Dr. Rachel Rubin

Similar to you, my curiosity with labs is so fascinating. When you can capture this perimenopausal fluctuations and show the patient the reason you feel so terrible is because your estrogen was 1,000 and now it's zero and that hurts. Now, do I need numbers to know that that's what's happening? It actually helps patients quite a lot for them to look at this and see the data.

Similar to you, my curiosity with labs is so fascinating. When you can capture this perimenopausal fluctuations and show the patient the reason you feel so terrible is because your estrogen was 1,000 and now it's zero and that hurts. Now, do I need numbers to know that that's what's happening? It actually helps patients quite a lot for them to look at this and see the data.

What is your take on that?

What is your take on that?

You've seen all my gray hair that I've grown. It's true. I find, again, that humility of medicine is I am famous and my patients love me because I spend a lot of my day saying, we don't actually know. This is a data-free zone. Here's what I think. Here's how we're going to use logic. Here's the tools in our toolbox.

You've seen all my gray hair that I've grown. It's true. I find, again, that humility of medicine is I am famous and my patients love me because I spend a lot of my day saying, we don't actually know. This is a data-free zone. Here's what I think. Here's how we're going to use logic. Here's the tools in our toolbox.

But there is that ability to really know the data so well, to truly understand what's There's a lot we need to figure out. And that's why I have a research group. And that's why we're trying to answer these questions, because we have more questions than we have answers. But I also need to get my patients feeling as good as possible. And that is addicting, to be honest.

But there is that ability to really know the data so well, to truly understand what's There's a lot we need to figure out. And that's why I have a research group. And that's why we're trying to answer these questions, because we have more questions than we have answers. But I also need to get my patients feeling as good as possible. And that is addicting, to be honest.

I love that. And I think it's such a reasonable and logical, the logic there, it makes so much sense to me. So we're totally in line with that. And that's why, again, it's very confusing for our patients on social media, because they want the exact answer. And you're not going to find your exact answer from one doctor on social media.

I love that. And I think it's such a reasonable and logical, the logic there, it makes so much sense to me. So we're totally in line with that. And that's why, again, it's very confusing for our patients on social media, because they want the exact answer. And you're not going to find your exact answer from one doctor on social media.

Oh my gosh, you said that I have to use an estrogen gel, but I use a patch. Should I switch to a gel? Again, it's not that serious. There is a menu if it's working for you and you feel like you're getting what you need. Now it's good to get educated and learn about all the different options so that you can see what's right for you.

Oh my gosh, you said that I have to use an estrogen gel, but I use a patch. Should I switch to a gel? Again, it's not that serious. There is a menu if it's working for you and you feel like you're getting what you need. Now it's good to get educated and learn about all the different options so that you can see what's right for you.

But I think expecting that one doctor gives you all the answers is not going to happen.

But I think expecting that one doctor gives you all the answers is not going to happen.

We haven't spent a lot of time really talking about the symptoms of menopause. What are we treating? Why do people need systemic therapy? I'm often saying that menopause has the worst PR campaign in the history of the universe. Why? Because we think it's for old people and we think it's just hot flashes and we think hot flashes go away. There's actually not enough education.

We haven't spent a lot of time really talking about the symptoms of menopause. What are we treating? Why do people need systemic therapy? I'm often saying that menopause has the worst PR campaign in the history of the universe. Why? Because we think it's for old people and we think it's just hot flashes and we think hot flashes go away. There's actually not enough education.

Like we can argue about E1, E2 and E3, but the reality is doctors don't even know the symptoms of menopause. Patients don't even know the symptoms of menopause. The person who was doing my makeup this morning, she's like, I just feel awful. I feel like an old person. I'm not sleeping. I'm not fun anymore. I can't drink. Joints are achy. And I said, welcome to You Need Hormone Therapy.

Like we can argue about E1, E2 and E3, but the reality is doctors don't even know the symptoms of menopause. Patients don't even know the symptoms of menopause. The person who was doing my makeup this morning, she's like, I just feel awful. I feel like an old person. I'm not sleeping. I'm not fun anymore. I can't drink. Joints are achy. And I said, welcome to You Need Hormone Therapy.

I'm always teaching, no matter who I'm with, whether it's a cab driver, a hairstylist, I'm always teaching. But this idea of You have hormone receptors throughout your whole body. It is a whole body experience. So yes, there's hot flashes and night sweats. And by the way, hot flashes are not just a nuisance. That is a neurologic, vasculogenic probably event.

I'm always teaching, no matter who I'm with, whether it's a cab driver, a hairstylist, I'm always teaching. But this idea of You have hormone receptors throughout your whole body. It is a whole body experience. So yes, there's hot flashes and night sweats. And by the way, hot flashes are not just a nuisance. That is a neurologic, vasculogenic probably event.