the episode:Visit Rachel Rubin's website and subscribe to her newsletterListen to our podcast on Why your UTIs keep coming back, with Kate StephensPurchase A Better Second Half by Liz EarleEmail us your questions at podcast@lizearlewellbeing.com Hosted on Acast. See acast.com/privacy for more information.
Taboo to Truth: Unapologetic Conversations About Sexuality in Midlife
In this episode I had the privilege of speaking with Dr. Rachel Rubin, a highly respected urologist and sexual medicine specialist known for her comprehensive approach to sexual health across all genders. Dr. Rubin enlightened us on the vital connection between urology and sexual function, emphasizing the importance of understanding our bodies' anatomy and physiology to address sexual health issues effectively. She shared her passion for educating both the public and healthcare professionals on the complexities of sexual medicine, underscoring the need for better sexual education and the removal of stigma from conversations about sexual health. It was an eye-opening discussion that challenged many preconceived notions about sexual wellness and the critical role of specialized care in improving quality of life. I was particularly moved by Dr. Rubin's insights into the challenges faced by individuals seeking help for sexual dysfunction, highlighting the gaps in knowledge among general practitioners and the importance of advocating for one's sexual health. Her stories of empowering patients to communicate their needs and desires resonated deeply with me, reminding us all of the power of education and open dialogue. Dr. Rubin's work not only offers hope to those struggling with sexual health issues but also calls for a broader societal shift towards embracing sexual health as an integral part of overall well-being. Her dedication to advancing sexual medicine and her advocacy for comprehensive sexual education are truly inspiring, making her one of my sheroes in the field. Full video episode available: https://youtu.be/abpTfFYQAmc Where to find Dr. Rubin: https://www.rachelrubinmd.com/ Instagram: @drrachelrubin Recommended reading: Vagina Obscura by Rachel E. Gross Estrogen Matters by Avrum Bluming & Carol Travis ************************************************************* Have a burning question or topic suggestion? karen@taboototruth.com https://www.taboototruth.com/ https://www.instagram.com/taboototruth Youtube @taboototruthpodcast *this podcast is not intended to give medical advice. Karen Bigman is not a medical professional. For any medical questions or issues, please visit your medical provider. --- Send in a voice message: https://podcasters.spotify.com/pod/show/taboototruth/message
Joining Mike on this 7th anniversary edition of Hitting Left is Rachel Rubin, Senior Medical Officer at Cook County Department of Public Health.
If you're a woman in perimenopause/menopause and you have a vagina, listen up, because this episode is going to blow you away! My guest this week, Dr. Rachel Rubin, is a Urologist and a Sexual Medicine Specialist, and I was so excited to talk with her because the work that she does, both in clinic and on social media, has dramatically helped countless women live with greater comfort, confidence, and pleasure! Dr. Rubin joined me on this episode to talk about the life-changing benefits of using vaginal estrogen for women in menopause and beyond. She likes to say that she deals in issues of libido, arousal, orgasm, and pain, and fortunately for everybody, vaginal estrogen can help with issues surrounding all of these topics. Without revealing too much, it is well documented to improve sex life, prevent urinary tract infections, and decrease vaginal pain, leading to a higher quality of life. So you might be asking yourself, "why haven't I heard of this before?" Unfortunately, despite literature supporting the local use of vaginal estrogen having been around for decades, it hasn't been widely adopted by the medical community. This is where Dr. Rubin steps in **cue heroic music**. Dr. Rubin has made it her mission to spread this knowledge, and mind you, credible, up-to-date knowledge- to as many people as possible. She does so by shouting from the rooftops via her social media pages, running her D.C.-based practice, and training the next generation of Sexual Medicine physicians. What I love about her is that she is relentlessly herself and she won't stop at anything to share this information! So join us by tuning into this conversation, and if you're interested in supporting Dr. Rachel Rubin's work, you can visit her at: Website: https://www.rachelrubinmd.com/ Instagram: https://www.instagram.com/drrachelrubin/?hl=en Facebook: https://www.facebook.com/DrRachelRubin/ LinkedIn: https://www.linkedin.com/in/rachel-rubin-7433b0134/ Twitter: https://twitter.com/drrachelrubin I hope you enjoy this episode, and if you do, please be sure to "like" this episode and subscribe to the podcast. These small gestures help us a lot to reach other professional women over 50 who are interested in losing weight for the last time. Enjoy! ... Are you a professional woman over age 50 who's ready to lose weight for the last time? Join the Vibrant-MD weight loss course. Not sure if the Vibrant-MD weight loss course is right for you? Schedule a time to talk with Dr. Heather Awad directly to learn more. Sign up for our FREE course to get the step-by-step roadmap to permanent weight loss. You'll get a new formula that truly works for professional women over age 50, because it's long overdue that we say GOODBYE to the lousy old counting games.
