Dr. Rachel Rubin

I am so thrilled to be here. I have been nervous for quite a long time, but I'm super happy to be here.

I am so thrilled to be here. I have been nervous for quite a long time, but I'm super happy to be here.

Yes, but what you forget, Peter, is that urologists are ultimately the quality of life doctors. We deal with urination problems and we deal with sexual medicine, right? No one cares about erections and orgasm and libido quite the way that a urologist cares about. And when we're board certified, actually, it's not a gender thing. We're not penis doctors only.

Yes, but what you forget, Peter, is that urologists are ultimately the quality of life doctors. We deal with urination problems and we deal with sexual medicine, right? No one cares about erections and orgasm and libido quite the way that a urologist cares about. And when we're board certified, actually, it's not a gender thing. We're not penis doctors only.

We're board certified to take care of everybody's genital and urinary tracts. Unfortunately, society has led us to know a lot more about the men's sexual health and men's genitals than female genitals. And so my background, I trained in urology really because I was interested in women's health, but I also was interested in sexual health, sexual medicine. And I didn't like delivering babies.

We're board certified to take care of everybody's genital and urinary tracts. Unfortunately, society has led us to know a lot more about the men's sexual health and men's genitals than female genitals. And so my background, I trained in urology really because I was interested in women's health, but I also was interested in sexual health, sexual medicine. And I didn't like delivering babies.

I didn't like OBGYN. It just didn't fit well with my personality. And what I love about urology is that we can see everybody and we can really dive deep on quality of life issues. And the magic of urology is also that you really get to know your patients. It's not like when you did surgery, you take out someone's appendix and you never see them again. Maybe you do one post-op visit.

I didn't like OBGYN. It just didn't fit well with my personality. And what I love about urology is that we can see everybody and we can really dive deep on quality of life issues. And the magic of urology is also that you really get to know your patients. It's not like when you did surgery, you take out someone's appendix and you never see them again. Maybe you do one post-op visit.

Urologists have deep relationships. We're both surgeons, but we actually care about the medical side of these quality of life issues. And so as I was going through medical school, I really realized that talking about sexual health, quality of life issues, that was fun for me. I was good at that. And in medicine, you gravitate towards what is easy, not what is hard. And so it's just been a joy.

Urologists have deep relationships. We're both surgeons, but we actually care about the medical side of these quality of life issues. And so as I was going through medical school, I really realized that talking about sexual health, quality of life issues, that was fun for me. I was good at that. And in medicine, you gravitate towards what is easy, not what is hard. And so it's just been a joy.

And really, I've been working to further the field of urology to make us better at taking care of women. And so really, I do a lot of educating and teaching to my colleagues about how we really need to care about the whole, like everybody.

And really, I've been working to further the field of urology to make us better at taking care of women. And so really, I do a lot of educating and teaching to my colleagues about how we really need to care about the whole, like everybody.

I certainly did my research and I am not a car person, but I know you are a Formula One guy. And I got a very interesting email last week that said, Dr. Rubin, my wife is seeing your practice. Her libido is now like an F1 Formula One race car and I'm like a 1988 Honda Civic. What can you do for me? My analogy I really like to look at is sort of the gas tank analogy.

I certainly did my research and I am not a car person, but I know you are a Formula One guy. And I got a very interesting email last week that said, Dr. Rubin, my wife is seeing your practice. Her libido is now like an F1 Formula One race car and I'm like a 1988 Honda Civic. What can you do for me? My analogy I really like to look at is sort of the gas tank analogy.

This idea that men, as they age, sometimes we see a decrease in their gas tank. They're feeling low. They're feeling down. They've got erectile dysfunction, low libido. Whereas women at age 52, their gas tank is empty. This is a castration event. We don't have many castration events in men's health. And so menopause is sort of a your gas tank is officially empty. There's not much in the tank.

This idea that men, as they age, sometimes we see a decrease in their gas tank. They're feeling low. They're feeling down. They've got erectile dysfunction, low libido. Whereas women at age 52, their gas tank is empty. This is a castration event. We don't have many castration events in men's health. And so menopause is sort of a your gas tank is officially empty. There's not much in the tank.

Perimenopause is this time where it's very erratic. The gas tank is over full and then it goes to empty really quickly without warning. And so I like that analogy because I think it's helpful when we're talking to women about the reason you don't feel like yourself is because there's just no gas in the tank.

Perimenopause is this time where it's very erratic. The gas tank is over full and then it goes to empty really quickly without warning. And so I like that analogy because I think it's helpful when we're talking to women about the reason you don't feel like yourself is because there's just no gas in the tank.

So we see the ovaries are no longer producing estrogen, progesterone, and testosterone the way that they were during your reproductive years.

So we see the ovaries are no longer producing estrogen, progesterone, and testosterone the way that they were during your reproductive years.