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

“So if you look at your nieces, for example, when they were babies compared to now, there are changes happening. Their bodies are transforming because they're getting a surge of hormones in their body, and that's estrogen, progesterone, and testosterone. They're cycling, which means they're getting periods. So let's talk about the menstrual cycle for a second. I think it's helpful. So when women have their period, they bleed for a few days, right? And that's when their hormones, their estrogen and their progesterone is at its lowest, okay?”
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 we know we have global consensus actually that testosterone helps for libido in postmenopausal women. Okay, now there is also data in perimenopausal women as well. And that is clear data. It helps with libido, but it also helps with arousal. It helps with orgasm and satisfaction. It can also help with body image, which is like a cool, a really cool thing. In my clinic, I use FDA-approved testosterone for men, and I give it to them in doses appropriate, like one-tenth a dose for a man. I give it to my female patients. And I see that over the three to six months of taking it, they get this, it clicks. Now, does that mean every woman on earth needs it? No, we're not there yet. But if you want it and you want to try it and you're curious about it, then you should have access to physicians who understand how this works and they know how to write the damn prescription.”
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, the GLP ones are the weight loss drugs that everybody's talking about, ozempic, Manjaro, all the celebrities are on these injections that are making them lose tons of weight. We are starting to look at these drugs in women, but they're not nobody's looking at it for sexual health. Everyone's looking at it for can you get pregnant, reproductive health. There is not a single published paper on sexual health side effects for women. So we did a survey. It's not published yet, but we presented it at a conference at a medical conference. We surveyed a thousand women online who have taken these medications and about 25% report sexual side effects from these medications. Again, that's not to say the medicines are good or bad right or wrong, but there are side effects. Now, of those 25%, about 50% of those people said it lowered their sexual function, whether it's libido, arousal, and orgasm. And about 25% said it made it better.”
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 think that everything that we do, there's the risk of doing something and the risk of not doing something. No drug is going to be without possible side effects. And so that's where it becomes important to know what are the non-negotiables. Antidepressants is a perfect example. We know that they can help people, right? A lot of people, but we know there are sexual side effects, like low libido, delayed orgasm, and so it has to do with informed consent, which means, Stephen, if I'm going to give you a medicine, I want you to know that there is the common side effects, the less common side effects, and then the disastrous side effects. That's why on the commercials, they talk about all the disastrous side effects, but often they don't even research the sexual side effects. So, for example, GLP1s, okay?”
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, can I explain? Because I think, again, knowing the basics and the fundamentals give women and men access to the information so they can make choices with what they want to do with it. Okay, so how do birth control pills work? When you take a combined birth control pill, it has a fake amount of estrogen and a fake amount of progestin in it so high that it tricks your body into not ovulating. So when you have so”
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
“Again, birth control pills, the way that they work is changing hormone levels. Medications for acne, medications for hair loss that people are using can affect your testosterone levels. So birth control is wonderful, but there are side effects to birth controls just like there are side effects to any medication. And so one of the side effects is it lowers testosterone. That can cause low libido, pain with sex in a small subset of people who take it. So if you're someone who does have side effects, then it's worth having conversations of different forms of birth control, which may not lower your testosterone as much. 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
“It happens in your 30s. So if you look at this graph, right, you can see testosterone starts to precipitously drop in your 30s. So what do we see clinically? Sometimes nothing. But we have a lot of people who will start in their thirties, mid thirties, late thirties, start to say, ooh, my libido is not as high as it used to be. Huh, my orgasm takes a little bit longer. I don't feel as aroused. My engorgement is not the same my lubrication. Engorgement. Engorgement of the clitoris. It's the same as an erection, right? So the clitoris and the penis are the same. They get hard with blood flow. And so this happens in your 30s and no one's paying attention because if you look at the graphs that we are taught in med school, they look more like this. So the books all talk about estrogen and progesterone. They don't talk about testosterone very often. And there's also a lot of things we do to worsen this problem. When you play with hormones, there are consequences, sometimes good and sometimes bad, because we do so much to mess with our hormone levels.”
