YouSaid · the spoken record

Dr Rachel Rubin

lines on the record: 124
first: 2026-06-22
most recent: 2026-06-22
sittings or episodes: 1
sources: podcast

Every line below is reproduced as it was said and linked to the record it came from. Nothing here is summarised or generated. Directory · Search · Corrections

“Yes, but no one's examined any woman in your life, no one has ever examined their clitoris, ever. In any exam, in any doctor's visit, and nobody's asking women about their orgasm, about their satisfaction, where they come in with pain or they come in with libido issues, but no one is examining this part of the body. And so it's this question of is it because we haven't or because we shouldn't? It's because we haven't. We have never done this before.”
2026-06-22 · The Diary of a CEO · Dr Rachel Rubin: "I'm Filled With Rage!" Your Doctor Was Never Taught About Women's Bodies! · IDENTIFIED FROM THE TRANSCRIPT
“Yeah, so the clitoris has this hood to it, okay? And about 23% of the time, the hood can get stuck to the head. So for example, I'm wearing a sleeve here. So you should be able to pull back the hood of the clitoris to see the whole head. It looks like a mushroom. You know how penises have like that? Almost like a mushroom rim around it. So the clitoris should have that too. But about 23% of the time it gets stuck. So you actually cannot see the full head of the clitoris. It's called a clitoral adhesion. And so you should be able to pull it back. But in about a quarter of the time, you cannot. And we publish data that if you remove these adhesions in an office-based very simple procedure, we saw improvements in orgasm, arousal, and satisfaction up to 60 to 70 percent.”
2026-06-22 · The Diary of a CEO · Dr Rachel Rubin: "I'm Filled With Rage!" Your Doctor Was Never Taught About Women's Bodies! · IDENTIFIED FROM THE TRANSCRIPT
“For the whole duration of this podcast, you still won't have an orgasm because it's close to your penis, but it's not actually your penis, which is where men have orgasms from. And so the clitoris, if you follow those labia menora, those inner wings, you get to the hood of the clitoris or a foreskin. We call it a prepuse. And that if you pull it back, you see what is the tip of the head of the clitoris. But that's just the tip of the iceberg. The clitoris is this huge structure. My necklace is, of course, a gold clitoris. A huge structure that goes all the way down to your butt bones. It's a penis under the microscope. It looks like a penis. It is made up of the same tissue as a penis. It works exactly the way a penis does. It's just that we have a whole field of medicine devoted to the male penis. I'm a urologist. And no one is even taught how to examine a clitorist or where it is. So if the penis is going in here or a toy or a finger or a device,”
2026-06-22 · The Diary of a CEO · Dr Rachel Rubin: "I'm Filled With Rage!" Your Doctor Was Never Taught About Women's Bodies! · IDENTIFIED FROM THE TRANSCRIPT
“So about 20% of women will say that they can't have an orgasm. And the real question, I'm fascinated by this data because not 20% of men do not have orgasm problems. And so, again, if we go back to the financial literacy equation, we have a pay gap in this country, right? Women are not paid as much as men. Well, women are not orgasming as much as men. And so the data is very clear there. And I think the majority of problem is education. Women think that orgasm comes from penetration. Surely if the in and out penetration is happening, I should be able to have an orgasm. And the truth is, that's not how most women orgasms. Some can, but the reason why women don't orgasm from penetration is because the clitoris is up here. The clitoris is how women orgasm, right? Penetration is not how most women orgasm. Just like if you rub your thigh over and over again, you're not going to have an orgasm. Now you could keep rubbing your thigh.”
2026-06-22 · The Diary of a CEO · Dr Rachel Rubin: "I'm Filled With Rage!" Your Doctor Was Never Taught About Women's Bodies! · IDENTIFIED FROM THE TRANSCRIPT
“You typically don't do them at the gym. There are typically trained physical therapists who help you know what's going on with your pelvic floor. So for some people, it's to strengthen it and to do like almost contractions. We call them kegel exercises. But for many people, it's just learn the coordination”
2026-06-22 · The Diary of a CEO · Dr Rachel Rubin: "I'm Filled With Rage!" Your Doctor Was Never Taught About Women's Bodies! · IDENTIFIED FROM THE TRANSCRIPT
“Muscle health changes for many reasons. And so when you have problems, there may be biological reasons to these problems.”