Sex Symposium: Launching the First Annual Event Today I drink coffee with Dr. Rachel Rubin, fellow urologist and sex med physician and we run through ALL THE THINGS that happend when I co-hosted the first annual sex symposium with Dr. Emily Morse and with The Swell founder Alisa Volkman in New York City. Want to stay connected to hear about more upcoming events with me and the future ones with the Swell? Follow me on IG at www.instagram.com/kellycaspersonmd Check out details for my retreat March 2024: https://ascendretreats.com/ Listen to my Tedx Talk: Why we need adult sex ed Take my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed Join my membership to get these episodes ASAP, a private facebook group to discuss and my private accountability group for your health, hormones and life support! www.kellycaspersonmd.com/membership --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message
Do you struggle with low libido? Vaginal Dryness? UTI's? This episode is one of our most comprehensive conversations on women's sexual health. We speak with Dr. Rachel Rubin about all this and more. Dr. Rubin is a Urologist, Sexual Medicine Specialist and assistant clinical professor in Urology at Georgetown University Hospital. She even shares how to save money on medications. You don't want to miss it. Website: www.hotflashescooltopics.com FOLLOW US ON: Instagram: https://www.instagram.com/hotflashesandcooltopics/ Youtube: https://www.youtube.com/channel/UC6ssWfO0qeZYEIs6TzrKBHQ Facebook: https://www.facebook.com/groups/657557054765087 Want to Leave a Review for Hot Flashes and Cool Topics? Here's How: For Apple Podcasts on an iPhone or iOS device: Open the Apple Podcast App on your device. Click on the “search” icon Type into the search bar “Hot Flashes and Cool Topics” and click on the show Towards the bottom, look for “Ratings and Reviews” Click on “Write a Review” and leave us your thoughts and comments! For Apple Podcasts on a computer: On the Apple Podcasts website, go to the search bar and type “Hot Flashes and Cool Topics” After clicking on the show, find the “Listen on Apple Podcasts” button and click on it The “Hot Flashes and Cool Topics” podcast should open on the Apple Podcasts application Keep scrolling on the page until you see “Ratings and Reviews” Click on “See All” If you want to give us a five-star rating, hover over the empty stars! If you want to leave your thoughts and comments, click on “Write a Review”!
We chose this episode with Dr. Rachel Rubin as our final encore of the year because she is the person who has given us the most practical, valuable, and easily shareable information to help women with their genitourinary functions as they age. Dr. Rubin is a board-certified urologist and sexual medicine specialist who dropped so much knowledge and helpful information into one conversation that our puny little brain-sponges got super-soaked. Listen to learn about the two little-known FDA-approved drugs that actually help women's libidos with no negative side effects, why you should be using local vaginal estrogen twice a week for the rest of your life, and how even a doctor can agree with us that the field of medicine is a disgusting dumpster fire of brokenness. As if that weren't enough, we also talk about the Grow Your Clit Movement, Covid Hemorrhoids, and what the hosts never thought they'd do in their 20's that they have done now. Admit it: you're intrigued.DR. RUBIN'S LINKSDr. Rubin's WebsiteDr. Rubin's twitterDr. Rubin's facebookDr. Rubin's InstaDr. Rubin's LinkedInARTICLES AND RESOURCES MENTIONED IN THE EPISODEThe Magic of HormonesInternational Society for the Study of Women's Sexual Health - ISSWSHAddyiVyleesiThe Grow Your Clit MovementLINKS TO DREAMY PRODUCTS AND SERVICESErin's Faces Affiliate LinkPurely Elizabeth Affiliate LinkJulia's Wellness Coaching WebsiteCircling the Drain Podcast WebsiteSupport the showBe one of the helpers! SUBSCRIBE to this podcast on APPLE PODCASTS or SPOTIFY and leave us a review on APPLE PODCASTS.Please make a one-time donation of $10 (or more!) at Patreon.com/circlingthedrainpodcast to keep our show alive for another year. Support the showBe one of the helpers! SUBSCRIBE to this podcast on APPLE PODCASTS or SPOTIFY and leave us a review on APPLE PODCASTS.
