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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.





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. 





Episode Chapters:


00:00 Introduction to Dr. Rachel Rubin: Revolutionizing Menopause Sexual Health

01:46 Dr. Rubin's Journey: Creating a New Model of Sexual Medicine

05:23 Initiating Sexual Health Conversations: Dr. Rubin's Approach

08:43 Genitourinary Syndrome of Menopause: Understanding Symptoms and Impact

15:18 Vaginal Estrogen: Benefits and Misconceptions

16:46 FDA Black Box Warning: The Truth About Vaginal Estrogen Safety

21:12 Advocating for Change: How Listeners Can Get Involved

23:15 Female Anatomy Education: A Tour of the Vulva and Its Changes

29:44 The Importance of Knowing Your Body: Self-Examination and Advocacy

31:16 Finding the Right Doctor: Resources for Menopause and Sexual Health

33:47 The Clitoris: Anatomy, Function, and Common Misconceptions

38:52 Reframing Female Arousal: Understanding Clitoral Erections

40:06 Dr. Rubin's Definition of Pleasure: The Value of Deep Connection

41:55 Accessing Dr. Rubin's Expertise: Online Resources and Social Media

42:51 Closing Thoughts and Call to Action for Listeners


TRT Hormone Predictor Widget

TRT Hormone Predictor

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.

ℹ️ Input Parameters

Normal range: 300-1000 ng/dL

Predicted Hormone Levels

Enter your total testosterone value to see predictions

Results will appear here after calculation

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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