2026-06-22 · The Diary of a CEO · Dr Rachel Rubin: "I'm Filled With Rage!" Your Doctor Was Never Taught About Women's Bodies! · IDENTIFIED FROM THE TRANSCRIPT
“Yeah, so if sex hurts, so if the muscles are too tight and you can't have penetration but you want it, that can be bad sex. If orgasm is painful, weak or impossible, it could have to do with the muscles. It's not always the muscles, but it could have to do with the muscles of the pelvic floor. If arousal, your ability to engorge and lubricate are diminished or less, that could be due to pelvic floor because you're not getting enough blood flow to the area. And so there are multiple different ways. And if you're not feeling your genitals, you watch something sexy on TV and then you feel it in your genitals or you see someone attractive walking down the street and you feel it in your genitals. There's this brain genital connection. And sometimes you have to have perfect wiring of your nerves, your hormones, and your muscles. And so that could be affected by your public floor. Now, we do a lot to mess up our pelvic floor, by the way. People do surgery. People have babies.”
2026-06-22 · The Diary of a CEO · Dr Rachel Rubin: "I'm Filled With Rage!" Your Doctor Was Never Taught About Women's Bodies! · IDENTIFIED FROM THE TRANSCRIPT
“Yeah, so everyone who has a pelvis has a pelvic floor. So men have a pelvic floor, women have a pelvic floor. It just means the bones of your pelvis, so your hips, right, and your pelvis bone, your butt bones, all of this is this big bony structure that holds all of your organs in place. And your genitals are attached to this pelvic floor. And the pelvic floor is surrounded by thick, big muscles. So if we look at the inside of the pelvic floor, it's these big, thick muscles. And muscles are just like your biceps, right? Like muscles are something that contract and relax and there can be problems with muscles, right? Just like if you work out too much and you've got a sore trap and you got to go get.”
2026-06-22 · The Diary of a CEO · Dr Rachel Rubin: "I'm Filled With Rage!" Your Doctor Was Never Taught About Women's Bodies! · IDENTIFIED FROM THE TRANSCRIPT
“These ads for do this injection, do this, you know, cosmetic procedure, do this supplement that's going to make sex great again. The truth is if it looks too good to be true on TV and in the ads, like it probably isn't going to fix what if other things are struggling. So I think great sex is within everybody's reach, but I think your great sex is different than other people's great sex.”
2026-06-22 · The Diary of a CEO · Dr Rachel Rubin: "I'm Filled With Rage!" Your Doctor Was Never Taught About Women's Bodies! · IDENTIFIED FROM THE TRANSCRIPT
“It. Can you use words? Can you explore? Can you ask questions? So that's really important for great sex. Then there's the 401k, right? The 401k is something that we all want and should have access to, right? It's important for compounding growth and long-term support of your financial life. Think about hormones. Think about going to a doctor who's going to make sure that everything is optimized the way that it should be. Your pelvic muscles are in good condition. Your mental health is in good, you know, do you need a sex therapist? Do you want to bring toys into the bedroom and devices to have even more fun? That's kind of like the really important. Not everybody has access to it. Not everyone's going to do it, but I think it's really, really important for everyone to talk about. That's not to say don't do crypto, but like don't put all your money in crypto. Don't do everything and don't start with crypto. So that's going to be when you're watching, you're scrolling Instagram and you see.”
2026-06-22 · The Diary of a CEO · Dr Rachel Rubin: "I'm Filled With Rage!" Your Doctor Was Never Taught About Women's Bodies! · IDENTIFIED FROM THE TRANSCRIPT
“Yeah, so this is diary of a CEO. So I love how you love the health topics, but obviously financial literacy is really important for you to help people because for some reason, people stink about talking about money and talking about sex. And yet we all want to be really great at both, right? We all want a lot of money and we all want to have great sex. And yet people stink at talking about it. They don't know the fundamentals. They don't know the basics. And so I actually use financial literacy sort of as a framework in how we talk about good sex. And so you've got your savings account and your checking account. Those are the basics. Everyone needs money and they're checking and savings account, right? That's what everybody needs. So that's going to be your education, your nutrition, your exercise, your sleep, your communication, safety. Like, are you safe in your relationship? Like the basics, are you doing the basic things you need to have great sex, you know, communication? It's probably the most important thing. Can you talk about it?”
2026-06-22 · The Diary of a CEO · Dr Rachel Rubin: "I'm Filled With Rage!" Your Doctor Was Never Taught About Women's Bodies! · IDENTIFIED FROM THE TRANSCRIPT
“And that probably doesn't even add to the people who stopped having sex because either they don't have a partner or because it's too painful to even consider it. And I think it's important to know that hormones play a fundamental role here. It's not the whole story, but it's a huge part of it.”
