Menopause, Myths, and the Fight for Women’s Dignity

madman

Super Moderator

What if aging wasn't about being discarded, but about reclaiming your dignity and power? In this powerful episode of Innovate and Elevate, host Sharon Kedar sits down with her personal doctor, Dr. Rachel Rubin, a board-certified urologist and sexual medicine specialist. Dubbed "The Women's Dignity Doctor" by Sharon, Dr. Rubin is on a mission to fix the menopause care crisis by educating both patients and clinicians. The two unpack the systemic failures of modern medicine, from the misinterpretation of the 2002 Women's Health Initiative study to the shocking fact that doctors are still not adequately trained in women's midlife health. Dr. Rubin shares her five-step "prescribing" guide for HRT, including testosterone and vaginal estrogen, and a deeply personal story about why this work is a matter of life and death. This is a must-listen for every woman who feels like a "hot mess," or is an advocate for a woman in her life, who is not feeling like herself.




Skip to the Good Part:


(0:00) Introduction and The Menopause Care Crisis
(1:50) What Midlife Care Looks Like with Dr. Rubin
(6:08) Why The Medical System Got It Wrong
(11:00) Fixing the Marketing Problem
(15:15) The Fear of Breast Cancer
(18:25) The Dignity of Aging
(20:01) The Care Crisis and Dr. Rubin’s Course
(25:40) Unpacking the HRT Prescriptions
(26:10) Systemic Estrogen (the "Workhorse")
(30:22) Progesterone
(35:50) Testosterone
(39:40) Vaginal Estrogen: A Life-Saving Treatment
(44:40) Vulvar Vestibule Cream

(46:25) Dr. Rubin's Wish for the Future
 

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Predict estradiol, DHT, and free testosterone levels based on total testosterone

⚠️ Medical Disclaimer

This tool provides predictions based on statistical models and should NOT replace professional medical advice. Always consult with your healthcare provider before making any changes to your TRT protocol.

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Understanding Your Hormones

Estradiol (E2)

A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.

DHT

Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.

Free Testosterone

The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.

Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

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