This episode is a bonus episode, brought to you in partnership with Nyoo ("New") Health. Nyoo hosts the "What's Nyoo!" series, with monthly events that bring together women and experts to have engaging, honest, and educational conversations about women's health, and this one is all about Pelvic Health. This event blew us away, and we knew we had to share it. Special thanks to Priya Bathija - CEO of Nyoo - for allowing us to share this recording. We hope you enjoy it just as much as we did!Remember to like, rate and subscribe and enjoy the episode!Guest biosPriya Bathija is a nationally-recognized healthcare leader, attorney, and policy expert. She is currently Founder and CEO of Nyoo Health, an organization dedicated to improving health and healthcare for women. Previously, she was at the American Hospital Association where she led policy efforts and strategic initiatives on value, health equity and maternal health. She started her career as a healthcare attorney and served as in-house counsel and a member of the leadership teams at ProMedica and MedStar Health. Priya is also a Distinguished Practitioner in Residence at The Ohio State University Moritz College of Law and an adjunct professor at Loyola University Chicago School of Law. In addition, she serves as a public board member for the American Board of Medical Specialties, the largest physician-led specialty certification organization in the U.S.Carine Carmy is CEO and Co-Founder at Origin, the leading provider of pelvic floor and women's physical therapy. She has focused her career on increasing access to products and services that improve lives, from healthcare to 3D printing. Carine's passion for women's health started in her twenties, when she struggled with painful sex for nearly a decade. Following years of misdiagnoses, ineffective treatment options, and hearing “that's just the way it is,” Carine discovered the power of pelvic floor physical therapy to treat, not only pelvic pain, but dozens of conditions and symptoms that impact some 40 million U.S. women and individuals with vaginal anatomy, every year. Already a go-to-market leader in healthcare and technology — with leadership roles at Amino, Shapeways, MarketspaceNext and Monitor Group — she felt compelled to help make pelvic health the norm for women across the country. Outside of Origin, Carine is an avid writer and has been published in MIT Technology Review, Forbes, Ad Age, and PSFK, and serves as an advisor to startups and nonprofits in support of diversity and economic equality.Dr. Somi Javaid is a board-certified OB/GYN, leading women's sexual health thought leader, and menopause advocate. She is the Founder and Chief Medical Officer of HerMD, a team on a mission to make women's healthcare exceptional by educating, advocating for, and empowering patients to take control of their health concerns. Dr. Javaid has been featured in Forbes, Vogue, Well+Good, InStyle, Parents, Refinery29, Mashable, Adweek, and Popsugar. In August 2020 Dr. Javaid spoke about Gender Bias and the Female Sexual Health Revolution on the TEDx mainstage, and in January 2021 she was featured in Women on Topp for her work as a trailblazer and pioneer in women's sexual health.Dr. Rachel Rubin is a board-certified urologist and sexual medicine specialist. She is an assistant clinical professor of Urology at Georgetown University and owns her private practice in the Washington DC region. She is one of only a handful of physicians fellowship trained in male and female sexual medicine. Dr. Rubin is a clinician, researcher, and vocal educator in the field of sexual medicine. In addition to being education chair for the International Society for the Study of Women's Sexual Health (ISSWSH), she also serves as an Associate Editor for the Journal Sexual Medicine Reviews. Her work has been featured in the NYT and PBS.Emma Schmidt, PhD, is a doctor in Clinical Sexology, a Professional Clinical Counselor, Supervisor, and Certified Sex Therapist, Supervisor through the American Association for Sex Educators Counselors and Therapists (AASECT) as well as the American Board for Christian Sex Therapists (ABCST). She is the owner of Emma Schmidt and Associates in Cincinnati, Indian and Kentucky, a therapy group practice which focuses on sex and relationship therapy. Dr. Schmidt received her Bachelor of Arts in Biblical Studies and Psychology as well as a Master of Arts in Counseling from Cincinnati Christian University. She received her Doctorate from Modern Sex Therapy Institutes. Her research and publications have focused on female sexual pain.Organization bioNyoo Health provides strategic and advisory support to startups, investors, providers, and others as they grow and scale new ways of delivering health and healthcare to women. Beyond that, Nyoo Health is building a movement that will redefine women's health and investing in women as they advocate for themselves in the healthcare system.FemTech Focus Podcast bioThe FemTech Focus Podcast is brought to you by FemHealth Insights, the leader in Women's Health market research and consulting. In this show, Dr. Brittany Barreto hosts meaningfully provocative conversations that bring FemTech experts - including doctors, scientists, inventors, and founders - on air to talk about the innovative technology, services, and products (collectively known as FemTech) that are improving women's health and wellness. Though many leaders in FemTech are women, this podcast is not specifically about female founders, nor is it geared toward a specifically female audience. The podcast gives our host, Dr. Brittany Barreto, and guests an engaging, friendly environment