The Patriarchy's Hidden Impact on Women's Health

madman

Super Moderator


Welcome back to Therapy Chat! This week's guest is known internationally for her advocacy and expertise in women's health. I was so grateful to speak to Dr. Rachel Rubin about hormones, menopause, pelvic health and much more.

If you identify as female or love someone who does, you will want to learn from her! Dr. Rachel 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. Dr. Rubin completed her medical education at Tufts University, her urology training at Georgetown University, and her sexual medicine fellowship training with Dr. Irwin Goldstein in San Diego. She is currently in private practice in Maryland.




Chapters:

00:00 Intro
01:50 Dr. Rubin's Work and Practice
03:07 The Importance of Time in Patient Care
05:00 Sexual Medicine and Mentorship
07:02 Understanding Libido, Arousal, Orgasm, and Pain
09:00 The Importance of Asking the Right Questions
11:02 Sex Education and the Pelvic Floor
13:08 The Role of Trauma in Sexual Health
15:27 The Fight or Flight Response and Its Impact
17:01 The Interplay of Biology and Trauma
20:29 Pelvic Floor Dysfunction and Trauma Reactions
24:50 Medical Gaslighting and Trauma in Healthcare
27:15 Pelvic Floor Issues in All Genders
]31:01 The Overlap Between Jaw and Pelvic Floor Tension
]34:02 The Lack of Understanding Around Men’s Pelvic Floor Issues
37:12 Understanding Hormone Issues in Menopause
39:00 The Misinformation Surrounding Hormones and Menopause
44:01 Hormone Therapy Options and Benefits
46:50 Closing Remarks
 

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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.

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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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