Dr. Rachel Rubin

It's so subtle.

It is not a large piece area, but this is the rich biology that causes genitourinary syndrome of menopause or pain with tampons or pain with speculums.

And this tissue is very hormone sensitive.

It's rich in hormone receptors, both estrogen and testosterone.

And so again,

This is where the, you know, people like me are screaming from the rooftops about it because we see it all day, every day.

Our colleagues are seeing it, but they miss it because they put the speculum in and it bypasses that tissue.

And if you were never taught to look for something, you're never going to find it, right?

And most doctors are not routinely taught how to examine this tissue.

So that's why my colleagues that are yelling from the rooftops of, hey, here's a Q-tip.

This is how to examine the tissue.

We've made videos.

We've published in the Video Journal of Sexual Medicine.

Where would you find that?

videos.

Video Journal of Sexual Medicine has some amazing videos and we're getting more and more.

We've got videos on how to examine a clitoris, on how to examine a vestibule, on how to work up things like, and our team is, you know, all of our colleagues are working on more and more videos because the more we can get it out there, you know, sort of the better things will go.

And so this tissue is, it can be a source of pain for many people.

Okay, so you have skin issues, so that caused pain, and you mentioned muscle.

Yep.