Menopause & Sexual Health

madman

Super Moderator

We’re so excited to have renowned urologist Dr. Rachel Rubin back for another webinar! And this time, we’re talking about sex. She's joined by Alloy community manager Rachel Hughes!

If you’re curious about the connection between menopause and sexual health, Dr. Rubin will be explaining the basics, and, of course, answering your questions.

Dr. Rubin is a board-certified urologist and sexual medicine specialist. She’s an assistant clinical professor of urology at Georgetown University and owns her own private practice in the Washington, D.C. area. She’s trained in both male and female sexual medicine (and is one of only a handful of physicians fellowship-trained in both)!


She’s the education chair for the International Society for the Study of Women’s Sexual Health (ISSWSH) and is an associate editor for the Journal of Sexual Medicine Reviews. Her work has been featured in the New York Times and on PBS and NPR.




Timestamps:


01:47 - Women's sexual health is important for overall health
03:20 - Perimenopause and "not feeling like yourself"
04:45 - Women's suffering is normalized
06:40 - Education is power during perimenopause and menopause
09:30 - Discussing how perimenopause impacts our bodies and sexual health
15:12 - Discussing the benefits of vaginal estrogen
18:00 - Defining Genitourinary Syndrome of Menopause (GSM)
20:00 - The safety of vaginal estrogen
22:49 - Explaining vaginal estrogen cream, ring, and tablet forms
27:16 - Discussing vaginal DHEA
29:13 - Discussing lifestyle and dietary changes
32:09 - Explaining the pelvic floor and pelvic floor exercises
36:56 - Discussing lubricants and vaginal estrogen
40:09 - Explaining Lichen Sclerosus and how to treat it
44:00 - Where to find resources/information to bring to your doctor
45:53 - Discussing constipation after C-section
48:10 - Does pelvic floor therapy require an exam?
50:00 - Discussing Anorgasmia
51:24 - Dr. Rubin's advice for low libido
55:38 - Resources for finding a pelvic floor therapist
56:08 - Discussing sensitivity to progesterone
57:00 - Explaining systemic vs local hormones
59:37 - Discussing yeast infections and vaginal estrogen
 

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

⚠️ Medical Disclaimer

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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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