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Dr. Rachel Rubin

👤 Person
698 total appearances

Appearances Over Time

Podcast Appearances

The Peter Attia Drive
#348 ‒ Women’s sexual health, menopause, and hormone replacement therapy (HRT) | Rachel Rubin, M.D.

No, we can't. And it's so fascinating because I would never, I do sexual medicine, so I look at the whole patient, I look at everything, and I would never say to them, hey, you have to stop this beta blocker right now because it's causing your erectile dysfunction.

The Peter Attia Drive
#348 ‒ Women’s sexual health, menopause, and hormone replacement therapy (HRT) | Rachel Rubin, M.D.

No, we can't. And it's so fascinating because I would never, I do sexual medicine, so I look at the whole patient, I look at everything, and I would never say to them, hey, you have to stop this beta blocker right now because it's causing your erectile dysfunction.

The Peter Attia Drive
#348 ‒ Women’s sexual health, menopause, and hormone replacement therapy (HRT) | Rachel Rubin, M.D.

I would never tell a patient that, though the beta blocker may be worsening his erectile dysfunction, but I would never say, stop this medicine. It's hurting you. I would talk to their doctor. I would have a conversation. But there's something about hormones that doctors who know nothing feel very confident in saying, you can't be on this.

The Peter Attia Drive
#348 ‒ Women’s sexual health, menopause, and hormone replacement therapy (HRT) | Rachel Rubin, M.D.

I would never tell a patient that, though the beta blocker may be worsening his erectile dysfunction, but I would never say, stop this medicine. It's hurting you. I would talk to their doctor. I would have a conversation. But there's something about hormones that doctors who know nothing feel very confident in saying, you can't be on this.

The Peter Attia Drive
#348 ‒ Women’s sexual health, menopause, and hormone replacement therapy (HRT) | Rachel Rubin, M.D.

You must stop this without even having that curiosity of, huh, I wonder if the person who prescribed it actually knew what they were talking about. And it is everywhere. We see this all the time.

The Peter Attia Drive
#348 ‒ Women’s sexual health, menopause, and hormone replacement therapy (HRT) | Rachel Rubin, M.D.

You must stop this without even having that curiosity of, huh, I wonder if the person who prescribed it actually knew what they were talking about. And it is everywhere. We see this all the time.

The Peter Attia Drive
#348 ‒ Women’s sexual health, menopause, and hormone replacement therapy (HRT) | Rachel Rubin, M.D.

So I would argue that people care about their pain points. People want to feel better. People will go to anyone who tells them there's a whole supplement aisle at CVS that makes all these wildish claims that we're going to help you with everything.

The Peter Attia Drive
#348 ‒ Women’s sexual health, menopause, and hormone replacement therapy (HRT) | Rachel Rubin, M.D.

So I would argue that people care about their pain points. People want to feel better. People will go to anyone who tells them there's a whole supplement aisle at CVS that makes all these wildish claims that we're going to help you with everything.

The Peter Attia Drive
#348 ‒ Women’s sexual health, menopause, and hormone replacement therapy (HRT) | Rachel Rubin, M.D.

And the reality is, is I just got done saying your gynecologist and your internal medicine doctors are going to, in that 10 minute visit, tell you that you don't need this. This is not going to help you. And so enter the fringe people, the snake oil salesmen, the people who are doing wildly inappropriate things. That doesn't mean the hormones themselves are bad.

The Peter Attia Drive
#348 ‒ Women’s sexual health, menopause, and hormone replacement therapy (HRT) | Rachel Rubin, M.D.

And the reality is, is I just got done saying your gynecologist and your internal medicine doctors are going to, in that 10 minute visit, tell you that you don't need this. This is not going to help you. And so enter the fringe people, the snake oil salesmen, the people who are doing wildly inappropriate things. That doesn't mean the hormones themselves are bad.

The Peter Attia Drive
#348 ‒ Women’s sexual health, menopause, and hormone replacement therapy (HRT) | Rachel Rubin, M.D.

It just means we have a marketing problem here. If we're not doing it and helping people, they hear their friend did it, they hear their neighbor did it, and they said, I want what she's having. This is why we call ourselves the menopause. This is why we teach so loudly.

The Peter Attia Drive
#348 ‒ Women’s sexual health, menopause, and hormone replacement therapy (HRT) | Rachel Rubin, M.D.

It just means we have a marketing problem here. If we're not doing it and helping people, they hear their friend did it, they hear their neighbor did it, and they said, I want what she's having. This is why we call ourselves the menopause. This is why we teach so loudly.

The Peter Attia Drive
#348 ‒ Women’s sexual health, menopause, and hormone replacement therapy (HRT) | Rachel Rubin, M.D.

is because we're trying to bring it back into medicine and evidence-based medicine and say, you can actually do this quite reasonably. In fact, there are many FDA approved products that work much better, that are more regulated, that are totally safe. Here's what they are. They should be covered by your insurance and giving them that knowledge. Because the problem is, is it's too quiet.

The Peter Attia Drive
#348 ‒ Women’s sexual health, menopause, and hormone replacement therapy (HRT) | Rachel Rubin, M.D.

is because we're trying to bring it back into medicine and evidence-based medicine and say, you can actually do this quite reasonably. In fact, there are many FDA approved products that work much better, that are more regulated, that are totally safe. Here's what they are. They should be covered by your insurance and giving them that knowledge. Because the problem is, is it's too quiet.

The Peter Attia Drive
#348 ‒ Women’s sexual health, menopause, and hormone replacement therapy (HRT) | Rachel Rubin, M.D.

No one is giving people answers. No one's even looking at the questions. So then the fringe people take over and are unfortunately doing a very inappropriate thing. You know what? Men's health too.

The Peter Attia Drive
#348 ‒ Women’s sexual health, menopause, and hormone replacement therapy (HRT) | Rachel Rubin, M.D.

No one is giving people answers. No one's even looking at the questions. So then the fringe people take over and are unfortunately doing a very inappropriate thing. You know what? Men's health too.

The Peter Attia Drive
#348 ‒ Women’s sexual health, menopause, and hormone replacement therapy (HRT) | Rachel Rubin, M.D.

As a urologist, we see shot clinics and all these wild PRP clinics and testosterone pellet clinics and compounded pellets and all of these things because my colleagues, we are not doing enough to take care of men's sexual health. And so these clinics exist to prey on those patients who deeply want to connect and get their answers.

The Peter Attia Drive
#348 ‒ Women’s sexual health, menopause, and hormone replacement therapy (HRT) | Rachel Rubin, M.D.

As a urologist, we see shot clinics and all these wild PRP clinics and testosterone pellet clinics and compounded pellets and all of these things because my colleagues, we are not doing enough to take care of men's sexual health. And so these clinics exist to prey on those patients who deeply want to connect and get their answers.

The Peter Attia Drive
#348 ‒ Women’s sexual health, menopause, and hormone replacement therapy (HRT) | Rachel Rubin, M.D.

which is why my colleagues and I are even loud about it for everybody.

The Peter Attia Drive
#348 ‒ Women’s sexual health, menopause, and hormone replacement therapy (HRT) | Rachel Rubin, M.D.

which is why my colleagues and I are even loud about it for everybody.