to learn about the past, present, and future of women's health and wellness.FemHealth Insights bioLed by a team of analysts and advisors who specialize in female health, FemHealth Insights is a female health-specific market research and analysis firm, offering businesses in diverse industries unparalleled access to the comprehensive data and insights needed to illuminate areas of untapped potential in the nuanced women's health market.Episode ContributorsPriya BathijaLinkedIn: @Priya Bathija Carine CarmyLinkedIn: @Carine Carmy & @OriginInstagram: @carinerachelle & @theoriginway Dr. Somi JavaidLinkedIn: Somi Javaid, MD & HerMDInstagram: @somijavaidmd & @hermdhealth Dr. Rachel RubinLinkedIn: @Rachel RubinInstagram: @drrachelrubin Dr. Emma SchmidtLinkedIn: @Dr. Emma SchmidtInstagram: @heyemmatherapy Nyoo HealthWebsite: https://www.nyoohealth.com/LinkedIn: @Nyoo HealthInstagram: @nyoohealth Dr. Brittany BarretoLinkedIn: @Brittany Barreto, Ph.D.Twitter: @DrBrittBInstagram: @drbrittanybarreto FemTech Focus PodcastWebsite: https://femtechfocus.org/LinkedIn: https://www.linkedin.com/company/femtechfocusTwitter: @FemTech_FocusInstagram: @femtechfocus FemHealth InsightsWebsite: https://www.femhealthinsights.com/LinkedIn: @FemHealth Insights
We are ending 2023 with a bang! Close out the year by saying goodbye to things that no longer serve you—maddening UTIs, painful sex, itching, burning, urinary urgency and more. Top urologist and sexual wellness expert Dr. Rachel Rubin walks us through the life-changing magic of vaginal estrogen and gives us the 411 on testosterone therapy. We talk pellets, creams, and the impact on libido. Plus, the link between antidepressants and sexual dysfunction. SHOW NOTES + TRANSCRIPT acertainagepod.com FOLLOW A CERTAIN AGE: Instagram Facebook LinkedIn GET INBOX INSPO: Sign up for our newsletter AGE BOLDLY We share new episodes, giveaways, links we live, and midlife resources CONTACT US: katie@acertainagepod.comSee omnystudio.com/listener for privacy information.
Menopause is a natural part of aging, but it can cause a lot of discomfort both physically and emotionally. And, the changes in hormone levels can also drastically affect a woman's sex drive.Today, Dr. Christine Vaccaro, Dr. Rachel Rubin, and Dr. Kelly Casperson will help us understand the symptoms of menopause and how hormone therapy can help.---Kelly Casperson MD www.kellycaspersonmd.comhttps://www.instagram.com/kellycaspersonmd/https://www.facebook.com/youarentbrokenPodcast: You Are Not BrokenApple Link to podcast: https://podcasts.apple.com/us/podcast/you-are-not-broken/id1495710329Book: You Are Not Broken: Stop "Should-ing" All Over Your Sex LifeAmazon Link: https://amzn.to/3Gux9hO---Rachel S. Rubin MDUrologist and Sexual Medicine SpecialistAssistant clinical professor in Urology at Georgetown University Hospitale info@rachelrubinmd.comwebsite: rachelrubinmd.com twitter:@drrachelrubininstagram: @drrachelrubin
In this week's BackTable Podcast, guests Dr. Sarah Psutka and Dr. Rachel Rubin join host Dr. Aditya Bagrodia to discuss the importance of considering women's sexual health in urologic oncology surgeries. The doctors go on to discuss how to ensure proper patient education and setting realistic expectations about post-surgery recovery. Additionally, they highlight the need for open conversation about sexual health and the use of hormone therapies to improve menopause symptoms. Finally, they touch on the need for more research in women's sexual health and the use of pelvic floor physical therapy. --- EARN CME Reflect on how this Podcast applies to your day-to-day and earn free AMA PRA Category 1 CMEs: https://earnc.me/uYv0Hm --- SHOW NOTES 02:30 - The Importance of Open Conversations about Sexual Health 03:55 - Addressing Sexual Health in Cancer Patients 11:47 - The Role of Hormones in Women's Health 25:05 - The Renewed Interest in Gynecologic Organ Sparing 29:39 - Importance of Risks and Oncologic Outcomes in Bladder Cancer Treatment 35:56 - The Role of Pelvic Floor Physical Therapy in Bladder Cancer Recovery 44:24 - The Role of Hormone Therapy in Bladder Cancer Recovery 53:59 - Conclusion: The Future of Bladder Cancer Treatment --- RESOURCES Mark Cuban's Cost Plus Drug Company: https://costplusdrugs.com/
Dr. Christina Prevett // #GeriOnICE // www.ptonice.com In today's episode of the PT on ICE Daily Show, Modern Management of the Older Adult division leader Christina Prevett discusses that the fountain of function is muscle mass and estrogen in the aging female. Christina breaks down these two areas for function, and what we have physical therapist can do to help encourage both muscle mass and estrogen preservation. Take a listen to learn how to better serve this population of patients & athletes. If you're looking to learn more about live courses designed to better serve older adults in physical therapy or our online physical therapy courses, check our entire list of continuing education courses for physical therapy including our physical therapy certifications by checking out our website. Don't forget about all of our FREE eBooks, prebuilt workshops, free CEUs, and other physical therapy continuing education on our Resources tab. EPISODE TRANSCRIPTION 00:00 - CHRISTINA PREVETT Hello, everybody, and welcome to the PT on Ice Daily Show. My name is Christina Prevett. I am one of the team within our Modern Management of the Older Adult Division. In our division, we have three courses in our geriatric curriculum. We have our eight-week online Essential Foundations course. We have our eight-week online Advanced Concepts course. And we have our two-day live course. We have a couple of courses that are left in the remainder of the year. We have a course coming up in November in Chandler, North Carolina. We have another course coming up in South Carolina. And we have a course coming up in Texas in December. So if you are near those courses or you are looking to get in some content before the end of the year, I encourage you to check those courses out. and you'll be able to get in with some of our faculty before, you know, we ring in 2024. 