2026-06-22 · The Diary of a CEO · Dr Rachel Rubin: "I'm Filled With Rage!" Your Doctor Was Never Taught About Women's Bodies! · IDENTIFIED FROM THE TRANSCRIPT
“Yeah, so I would really try to see someone who has an active interest in this, see a specialized gynecologist or a specialized urologist who has an interest in pelvic pain. And you may need a couple of opinions. Just like if you go to the first plumber, you want to get a couple quotes on, well, who's going to do the best job? It's okay to see a few different people for this problem”
2026-06-22 · The Diary of a CEO · Dr Rachel Rubin: "I'm Filled With Rage!" Your Doctor Was Never Taught About Women's Bodies! · IDENTIFIED FROM THE TRANSCRIPT
“Vulvapain because of problems in their spines. If you have scar tissue inside your body from endometriosis that's pushing and scarring this tissue from the inside, you may have pain with sex. And so there are many different things that can cause pain with sex. But remember I said your OBGYN got almost no training in this.”
2026-06-22 · The Diary of a CEO · Dr Rachel Rubin: "I'm Filled With Rage!" Your Doctor Was Never Taught About Women's Bodies! · IDENTIFIED FROM THE TRANSCRIPT
“Sex is not supposed to be painful. If sex is painful, you need to figure out why you deserve a diagnosis. You deserve an answer. You deserve to understand exactly why sex is painful. You could have a problem with the tissue. So you could have a skin problem, which as we know, the tissue of the vulva is very hormonally sensitive. So that tissue could be impacted by hormones, its skin, so people can get eczema. They can get autoimmune skin condition. So you may have a skin condition. You may have problem with your muscles. So remember, the vagina and the vulva are surrounded by these big pelvic floor muscles. And just like you can get tight muscles in your neck and in your back, you can get tight muscles in your pelvis. We also know there's nerves that are involved in this area. So if you have a back problem and you feel it running down your leg, right, that's called sciatica or sciatica pain, you can have a back problem that actually causes you to have pelvic pain. So we see people with penis pain or”
2026-06-22 · The Diary of a CEO · Dr Rachel Rubin: "I'm Filled With Rage!" Your Doctor Was Never Taught About Women's Bodies! · IDENTIFIED FROM THE TRANSCRIPT
“Yeah, pain with sex is actually not rare at all. There are some published reports that up to 75% of women will say at some point in their life sex is painful.”
2026-06-22 · The Diary of a CEO · Dr Rachel Rubin: "I'm Filled With Rage!" Your Doctor Was Never Taught About Women's Bodies! · IDENTIFIED FROM THE TRANSCRIPT
“As well. So there's published data that less than 9% of Medicare patients are getting prescriptions for this. More than 75% of people in large database collections are not getting prescriptions for this. And so women are not getting access to generic medications that could save their lives and also really improve quality of life. I don't know about you, but dryness, people are not having sex anymore because of the pain, the dryness, the irritation when it's fixable.”
2026-06-22 · The Diary of a CEO · Dr Rachel Rubin: "I'm Filled With Rage!" Your Doctor Was Never Taught About Women's Bodies! · IDENTIFIED FROM THE TRANSCRIPT
“Not necessarily. So, again, we give birth control all the time to people in their reproductive years. Birth control is just high-dose fake hormone therapy, right? So we're giving women hormone therapy as young as in their teens, right, to help with different things and birth control. So if you think of it as all of it is some form of hormone therapy, it just depends that we're using the natural form of hormone therapy. Are we using the synthetic hormone therapy? We have to get comfortable with hormones at all ages. And the thing that we see most commonly, Stephen, is sort of what we call NFLM, not feeling like myself. I love that statement because women are coming to the doctor every day saying NFLM, I'm not feeling like myself and they're getting dismissed. And the truth is there are often hormonal reasons why you may not be feeling like yourself. So for some people, it might be musculoskeletal pain, so we see plato fasciitis and frozen shoulder, and we think of as those having underlying hormonal causes.”
2026-06-22 · The Diary of a CEO · Dr Rachel Rubin: "I'm Filled With Rage!" Your Doctor Was Never Taught About Women's Bodies! · IDENTIFIED FROM THE TRANSCRIPT
“Now she's in her 60s. And so that's why I'm so loud about these things because what other organ in medicine do we let fail completely before we like do something about it? We don't make you go blind completely before we give you eyeglasses. We don't let your kidneys run out completely before we give you dialysis or medications to help your kidneys along. We don't let you go into full liver failure before you get the transplant. Like this idea of your ovaries have to fail and you have to suffer for 12 months before someone intervenes is insanity.”
