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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.

The increase in receptor density, the older you get, and it correlates to brain fog, correlates to all these symptoms.

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

The increase in receptor density, the older you get, and it correlates to brain fog, correlates to all these symptoms.

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

To get every morsel.

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

To get every morsel.

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

And could you argue that weight gain in menopause is evolutionary so that you make more estrone or whatever, right? That then goes to the brain because it wants every morsel that it can get. So this idea of hormones matter for the brain deeply. This is very important. This is fascinating research, but you're going to see a lot of, again, think of a receptor.

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

And could you argue that weight gain in menopause is evolutionary so that you make more estrone or whatever, right? That then goes to the brain because it wants every morsel that it can get. So this idea of hormones matter for the brain deeply. This is very important. This is fascinating research, but you're going to see a lot of, again, think of a receptor.

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

As perimenopause is happening, the receptors are full. Now they're empty. Then they're full. Now they're empty. Now they're half full. Now they're empty. This is why we see ADHD pop up in perimenopause. All these women are saying, I have now new diagnosed ADHD. It's real. Why?

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

As perimenopause is happening, the receptors are full. Now they're empty. Then they're full. Now they're empty. Now they're half full. Now they're empty. This is why we see ADHD pop up in perimenopause. All these women are saying, I have now new diagnosed ADHD. It's real. Why?

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

Because your brain is having a panic attack because it's just trying to figure out some stability here, which is why actually in empty gas tanks, so in menopause, when you are totally empty, the brain fog gets better.

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

Because your brain is having a panic attack because it's just trying to figure out some stability here, which is why actually in empty gas tanks, so in menopause, when you are totally empty, the brain fog gets better.

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

But if we just, all I'm saying is just add some estrogen to just keep the receptors happy.

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

But if we just, all I'm saying is just add some estrogen to just keep the receptors happy.

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

Okay, so this is my favorite topic in the history of topics because we used to call this problem, initially it was called senile vagina. That was the initial, yes, there was papers written on the senile vagina.

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

Okay, so this is my favorite topic in the history of topics because we used to call this problem, initially it was called senile vagina. That was the initial, yes, there was papers written on the senile vagina.

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

An old vagina, I suppose, but then it got changed to vulvovaginal atrophy or atrophic vaginitis. That was the terminology that was used up until 24. Before that, it was senile vaginitis.

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

An old vagina, I suppose, but then it got changed to vulvovaginal atrophy or atrophic vaginitis. That was the terminology that was used up until 24. Before that, it was senile vaginitis.

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

Check the history books. Very fascinating. So vulvovaginal atrophy was sort of the common name of this. Okay, as you get older, the vagina atrophies, it shrivels up, it shrinks up. Again, if a penis shriveled up at age 52, we'd probably have a vaccine sponsored by Pfizer. They created Viagra, they would create this vaccine.

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

Check the history books. Very fascinating. So vulvovaginal atrophy was sort of the common name of this. Okay, as you get older, the vagina atrophies, it shrivels up, it shrinks up. Again, if a penis shriveled up at age 52, we'd probably have a vaccine sponsored by Pfizer. They created Viagra, they would create this vaccine.

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

What do you think, right? Tell me what you think.

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

What do you think, right? Tell me what you think.