01:18 - THE FOUNTAIN OF FUNCTION Today I'm going to talk about the fountain of function. And so this is a reframe that I think is really important. And we're going to talk about what those fountains of function are. You'll notice that I did not say fountain of youth. We have this idea in our society that youth is the goal, to not feel like we're getting older in any way, to not show signs of age on our faces. And don't get me wrong, I see my aging face, I was like, oh, my face doesn't look like I am 21 anymore, and I look at the wrinkles on my face, and I have those emotions. But the idea for my life is not to try and get younger. It's to try and optimize my reserve and try and live the way that I want to live with the most amount of function possible into my 30s and 40s and 50s and 60s and hopefully all the way up to 100. Because at MMA and within ice in general, Aging is a privilege. It is something that I am very thankful for because the alternative is not that great. We're not gonna be able to reverse back time, but we can have a really successful aging process, especially when we put in the steps to live the way that we want to live, whatever that filter means for us. So I'm not looking for the fountain of youth. I am looking for the fountain of function. And so the two types, the two areas that are the fountain of function in aging women, so I'm going to talk about female anatomy, is muscle mass and estrogen. And these two things, especially when taken together and optimized to the best of our capacity, is going to allow us to have more function towards the end of our life. So let's talk about muscle mass. You have not been following the Institute of Clinical Excellence in any ways if you don't know that LODE is our love language across all of our division, across all of our faculty, and that is absolutely true in the geriatric curriculum as well. And I love it so much that I did an entire PhD on the influence of resistance training in an aging body. When we look at resistance training, we are accumulating a growth and a continuation, a plethora of education and research that looks at the impact of resistance training on health outcomes. And I just posted a paper that was a narrative review from Stu Phillips, who is one of my committee members on my PhD. 04:18 - THE COMING OF AGE OF RESISTANCE TRAINING And he talked about the coming of age of resistance training and how we are starting to see some accumulation of evidence that is mirroring and is just as strong as literature that we're seeing in aerobic training to prevent stave off different chronic diseases, including some cardiovascular diseases. And so there means that there, as of course, we're going to target the aerobic system. This is not to say to not do cardio in stead, just do resistance training, but it's showing that there is a continual and persistent growth of literature talking about the impact of resistance training on health outcomes. So what we see is that those who have more muscle mass tend to have lower all-cause mortality. They are less likely to develop cardiovascular conditions. They are better able to manage diabetes. They're less likely to get diabetes. We know that muscle mass is protective around things like osteoporosis, right? Tensile strength of the bone is important and we need impact, body weight movements, resistance training across the lifespan in order to optimize that. We see that individuals who are stronger or less likely to have sarcopenia, right? Sarcopenia is clinically relevant amounts of muscular weakness that are preventing a person from completing their day-to-day tasks. It's a totally important output of frailty. Fried's physical phenotype of frailty talks about physical reserve and physical capacity as an output of individuals seeing these constellations and signs and symptoms that lead to vulnerability to external stress. That external stress includes things like hospitalizations and being able to withstand different stressors with respect to immune system insults, including things like COVID-19, pneumonia, and the flu that allows individuals, while they are sick, to have that reserve and resiliency to lean back on in order for individuals to be able to get back to baseline or improve past baseline, post-hospitalization, or acute insult. All this to say, we know that individuals need to be trying optimize their muscle mass in their earlier life and then hold on to it for as long as possible. If you are in a setting where you are not working with individuals who have optimized their muscular mass, we also know that muscular mass can be developed and we can see improvements in physical function with resistance training at any age when we start including in our 90s. The mechanism at which strength develops is a little bit different. We're looking a lot more at neuromuscular efficiency. However, we can absolutely see that it can improve function. And so whether you are 30 or you are 85, muscle mass is a fountain of function and it allows us to withstand stress. 