2026-06-22 · The Diary of a CEO · Dr Rachel Rubin: "I'm Filled With Rage!" Your Doctor Was Never Taught About Women's Bodies! · IDENTIFIED FROM THE TRANSCRIPT
“22 year olds in law school. And when I tell you she finished at the top of her class, she finished at the top of her class. Whereas she said, I would have never even considered this opportunity if I hadn't been doing all of these things. So it.”
2026-06-22 · The Diary of a CEO · Dr Rachel Rubin: "I'm Filled With Rage!" Your Doctor Was Never Taught About Women's Bodies! · IDENTIFIED FROM THE TRANSCRIPT
“Which showed osteopenia, and she was worried about osteoporosis because her mother died of osteoporosis fractures. Well, if she did whole body estrogen, she would prevent her risk of a fracture. She would make her hot flashes and night sweats go away, which would have benefit on how she sleeps and ultimately probably benefit on her whole vascular system. And so she started estrogen. And because she had a uterus, she took progesterone at night. And she said, well, my libido is still a bit low. We looked at her testosterone. We said testosterone will likely help with your libido, but it's going to take four to six months. So four to six months, she comes back to see me. Not only is her libido so much better, but she feels that she has the cognitive ability to enroll in law school. Like this woman literally decides that she wants to change the trajectory of her career and enrolls in law school. And her brain is working in like ways she hasn't seen it in so long and she is competing against.”
2026-06-22 · The Diary of a CEO · Dr Rachel Rubin: "I'm Filled With Rage!" Your Doctor Was Never Taught About Women's Bodies! · IDENTIFIED FROM THE TRANSCRIPT
“Hormones or some kind of combination. What if she's 43 and her sleep starts to get really bad and that may be an indication for progesterone? I have a patient who was having hot flashes and night sweats and brain fog and fatigue. I see her and she says, I will not take hormone therapy. It's not safe. My mother told me it causes cancer. At no point am I going to do this? I said, okay, we had a long conversation. I shared data and papers and we did a shared, we just worked with each other. And I wasn't pushing anything on her, but ultimately she started with vaginal hormones. Her orgasms come back. Her arousal gets back and she comes back to semi and says Reuben. What are you doing here? I'm feeling much better. Like this is, you've given me my life again. I'm not peeing in the middle of the night, so I'm sleeping better. I don't have as much dryness, sex is no longer painful. I haven't had a UTI in months. What else do you got? Well, she was still suffering with hot flashes and night sweats. She had a bone density scan.”
2026-06-22 · The Diary of a CEO · Dr Rachel Rubin: "I'm Filled With Rage!" Your Doctor Was Never Taught About Women's Bodies! · IDENTIFIED FROM THE TRANSCRIPT
“She may have hot flashes. She may have night sweats. She may, you know, have urinary frequency, urgency, leakage. There's all sorts of symptoms that come with libido changes as well. Libedo definitely changes. Pain with sex goes up. And so we call this the genito urinary syndrome of lactation. And so there's all sorts of hormonal changes that can happen at that time. So we see a big need for vaginal hormones in this patient population. It's safe for the breast milk. It's safe for the baby. It doesn't cause any problems, but it can really help with all of those symptoms. Now say she is done having babies and now she's 38, 39, 40, and she is doing fine and she has regular periods and she has no symptoms and no problems. She may not need anything at all. But what if she starts getting a lot of urinary tract infections or having dry scratchy, painful sex, or her libido just doesn't feel it sort of feels like back when it did on birth control pills, that may be an indication where she may benefit from whether it's testosterone or vaginal.”
2026-06-22 · The Diary of a CEO · Dr Rachel Rubin: "I'm Filled With Rage!" Your Doctor Was Never Taught About Women's Bodies! · IDENTIFIED FROM THE TRANSCRIPT
“This is a very important question because it's not a one size fits all at this age. Start this medicine. It's really when people start having symptoms. And so I'll give you an example. So say your partner gets pregnant. Okay, you decide to have a baby. Her estrogen is going to go to 10,000 for nine months. It's going to be super, super high. And the day she gives birth, it's going to crash to zero. So you go from super high hormones down to zero. And if she chooses to breastfeed or pump or do any of that, they stay extremely low in the menopausal range for the entire time you're breastfeeding. So when you are breastfeeding or pumping or doing anything and your periods don't come back, you're basically menopausal.”
2026-06-22 · The Diary of a CEO · Dr Rachel Rubin: "I'm Filled With Rage!" Your Doctor Was Never Taught About Women's Bodies! · IDENTIFIED FROM THE TRANSCRIPT
“Okay, this is a disaster. So women get urinary tract infections a lot. And so what do we tell women? P after sex, wipe from front to back. Like that's not data-driven, by the way. That's all a folktale. Like, that's folklore. There is some data that cranberry pills can help with preventing UTIs, but the amount that you'd have to drink is very sugary and diabetes-inducing, and it wouldn't taste that good. And so they do make pills, but it's a small...”
