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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And so this is such an important topic.

Yeah, perimenopause.

This is a very important question because it's not a one size fits all.

At this age, start this medicine.

It's really when people start having symptoms.

And so I'll give you an example.

So say your partner gets pregnant.

OK, you decide to have a baby.

Her estrogen is going to go to 10,000 for nine months.

It's going to be super, super high.

And the day she gives birth, it's going to crash to zero.

So you go from super high hormones down to zero.

And if she chooses to breastfeed or pump or do any of that, they stay extremely low in the menopausal range for the entire time you're breastfeeding.

So when you are breastfeeding or pumping or doing anything and your periods don't come back, you're basically menopausal.

She may have hot flashes.

She may have night sweats.

She may have urinary frequency urgency leakage.

There's all sorts of symptoms that come with that.

Libido changes as well?

Libido definitely changes.

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