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 that's the biggest misconception that women don't make testosterone. Testosterone is just a hormone. It's not a male hormone, a female. It's just a hormone. It's also not a menopausal hormone. We think of menopause as estrogen starts to drop, right? So menopause is a castration event. If I cut your testicles off right now, you would have hot flashes, night sweats, osteoporosis, depression, low libido, erectile dysfunction, metabolic syndrome, your weight would go up and you would be generally pretty unhappy. It's a big deal when we castrate people. And yet we don't do it for men regularly unless there's a very significant medical reason to do so. And yet every woman over the age of fifty, her estrogen goes to essentially zero, and that affects bone health. It affects the brain. It affects the heart, it affects sexual health, it affects UTIs start to go up. And so it's a whole body event that happens. Now testosterone is really interesting because it actually isn't at menopause that you lose testosterone.”
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 fascinating because we forgot to teach doctors anything about hormones. And what we have taught about them, they think it's dangerous. They think they're harmful. They think that it's almost like this thing that is natural in your body is somehow dangerous once you get over a certain age. And that is all politics and bad interpretation of science.”
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'm asked a lot about hormones. Like people want to know about hormones. People want to know about pain with sex. And I think people want to know about libido. I think those are the three I would say most common things that we talk about.”
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
“Find a different one, right? You have to advocate for yourself. And I find we are starting to empower women to do that, which is very challenging”
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 I'm examining them, I say to them, this is your labia majora. This is your labia menorah. This is your clitoris. This is your urethra, the tube that you pee through, because women can't see it. You've got skin, you've got bones, you've got muscles, you've got nerves, you've got, you know, all the organs that are on the inside. And women don't have access to this language. Certainly men don't have access to this language. And so it's that basic ability to give women language. You can learn about your body parts. You can learn how hormones work in your body. And you can learn basic medicine for you that becomes important for how you advocate for what you want, what you care about, and who you bring into your medical life. You may have a physical therapist. You may have a mental health person. You may have a primary care, a gynecologist. You may go on Instagram and get great information from people on Instagram. And so that doctor that makes you feel like crap because they tell you something that you don't agree with.”
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, I think it's really important because as men, we expect the women to know. Surely the woman knows about their menstrual cycle, about pregnancy, about postpartum, about menopause, about hormones. Surely my partner knows, you know, or the woman in my life, my mom, my sister, my daughter, they know all of that. So I don't have to. And the truth is they don't know. When the women in your life go to their doctor and they're getting a pelvic exam, say they're getting a pap smear. A doctor is looking at their genitalia, putting a speculum in, going inside the canal and looking around. We put a sheet over you like we are mechanics looking under the hood. So we put a sheet to keep you comfortable, to keep you modest, but we hide your genitalia from you and we don't teach as we go. So I became famous again because when I started my practice, I didn't buy any fancy equipment. I bought two mirrors on Amazon. And I give women a mirror.”
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
“An OBGYN is a doctor who specializes in obstetrics, so delivering babies and gynecology. So your gynecologist has never been taught about the clitoris, about the vulva, about sexual health, about sexual pain, about libido, arousal, and orgasm. And so the ones who have taken it on themselves to get extra training, they're very few and far between. And so every day women and men too are going to a doctor extending.”
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 word clitoris today in 2026 does not exist in the checklist for what an OBGYN has to learn in their training. The word doesn't exist.”
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
“Know everything there is to know about the clitoris, about orgasm, about hormones, about that's what they do. And the truth is it's not what they do, and they were never taught that.”
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 think part of it, I don't think your doctor's evil. I actually have a thought about this. So I think your doctor wasn't trained. I think they're trying to save face. And I think 10 minutes is impossible to give good medical care. I could never get to know you fully in 10 minutes and really give you great advice on your life that's customized for you. It's almost like the difference between a viral clip that you're going to try to do from this episode and the long-form nuanced conversation that you're going to have you love the nuanced conversation. You love spending those two hours. And I think patients want that too. But when they go to the doctor, they're getting the 10 minute version. And instead of doctor saying, I don't know, they're sort of saying, no, no, you can't have this because it's easier than sort of going into that nuance, which can take time. I also think that people are going to their doctor. Say you want to talk about your orgasm or your libido. Okay. You go to your gynecologist. Of course my gynecologist.”