2026-06-22 · The Diary of a CEO · Dr Rachel Rubin: "I'm Filled With Rage!" Your Doctor Was Never Taught About Women's Bodies! · IDENTIFIED FROM THE TRANSCRIPT
“I believe it's preventative. So I think, and we wrote guidelines by the American Urologic Association why this is so important, how to do it. So many women have symptoms of urinary frequency, urgency, leakage, urinary tract infections, pain with sex, dryness. And this is a safe option for all of those women. Does that make sense?”
2026-06-22 · The Diary of a CEO · Dr Rachel Rubin: "I'm Filled With Rage!" Your Doctor Was Never Taught About Women's Bodies! · IDENTIFIED FROM THE TRANSCRIPT
“That slowly diffuses estrogen for the ring. So that's nice for women who have dementia, who have very bad dexterity with their fingers. They're in a nursing home for someone who's on the go and they can't remember something twice a week. So our ADHD patients like things like that. And so there's just different, it's all the same stuff. It's just in different formulations. Now, the one different one, this is something called DHEA. Now, DHEA is the precursor hormone to estrogen and testosterone. And remember, I said the vulva, the vagina, the bladder need testosterone too. So this is a chemical that converts into estrogen and testosterone. And so DHEA is a supplement. You can buy, you know, sort of in the supplement aisle, but if you put it locally in the vagina, this is an FDA-approved product. It's called intraosa. And if you just put this in the vagina, it's meant for every night, but you can do it twice a week. It melts a bit.”
2026-06-22 · The Diary of a CEO · Dr Rachel Rubin: "I'm Filled With Rage!" Your Doctor Was Never Taught About Women's Bodies! · IDENTIFIED FROM THE TRANSCRIPT
“Vagina can hold like a bowling ball of a baby can come out of a vagina so it can actually withstand quite a lot of volume.”
2026-06-22 · The Diary of a CEO · Dr Rachel Rubin: "I'm Filled With Rage!" Your Doctor Was Never Taught About Women's Bodies! · IDENTIFIED FROM THE TRANSCRIPT
“Okay, so it's a little less messy. So, people tend to like the creams better. Now, if you really don't want to do anything twice a week, this is a ring that goes in the vagina and it can stay in there for three months. Now, this is sort of like a tampon. You can kind of put it in the vagina, and the vagina does not feel it. By the way, the vagina is not very sensitive in terms of nerve endings. And so when women put tampons in, they don't feel them. When you put this ring in that you wouldn't feel it either and it would stay in for three months at a time.”
2026-06-22 · The Diary of a CEO · Dr Rachel Rubin: "I'm Filled With Rage!" Your Doctor Was Never Taught About Women's Bodies! · IDENTIFIED FROM THE TRANSCRIPT
“And just rub it in like you would rub sunscreen on your face. And if you do that twice a week, you can prevent death from urinary tract infections. You can help with urinary frequency, urinary urgency, leakage, you make sex not painful and dry. It helps with arousal and orgasm. It's literally better than Viagra. And this is over the counter in the UK. In the United States, you need a prescription, but it's as little as $14 if you use Mark Cuban's online website. It should be covered by your insurance. Now, some women hate creams. And so we have things that are not as messy as what you're showing right there. And we have little tablet inserts. So here comes with an applicator. And so what a woman does is put this in her vagina and press a button and this little tablet. So instead of a cream, you could just put this little tablet in twice a week. And that does the same thing as the cream.”
2026-06-22 · The Diary of a CEO · Dr Rachel Rubin: "I'm Filled With Rage!" Your Doctor Was Never Taught About Women's Bodies! · IDENTIFIED FROM THE TRANSCRIPT
“All right, so there's a bunch of different ways you can give yourself vaginal hormones. The most common way is a cream. Now this cream is $14 on Mark Cuban's pharmacy, and it lasts about two and a half months. Now, this cream, they comes with an applicator which you don't ever have to use if you don't want to. But what you can do is you want to use one gram of this cream. So this amount is one gram of this cream. We'll put it on this paper here to show you. One gram of this cream rubbed into the vagina. So you take it, you can take it on your fingers and rub it into the walls. If you put sunscreen on your face, you don't blob it on and walk out the door. You rub it in so it doesn't look all white and filmy. So you put it in, you take it with your finger and you put it in the vagina and you rub it into the walls of the vagina and you can rub it on the outer, this area as well at the opening.”