12:24 - ESTROGEN FUNCTION & MENOPAUSE Now let's kind of talk about this second piece, which is estrogen. I've done several podcasts on menopause, but I want to talk about the influence of estrogen around female physiology, because I think this is really important. So when we are going through the menopausal transition, on average, individuals will start menopause between 50 and 51. Definition of menopause is when you've gone a full calendar year, 12 months without a menstrual period. That is your menopausal transition. But individuals can be experiencing perimenopausal symptoms that are indicators of dwindling or are coming down of estrogen status for up to 10 years prior to the transition into menopause. And so individuals who are in their early 40s can start to see the influences of loss of estrogen on their body. And then that influence is persistent as individuals get older. When we're talking about menopause, we often are putting this into two camps. So we have vasomotor symptoms, which are these symptoms that occur because of an acute withdrawal of estrogen. These are things like night sweats and hot flashes. As individuals transition through menopause and we get into our later life, into our 60s, 70s, 80s, and beyond, those symptoms tend to decline. So those vasomotor symptoms that occur as our body transitions to reductions in estrogen status they tend to go down as our body gets used to this new state of equilibrium that occurs without estrogen. In the opposite direction, the second kind of camp that we speak about when individuals are going through menopause is genitourinary syndrome of menopause or GSM. And that is signs and symptoms across the female physiology that are responding to losses in estrogen. and anywhere where there is an estrogen receptor within our body, they are going to experience changes when individuals transition through menopause. And we oftentimes will, in the pelvic health space, talk about changes to our reproductive anatomy, which are unbelievably relevant, but we have to also extrapolate that out and talk about different areas where estrogen is influencing female physiology and how, if you are working with an aging female, they are experiencing changes because of that change in estrogen status. And so within the reproductive track, we see that there is changes in ligamentous stability around the pelvis. And I hate that word stability, but it's a change in the turnover of the way that our ligaments are restructuring. So we have a little bit more ligamentous breakdown than buildup, right? That turnover rate is different. And so we have this shift between static support in the pelvis to the requirements or dynamic support around the pelvic floor. We see that individuals start to have vaginal atrophy. We see that the vaginal microbiome starts to change. We don't have the same cervical mucus secretion. And so things like chafing and redness can be more prevalent in a person who is postmenopausal. We can see fusing of the labia minora and majora. and this can lead to increased risks for pelvic floor dysfunction. So when we are in estrogen low states, rates for pelvic floor dysfunction go up. This includes anal incontinence, urinary incontinence, pelvic organ prolapse, dyspnea, or painful punitive intercourse, and other aspects of the reproductive tract. We also see, because of this change in the vulvar anatomy, that we have an increased risk for things like urinary tract infections, that increased risk for urinary tract infection also influences individual's physical function. We know that recurrent UTIs can be a cause of changes in cognitive status for our aging females. And so something that is extremely relevant for our aging women. Other things that we see is that as individuals go into an estrogen depleted state, increased risk of cardiovascular disease goes up. Individuals as they transition through menopause, we see that in general, men tend to be more impacted by cardiovascular disease. That is shifting for a lot of different reasons, but that risk profile increases when individuals are in an estrogen depleted state. We see a change in central adiposity where weight starts to increase. Adiposity accumulation can increase, especially visceral fat accumulation, which has a risk profile in and of itself for different chronic diseases. And then we see, for example, in our bone microarchitecture that the influence of estrogen allows for continual bone regeneration and that profile again starts to switch and there's an increased risk for things like osteoporosis in an estrogen deficient state. So there's a lot of things that get impacted, right? Our skin gets impacted, our breast tissue gets impacted, our urinary tract, all of our mucosal membranes, not just in our vulva, but across our entire body, and this has impacts. And so when we are thinking about working with these individuals, one of the things that is starting to become really recommended is topical estrogens. And there's a lot of debate about this because of a study that had been done a little while ago that looked at increased risk for sex-related cancers, breast cancer, endometrial cancer, cervical cancer, et cetera, with systemic estrogen. However, what we are starting to see now and many of our menopausal experts like Dr. Mary Claire and Dr. Rachel Rubin are really trying to have this public health approach to medicine saying that we are not doing our females a service when we are saying that there is a risk profile when subsequent studies have not been able to substantiate or replicate those findings. And so there's been a big shift in the last five years to the need for or the desire for many women who are really suffering with genital urinary syndrome of menopause to be able to take things like topical estrogens in order to really