Dr. Rachel Rubin

What we did see was sleeping pills and antidepressant prescriptions skyrocketed after.

So right now, a woman has about a 10% chance of being on an SSRI, an antidepressant, before what would be perimenopause.

It doubles across the menopause transition and then goes up again at 65.

A lot of that, I think, while we see that dramatic increase of the mental health changes we see at perimenopause, doctors aren't trained in menopausal medicine.

They don't know what to do.

They're going to treat the symptoms, throw an SSRI at them.

But there are sexual side effects.

as well.

Yeah.

And it's funny because no one seems to disagree that there are sexual side effects of antidepressants.

There are sexual side effects.

And so patients understand this, doctors understand this, this idea of if you take an SSRI, certain ones are worse than others, that you may prolong orgasm, right?

It may take longer to have an orgasm or not at all, right?

People who can't orgasm.

All we were taught was sexual side effects.

We did not quantify

OK, well, let me quantify it.

OK, fine.

So, yes.

So and so.