2026-06-22 · The Diary of a CEO · Dr Rachel Rubin: "I'm Filled With Rage!" Your Doctor Was Never Taught About Women's Bodies! · IDENTIFIED FROM THE TRANSCRIPT
“There is no probiotic on Earth that has proven to do what the vagina needs quite like hormones. Hormones make the tissue go from not acidic to quite acidic. And it is that acidic environment that protects it from infection. And so perimenopause and menopause or other situations happen and it changes that microbiome so the good bacteria are lower and the bad bacteria start to grow, which can increase your risk of infections. And sex, right? Sex is a contact sport. So you're bringing the outside environment into the inside environment. Ejaculate is also not acidic, and that can change the microbiome as well. And so we know women who are sexually active also have an increased risk of urinary tract infections. And research has been clear.”
2026-06-22 · The Diary of a CEO · Dr Rachel Rubin: "I'm Filled With Rage!" Your Doctor Was Never Taught About Women's Bodies! · IDENTIFIED FROM THE TRANSCRIPT
“Yeah. Because what happens is the vagina is supposed to be acidic and healthy and hormones help keep it. It is the hormones, the estrogen and the testosterone that keep healthy bacteria growing in the vagina and suppress or lower the bad bacteria.”
2026-06-22 · The Diary of a CEO · Dr Rachel Rubin: "I'm Filled With Rage!" Your Doctor Was Never Taught About Women's Bodies! · IDENTIFIED FROM THE TRANSCRIPT
“Yeah, very good. So urinary tract infections are when there is bacteria in the bladder and it can be a lot of bad bacteria that can grow and create inflammation. It causes bladder pain, pain with urination. It feels like razor blades, but it can also go into your bloodstream and cause fevers and chills and cause kidney infections. It can cause something called urocepsis where you have to go to the intensive care unit and need antibiotics through an IV and it can kill you if you have an infection go through your whole body. And this gets worse and worse as you get older.”
2026-06-22 · The Diary of a CEO · Dr Rachel Rubin: "I'm Filled With Rage!" Your Doctor Was Never Taught About Women's Bodies! · IDENTIFIED FROM THE TRANSCRIPT
“GSM genito urinary syndrome of menopause genital urinary syndrome of menopause, but really it's kind of a dumb name because it's any hormonal changes in your body can affect the bladder and the genitals.”
2026-06-22 · The Diary of a CEO · Dr Rachel Rubin: "I'm Filled With Rage!" Your Doctor Was Never Taught About Women's Bodies! · IDENTIFIED FROM THE TRANSCRIPT
“So vaginal hormones. So, these are a really important topic. It's called genito urinary syndrome of menopause, or GSM, say GSM loudly for your listeners.”
2026-06-22 · The Diary of a CEO · Dr Rachel Rubin: "I'm Filled With Rage!" Your Doctor Was Never Taught About Women's Bodies! · IDENTIFIED FROM THE TRANSCRIPT
“At any age, at all. In fact, even more important for people who are older because they are dying of urinary tract infection. They're dying. It's one thing when a young person gets a urinary tract infection and they go to the urgent care and they get an antibiotic, even they deserve prevention and this prevents those problems in those people too.”
2026-06-22 · The Diary of a CEO · Dr Rachel Rubin: "I'm Filled With Rage!" Your Doctor Was Never Taught About Women's Bodies! · IDENTIFIED FROM THE TRANSCRIPT
“It is safe for your great grandmother in the nursing home. It is safe for your wife who's breastfeeding. So if you know anyone in your life who is a woman who's having urinary frequency, urgency, leakage, urinary tract infections, pain with sex, dryness, there is a”
2026-06-22 · The Diary of a CEO · Dr Rachel Rubin: "I'm Filled With Rage!" Your Doctor Was Never Taught About Women's Bodies! · IDENTIFIED FROM THE TRANSCRIPT
“And so hormone therapy is not something that I'm saying every woman must have, but every woman should have access to the toolbox. I like to think about hormone therapy as really four buckets that we talk about. Hormone therapy is whole body estrogen, which helps with hot flashes, night sweats, bone loss, progesterone, whole body progesterone therapy, which protects the uterus and is this yin-yang, especially if you have a uterus, but it helps with sleep and it can help with anxiety reduction in many of our patients, not everybody, but a lot of them. The third thing is testosterone, which we talked about, which can help with libido. That's what we have the most evidence for. And then the fourth thing is vaginal hormones. Now, vaginal hormones are microdoses of estrogen or what we call DHEA vaginally that supports the bladder and the vagina. So it helps with pain with sex, dryness, urinary frequency, urinary urgency, leakage, and it prevents urinary tract infections massively.”