significantly reduce their symptom burden. And I'm not just talking about their pelvic floor, which is an extremely important part of their sexual health, also a vital sign of aging, but also, you know, all of these other physiological signs of estrogen deficiency that are impacting our outcomes, right? We see that individuals with that combination of muscular mass, we are seeing individuals with negative consequences of osteoporotic fracture. if we were able to be preventative in this approach where we are talking about estrogen supplementation when these symptoms start to arise, especially when they hit a threshold of bother, where there's going to be this spectrum, some individuals are very bothered and very impacted by the signs of vasomotor symptoms and genital urinary syndrome of menopause, and then some individuals are not, but for those individuals with bother, is this something that should be taken? Is this something that they can talk to their physician about? Is there this literature to support these topical estrogens? And we are starting to see this mounting of evidence that is starting to come up to help individuals in the aging process. So many of our aging adults are being told that this is just what they should be living with. This is because they're going through menopause. Deal. We saw this in the peripartum space where there's a lot of advocacy still happening with respect to not having this thought process that as soon as you have a baby that pelvic floor dysfunction is just something that you should live with. We're starting to see this rise up in our perimenopausal and postmenopausal population, where they are not accepting that this is what they should be doing. They're not being dismissed anymore for these symptoms, and it's super important. When we take this lifespan approach, this education becomes extremely relevant. Talking about the peripartum space, I truly believe that that is where we start to tell females that they are not resilient, that they are somehow fragile, that they need to be concerned for their organs falling out and all these different pelvic floor dysfunctions. And then they are not encouraged to be as resilient as they could be by taking part in heavy resistance training or impact activities or things at higher intensities. We start bringing that intensity down and the idea of, ooh, be careful or, oh, monitor this or, oh, if you have these symptoms, it's time for you to stop participating in those activities. We are seeing this shift and what this shift is going to do earlier in life is it's going to set up are aging individuals with this mindset that pelvic floor dysfunction one is not inevitable two that reserve is protective when it comes to muscular reserve and three they're going to be advocates for their own health and that includes their hormonal health and that includes not accepting that some of these symptoms of menopause are things that they just need to live with, but things that can be medically managed. Genital urinary syndrome of menopause is a syndrome condition. It is a medical diagnosis, and therefore it is something that we can be treating. As physical therapists, us being educators and conduits of that knowledge translation is extremely important. And then we are going to optimize function for these individuals. Last point that I'm going to make, because I ended up being a lot more long-winded than I thought I was going to be, is that we are now seeing this interaction between menopause, genital urinary syndromes, and long-term health outcomes. We are seeing that individuals with higher physical activity, combination, aerobic resistance, or both, are having a much lower GSM burden than those who are not. And so again, it comes back full circle, whether this health promotion is extremely important, that not only are we gonna optimize a person's muscular reserve, we're gonna make that fountain of function be extremely relevant, but we're also going to make the quality of that function a lot better because their quality of life is better because we are not allowing them to just live with these symptoms and be dismissed by our medical system, us included, that just expects this to be the way that it is. And so this advocacy piece is extremely important and it's something that we are going to be screaming from the rooftops. All right, everyone, I hope you have a wonderful week. I'm going to be diving a lot more onto my page and I'm going to be collaborating it with ICE and MMOA around hormone therapies for individuals with GSM. I am not a medical physician, so I encourage you to reach out to your urogynecologist and urologist in your area. Get that relationship with them so that you can start having these conversations and we can start talking about risk profiles. All right, have a wonderful week. If you are not on our MMOA digest, I encourage you to sign up for those newsletters. Otherwise, have a wonderful week and I will talk to you all again soon. OUTRO Hey, thanks for tuning in to the PT on Ice daily show. If you enjoyed this content, head on over to iTunes and leave us a review and be sure to check us out on Facebook and Instagram at the Institute of Clinical Excellence. If you're interested in getting plugged into more ice content on a weekly basis while earning CEUs from home, check out our virtual ice online mentorship program at ptonice.com. While you're there, sign up for our Hump Day Hustling newsletter for a free email every Wednesday morning with our top five research articles and social media posts that we think are worth reading. Head over to ptonice.com and scroll to the bottom of the page to sign up.