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's wonderful, but it doesn't translate into them knowing how to actually write the prescription, knowing the difference between the type of hormones, knowing the safety, the risk, the benefits, because they never had the class. For example, I'm a urologist. If someone comes into me asking about their blood pressure, I'm not going to pretend like I know everything about their blood pressure. I'm going to be very honest that I have the limitations in my training. But for some reason with hormone therapy and women's health, every doctor you go see has strong opinions and will tell women what they can and cannot have with their bodies even when they don't know the data. I come from the men's health world. We don't tell men you can't have this. You can't do this. We talk about shared decision making. We talk about risks. We talk about benefits for some reason we don't do that enough in women's health.”
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's a huge problem. We don't have enough specialties of medicine that focus on women's health. And we don't have enough manpower behind us. We can throw money at this situation, but you need physical human beings to roll up their sleeves and do this work, like doing research is challenging, and you need people to actually disseminate the research and talk about the research, and you need the training to happen. So it has to trickle down. So just because someone wrote a paper doesn't mean it automatically gets downloaded into every doctor's brains. So someone has to teach someone how to do something. So I lecture all the time. I do a lot of trying to teach clinicians how to do this. I travel all over to say, here's how to write prescriptions because that's what it's going to take. There was so much fear and misinformation 20 years ago about hormone therapy that it is a lost art. Doctors don't know how to write the prescriptions. Nobody taught them how. Even if they see headlines and Melinda Gates giving ten million dollars to the menopause society,”
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, I think this is the great equalizer in the fact that no one is getting good medical care here when it comes to hormone therapy, menopause, and sexual health. Melinda Gates just came out and said she had to see three doctors before she got proper hormone therapy prescriptions. Oprah had to see five doctors and still they didn't understand that her heart palpitations was from perimenopause and menopause. How about Halle Berry, right, who has access to all the doctors in the world, and she publicly came out and said she was diagnosed with genital herpes when she really just had the genital urinary syndrome of menopause. The rich people are not getting good information about their bodies, about their hormonal health, about their sexual health. So what are the rest of us doing? We don't teach it in medical schools. We don't teach it in residencies. I didn't learn anything about it. And so we are actually getting worse at this, not better at this. And so I am full of rage because we actually do have a lot of data.”
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 am filled with rage because I do think that people are limiting their ability to have great sex, great relationships, and great health because they aren't having access to all the information that they could, and they're going to see doctors who actually don't know how to help them with 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
“While men are constantly asking about they want their penises bigger, harder, straighter, earthier, lasting longer, but none of that has anything to do with how women experience pleasure and satisfaction in the bedroom. So that's why I'm so loud about these things, because no one is getting good sex ed. Because the basic information is not being shared and we fundamentally don't give a crap about women's sexual health, about their menstrual cycles, pregnancy, menopause, hormones, pain with sex, libido, but we actually do have a lot of information that we are not using because everyone forgot to teach your doctor.”
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
“But the clitoris is how most women orgasm, and yet most women do not know where their clitoris is. And in fact, the word clitoris today in 2026 does not exist in the checklist for what an OBGYN has to learn in their training.”
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 make sex not painful and dry. It helps with arousal and orgasm. It's literally better than Viagra. And it's cheap. And I'm telling you all this as a urologist that this scream can also help prevent death from urinary tract infections. But 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. And so I am filled with rage because people are limiting their ability to have great sex, great health, because they aren't having access to all the information that they could. For example, women are not orgasming as much as men. The data is very clear there. And women come to see me all the time as I'm a sex doctor. And they say I'm broke and you have to fix me. I'm not orgasming during sex. And I think the majority of problem is education. Women think that orgasm comes from penetration.”
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