2026-06-22 · The Diary of a CEO · Dr Rachel Rubin: "I'm Filled With Rage!" Your Doctor Was Never Taught About Women's Bodies! · IDENTIFIED FROM THE TRANSCRIPT
“Throw your hormones in the garbage. This is dangerous. What was crazy is those people who were prescribing hormone therapy were looking around saying, I don't understand. My patients aren't dying of heart disease. They're not getting extra breast cancers like this doesn't make any sense. And when people actually looked at the study, it didn't say any of those things. It was wild how misinterpreted this study was. In fact, the same authors of this study back in the early 2000s published this year in 2025, actually, that below age seventy, that type of hormone therapy, which we don't really use anymore, has no increased risk of cardiovascular disease or stroke. And yet now you have a generation of doctors who weren't taught how to do this. Only 1.7% of women are getting prescriptions for hormone therapy who should be offered prescriptions. So it is a disaster.”
2026-06-22 · The Diary of a CEO · Dr Rachel Rubin: "I'm Filled With Rage!" Your Doctor Was Never Taught About Women's Bodies! · IDENTIFIED FROM THE TRANSCRIPT
“And also, the history is kind of important here of why your mothers and grandmothers weren't given access to this medication and the stigma behind it. In the late 90s, a lot of people were on hormone replacement therapies. And they were seeing benefits. They actually were all these observational studies that showed, wow, the heart disease is less. during menopause. And a billion dollars went into the NIH to study this in women. And it was called the women's health initiative. It was thousands and thousands of people age 50 to 79. They gave a hormone pill, like a birth control pill almost, to all of these women, and they followed them. And they stopped the study early in the early 2000s, and they did a press conference. And at this press conference, they said, we're shutting down the study early. Hormone therapy causes cardiovascular disease and breast cancer. And overnight, a multibillion dollar industry went to nothing. Everyone was told.”
2026-06-22 · The Diary of a CEO · Dr Rachel Rubin: "I'm Filled With Rage!" Your Doctor Was Never Taught About Women's Bodies! · IDENTIFIED FROM THE TRANSCRIPT
“It balances them out. And so that's why you'll hear hormone therapy talked about estrogen and patrician, just like the birth control pill your partner was on was an estrogen and a progestin. There was a combination.”
2026-06-22 · The Diary of a CEO · Dr Rachel Rubin: "I'm Filled With Rage!" Your Doctor Was Never Taught About Women's Bodies! · IDENTIFIED FROM THE TRANSCRIPT
“The vagina is like a sock. At the very end of the sock is a tiny hole, and that hole is the pinpoint opening of the cervix. And that hole, if you go through that tiny, tiny hole, it gets to the uterus. And the uterus is a cavity where we hold babies, where the lining comes out. That's what period blood is, is the lining of the uterus here, which we call the endometrial lining. So progesterone is very important for this lining here. If the lining of the uterus gets too thick with just estrogen, that can lead to problems. But if you match it with progesterone, those problems go away.”
2026-06-22 · The Diary of a CEO · Dr Rachel Rubin: "I'm Filled With Rage!" Your Doctor Was Never Taught About Women's Bodies! · IDENTIFIED FROM THE TRANSCRIPT
“Yeah, it's a great question. So, hormone replacement therapy, which is a term that we used to use for hormones in menopause. It has a bunch of different names and everyone tries to change the marketing around it, but hormone therapy in general is this idea of giving back hormones when you have hot flashes, night sweats, osteoporosis, you know, sort of this over 50 crowd that has this declining estrogen and progesterone levels. And so typically classic hormone therapy is estrogen and progesterone. Now again, taking just estrogen, estrogen grows things. It helps your bone health. It helps your hair, skin and nails. It helps you not have hot flashes. It helps you sleep. It can also grow the lining of the uterus. And so if it gets thicker, thicker, thicker, there is worry over years that leads to endometrial or uterine cancer. Endometrium is the lining of the uterus. So here I can, okay. So this is a vagina. And then...”
2026-06-22 · The Diary of a CEO · Dr Rachel Rubin: "I'm Filled With Rage!" Your Doctor Was Never Taught About Women's Bodies! · IDENTIFIED FROM THE TRANSCRIPT
“So it's hard to know for sure, but some people think that as the progesterone, so your sleep starts to get a little crazy, anxiety starts to go up. And so some people will start with progesterone as a support for, you know, sort of perimenopausal hormone therapy, but estrogen can also help with many of those symptoms. So it's not a one-size-fits-all of whether we give people, everybody gets progesterone or everybody gets estrogen. Sometimes people just get testosterone because remember that falls in your 30s. So there's sometimes where we do all three and there's sometimes where we do just one or two. Now, it's a very evolving conversation because most of the book answers, most of the guidelines really talk about menopause and how we treat people in this menopause when you're flatlined. Remember it's that castration event where everything's zero and then we add back hormones. So now we're starting to talk about perimenopause as a place to start giving women hormones. And that's a very important and evolving.”