Dr. Rachel Rubin is not your run-of-the-mill urologist, as you'll quickly learn in this fascinating episode! Dr. Rubin (https://www.instagram.com/drrachelrubin) believes that education is empowerment, and, today, we have the amazing opportunity to learn from her about menopause. Listen to hear host Elana Frank and Dr. Rubin discuss the "orgasm gap", whether it's plausible that undergoing fertility treatments like IVF might affect the timing of menopause later in life, the 'magic' of vaginal estrogen cream, and most importantly, how education is empowerment. You WILL feel empowered after listening to this episode!
Alexandra Stockwell, MD, is joined by Dr. Rachel Rubin, a renowned urologist and sexual medicine specialist, to discuss sexual medicine, as well as the art/science driving sexual desire. Dr. Rubin emphasizes the vital importance of a biopsychosocial approach to sexual medicine, highlighting the significance of understanding a patient's background and their goals for enhancing their quality of life. She defines sexual medicine, discusses when to seek help and addresses issues like low desire and arousal. Dr. Rubin recommends various treatment options, including the use of devices (ie. vibrators) for enhancing intimacy. The conversation takes a personal turn as she shares she's happily married with a supportive partner. Also in this episode: How do you define sexual medicine? Why Dr. Rubin considers herself a sex detective Low desire is a common problem for both men and women Why it's important to ask patients about libido, masturbation techniques, cultural and religious issues, and childhood trauma Erectile dysfunction is a marker for cardiovascular disease in men and women Where to find more information about sexual health products How our personal experiences influence our practice of medicine About Dr. Rachel Rubin: Dr. Rachel Rubin is a board-certified urologist and sexual medicine specialist. She is an assistant clinical professor of Urology at Georgetown University and owns her private practice in the Washington DC region. She is one of only a handful of physicians fellowship trained in both male and female sexual medicine. Dr. Rubin is a clinician, researcher, and vocal educator in the field of sexual medicine. She completed her medical and undergraduate training at Tufts University, her urology training at Georgetown University, and her fellowship training under Dr. Irwin Goldstein in San Diego. In addition to being education chair for the International Society for the Study of Women's Sexual Health (ISSWSH), she also serves as an Associate Editor for the Journal Sexual Medicine Reviews. Her work has been featured in the NYT, PBS and NPR. Connect With Dr. Rachel Rubin Rachelrubinmd.com | Instagram | Facebook | Twitter | Threads Links mentioned in the episode: Promescent Devices | Mystery Vibe Subscribe To The Intimate Marriage Podcast: Apple Podcast | YouTube | Spotify Connect With Alexandra Stockwell, MD: Website | Linkedin | Instagram Download the first chapter of Dr Alexandra's bestselling book, “Uncompromising Intimacy,” here: https://www.alexandrastockwell.com/book Cultivate your intimacy skills (without compromise) in Aligned & Hot Marriage, Dr. Alexandra's proven method for smart couples ready to love more fully. www.alignedhotmarriage.com Join my email list to stay connected–it's where I share my latest insights and offer opportunities for live Q & A. https://www.alexandrastockwell.com/subscribe About Alexandra Stockwell, MD Known as “The Intimacy Doctor,” Alexandra Stockwell, MD is a Relationship and Intimacy Coach and an Intimate Marriage Expert who specializes in coaching ambitious, successful couples to build beautiful, long-lasting, passionate relationships. She is the bestselling author of “Uncompromising Intimacy,” host of The Intimate Marriage Podcast and creator of the Aligned & Hot Marriage program. For over two decades, she's been guiding men and women to bring pleasure and purpose into all aspects of life— from the daily grind of running a household to creating ecstatic experiences in the bedroom—all while maintaining extraordinary professional success! This Podcast Is Produced, Engineered & Edited By: Simplified Impact The Intimimate Marriage Podcast, With Intimacy Coach, Alexandra Stockwell, MD
As labor tensions mount across America, we look back at the 1997 UPS strike, a major victory in the labor movement. Lane Windham, associate director of the Kalmanovitz Initiative For Labor and The Working Poor at Georgetown University, joins us. And, the Associated Press reported on Supreme Court Justices taking trips to colleges and universities, where they sometimes end up in the room with donors and politicians. AP's Brian Slodysko joins us. Then, Dr. Rachel Rubin is a urologist and sexual medicine specialist trying to break the stigma by starting conversations about pelvic health concerns that can impact both younger and older women as they age. She joins us.
Urologist and sexual medicine specialist Dr Rachel Rubin is helping women everywhere understand how their body works, so that they can be the CEO of it. Find how how she's creating orgasm equality and raising awareness for HSDD. Revive the sex drive you once knew and visit HSDDtreatment.com
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