Dr. Rachel Rubin

I wake up in the morning and I'm like, how is this real life? Okay, I'll give you an example. We met with the chief before the administration changed. We met with the, I think it was the chief medical officer of the FDA. We met with someone high up at the FDA. It was a room full of perimenopausal women. I was like, yeah, we got this. It's

I wake up in the morning and I'm like, how is this real life? Okay, I'll give you an example. We met with the chief before the administration changed. We met with the, I think it was the chief medical officer of the FDA. We met with someone high up at the FDA. It was a room full of perimenopausal women. I was like, yeah, we got this. It's

a room full of perimenopausal women, and we presented our case about vaginal hormones, which is basically microdosing hormones, and they prevent UTIs by more than half. When you use vaginal hormones, you treat the genitourinary syndrome of menopause. And we said to them, we said, your labeling, this should not have the same labeling of all estrogen products. You should remove the labeling.

a room full of perimenopausal women, and we presented our case about vaginal hormones, which is basically microdosing hormones, and they prevent UTIs by more than half. When you use vaginal hormones, you treat the genitourinary syndrome of menopause. And we said to them, we said, your labeling, this should not have the same labeling of all estrogen products. You should remove the labeling.

And they said, well... we're really gonna need industry to come at us to remove the labeling. I said, you didn't need industry to put the box on. Why do you need industry to remove the box? We no longer have industry in this field in any significant way because the WHI destroyed that industry. So we have a huge problem where you actually don't have any money to women's health.

And they said, well... we're really gonna need industry to come at us to remove the labeling. I said, you didn't need industry to put the box on. Why do you need industry to remove the box? We no longer have industry in this field in any significant way because the WHI destroyed that industry. So we have a huge problem where you actually don't have any money to women's health.

I think Pfizer completely fired their women's health division saying, yeah, we're gonna look at allergy now. You have entire departments. We did a study once on pelvic pain We were looking at botulinum toxin and pelvic pain. And I was on the call where they said, oh, we have a new CEO now and women's health is no longer a priority. Like I heard those words. So we do have a paternalistic problem.

I think Pfizer completely fired their women's health division saying, yeah, we're gonna look at allergy now. You have entire departments. We did a study once on pelvic pain We were looking at botulinum toxin and pelvic pain. And I was on the call where they said, oh, we have a new CEO now and women's health is no longer a priority. Like I heard those words. So we do have a paternalistic problem.

It's true. And unfortunately, it's not getting any better.

It's true. And unfortunately, it's not getting any better.

The Traverse Trial, right? Yeah. There were two bad studies that were done, horrible studies that made no sense, that showed testosterone had some dangers. The FDA threw that box labeling on, said, oh, my gosh. Within minutes, they created the Traverse Trial. It got done in five years.

The Traverse Trial, right? Yeah. There were two bad studies that were done, horrible studies that made no sense, that showed testosterone had some dangers. The FDA threw that box labeling on, said, oh, my gosh. Within minutes, they created the Traverse Trial. It got done in five years.

And within minutes when it was finished and it got published in the New England Journal of Medicine, the box was removed.

And within minutes when it was finished and it got published in the New England Journal of Medicine, the box was removed.

Totally. Look at data. Oh, there was an increased fractures from the testosterone causes fractures. That makes no sense. We know that's not true. We know testosterone helps bone mineral density. And so you can make the same arguments of how you look at these studies, how these studies are designed, the flaws of them. You're going to do a study for five years. Why are you giving people gels?

Totally. Look at data. Oh, there was an increased fractures from the testosterone causes fractures. That makes no sense. We know that's not true. We know testosterone helps bone mineral density. And so you can make the same arguments of how you look at these studies, how these studies are designed, the flaws of them. You're going to do a study for five years. Why are you giving people gels?

Is that the right thing? So why do we care? what the people of the Women's Health Initiative said 20 years ago. Why is that even news? And why can't it die? And because you don't have enough people like you standing up, you don't have the internal medicine doctor standing up and saying this is wrong because they're not teaching it.

Is that the right thing? So why do we care? what the people of the Women's Health Initiative said 20 years ago. Why is that even news? And why can't it die? And because you don't have enough people like you standing up, you don't have the internal medicine doctor standing up and saying this is wrong because they're not teaching it.

You don't have the OBGYN saying this is wrong because they're delivering babies and women are dying in childbirth. Women's health, menopause health in particular, is important to nobody. When it's nobody's problem, nobody takes ownership of it.

You don't have the OBGYN saying this is wrong because they're delivering babies and women are dying in childbirth. Women's health, menopause health in particular, is important to nobody. When it's nobody's problem, nobody takes ownership of it.