2026-06-22 · The Diary of a CEO · Dr Rachel Rubin: "I'm Filled With Rage!" Your Doctor Was Never Taught About Women's Bodies! · IDENTIFIED FROM THE TRANSCRIPT
“There are so many symptoms to hormonal fluctuations. So for some people, it's temperature changes. For some people it's fatigue, for some people it's remembering things, for some people it's low libido, some people get dry eyes, itchy ears, burning mouth, joint pain, some people get irregular periods, some people get pain with sex, some people get UTIs. I would love to talk about why hormones are so important for the bladder and UTI prevention. And so there are so many symptoms, and everyone says, oh, we're blaming everything on hormones. And the truth is, we haven't talked about hormones enough to actually start looking at this to figure out what is important and what is hormonally important.”
2026-06-22 · The Diary of a CEO · Dr Rachel Rubin: "I'm Filled With Rage!" Your Doctor Was Never Taught About Women's Bodies! · IDENTIFIED FROM THE TRANSCRIPT
“33. My button is 33. All right. So 33. So this idea that I'm too young or it's too early or I'm not there yet, the truth is things do start to change. What changes?”
2026-06-22 · The Diary of a CEO · Dr Rachel Rubin: "I'm Filled With Rage!" Your Doctor Was Never Taught About Women's Bodies! · IDENTIFIED FROM THE TRANSCRIPT
“Do you know testosterone is pretty stable through the cycle, although we do believe it peaks during ovulation, which makes sense because you want to have a baby, right? So evolution says, okay, you need to be horny around the time that you are going to ovulate. And so your testosterone starts to go up. Now, it's really important because you're probably not having a conversation with your nieces about their menstrual cycles, but it's a problem because no one's talking about it if they're painful, if they're abnormal, if we don't have a lot of conversations around what is a normal amount of bleeding. We have so many people who have problems, whether it's PCOS, which is now called PMOS, which is a metabolic issue that caused you to have irregular periods. There's endometriosis where you have painful periods.”
2026-06-22 · The Diary of a CEO · Dr Rachel Rubin: "I'm Filled With Rage!" Your Doctor Was Never Taught About Women's Bodies! · IDENTIFIED FROM THE TRANSCRIPT
“And that natural breakdown is a drop in progesterone which causes the lining of the uterus to shed and you get a period again. And so it's estrogen goes high in the beginning and then pops out an egg, progesterone gets high in the second half. Then they both fall and you have a period. And so the hormones being low in the beginning, estrogen is not zero. It's about 50. Okay, so when we talk about numbers, if you get your hormones checked, if they're at their low, it's like 50. But when you ovulate, your estrogen may be 150, 200, 300. And then when you're pregnant, your estrogen may be as high as 3,000 or higher, right? It's very many thousands. And so these hormones have actions in our bodies. And so the reason it's important is because when we give back hormone therapy, well, are we giving back 10,000 like pregnancy? No, we're giving back to be like 50, 60, 70 the way that you are early in your cycle kind of a thing. Now testosterone is not even on this graph that everybody gets taught of estrogen than progesterone.”
2026-06-22 · The Diary of a CEO · Dr Rachel Rubin: "I'm Filled With Rage!" Your Doctor Was Never Taught About Women's Bodies! · IDENTIFIED FROM THE TRANSCRIPT
“So hormones are at their lowest. And then the hormones start to increase. Your estrogen starts to go up. You don't make progesterone yet in the beginning. Your estrogen starts to go up. And there's a follicle in your ovary, which has an egg, right? It's going to pop out an egg. Ovulation is when the egg pops out. So you get this big surge of estrogen. And then when the egg pops out of the ovary, right, that's what's going to make a baby if it gets fertilized. There's a shell of the egg, right? The egg has a shell, which makes progesterone. So these second half of the cycle, there's progesterone around. Okay, first half of the cycle, no progesterone. And so that second half of the cycle, the shell has making progesterone. And then when you don't have fertilization, the shell starts to break down.”
2026-06-22 · The Diary of a CEO · Dr Rachel Rubin: "I'm Filled With Rage!" Your Doctor Was Never Taught About Women's Bodies! · IDENTIFIED FROM THE TRANSCRIPT