Dr. Rachel Rubin
speaker
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.
Trend
recordings per month · last 12 monthsRecordings per month over the last 12 months — 2 in all, peaking in Jun 2026 with 1.
Appearances
Pain with sex goes up.
And so we call this the genitourinary syndrome of lactation.
And so there's all sorts of hormonal changes that can happen at that time.
So we see a big need for vaginal hormones.
in this patient population.
It's safe for the breast milk.
It's safe for the baby.
It doesn't cause any problems, but it can really help with all of those symptoms.
Now, say she is done having babies and now she's 38, 39, 40, and she is doing fine and she has regular periods and she has no symptoms and no problems.
She may not need anything at all.
But what if she starts getting a lot of urinary tract infections or having dry, scratchy, painful sex or her libido just doesn't feel it sort of feels like back when it did on birth control pills?
That may be an indication where she may benefit from whether it's testosterone or vaginal hormones or some kind of combination.
What if she's 43 and her sleep starts to get really bad?
And that may be an indication for progesterone.
I have a patient who was having hot flashes and night sweats and brain fog and fatigue.
I see her and she says, I will not take hormone therapy.
It's not safe.
My mother told me it causes cancer.
At no point am I going to do this.
I said, OK.
Showing 501–520 of 3,407 · page 26 of 171
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