Dr. Rachel Rubin

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3,407 appearances 3 recordings 3 series first heard May 2025 last heard 22 Jun

Dr. Rachel Rubin’s voice in public audio — every appearance, attributed to the second.

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Recordings per month over the last 12 months — 2 in all, peaking in Jun 2026 with 1.

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Genital urinary syndrome of menopause.

But really, it's kind of a dumb name because it's any hormonal changes in your body can affect the bladder and the genitals.

Yeah, very good.

So urinary tract infections are when there is bacteria in the bladder and it can be a lot of bad bacteria that can grow and create inflammation.

It causes bladder pain, pain with urination.

It feels like razor blades.

But it can also go into your bloodstream and cause fevers and chills and cause kidney infections.

It can cause something called urosepsis, where you have to go to the intensive care unit and need antibiotics through an IV.

And it can kill you if you have an infection go through your whole body.

And this gets worse and worse as you get older.

Yeah, because what happens is the vagina is supposed to be acidic and healthy and hormones help keep it.

It is the hormones, the estrogen and the testosterone that keep healthy bacteria growing in the vagina and suppress or lower the bad bacteria.

There is.

And there's no probiotic on Earth that has proven to do what the vagina needs quite like hormones.

Hormones make the tissue go from not acidic to quite acidic.

And it is that acidic environment that protects it from infection.

And so perimenopause and menopause or other situations happen and it changes that microbiome dramatically.

So the good bacteria are lower and the bad bacteria start to grow, which can increase your risk of infections.

And sex, right, sex is a contact sport.

So you're bringing the outside environment into the inside environment.

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