Dr. Rachel Rubin

But like some were like, whoa, something's really, really different.

And I was taught that that was, unless it was a surgical complication, this was psychological.

So it is not psychological and it needs to be studied further.

And what the data shows, listen, if you need a hysterectomy because you're bleeding like crazy, you have pain with a fibroid, you have endo, like if you are getting a surgery for a reason, you are usually pretty damn happy that that surgery happened.

Yeah.

And so the data shows improvement in sexual function overall.

But the data doesn't get granular enough to talk about arousal and orgasm because we're barely asking women, think all your listeners, has a doctor ever asked you about your libido, arousal, orgasm, or pain, right?

Maybe you've gone to the doctor to say, hey, I have a libido problem or a pain problem, but have doctors ever brought it up?

Have they ever, before surgery, said, hey, this surgery could affect your libido, arousal, orgasm, or pain, or hey...

how do you orgasm?

Because if you are one of those ninja unicorns who can orgasm from penetration, who like your cervix stimulated, or you feel you have a uterine orgasm, which is what some of our patients describe, will my surgery hurt that?

I had a patient once, she said, Dr. Rubin, I used to orgasm and I tasted color when I orgasmed.

So that sounds pretty good.

She said, but I lost it when I had my hysterectomy and I want it back, please.

Can I have that orgasm back?

And I

I was like, I don't know, right?

Because no one asked you before surgery, how do you experience pleasure?

So I'm not saying don't take out the uterus.

If it's indicated and the patient needs a hysterectomy, I'm not saying don't do it.