Dr. Rachel Rubin

We saw a decrease in overall mortality, a decrease in cancer-specific mortality. And then when you looked at the cardiovascular data over time, and again, I'm a urologist, I'm not a heart expert, but you saw there was actually no difference. It actually wasn't so scary. Now, as you get older, we know birth control pills can cause blood clots.

We saw a decrease in overall mortality, a decrease in cancer-specific mortality. And then when you looked at the cardiovascular data over time, and again, I'm a urologist, I'm not a heart expert, but you saw there was actually no difference. It actually wasn't so scary. Now, as you get older, we know birth control pills can cause blood clots.

So we do worry about giving a birth control pill to grandma because you can increase blood clots. That's true. I agree with that. When it comes to breast cancer, the most fascinating data that didn't make the press conference, women who are on the estrogen alone, so they didn't have a uterus, so they didn't need the progestin therapy, had a decreased risk of getting and dying from breast cancer.

So we do worry about giving a birth control pill to grandma because you can increase blood clots. That's true. I agree with that. When it comes to breast cancer, the most fascinating data that didn't make the press conference, women who are on the estrogen alone, so they didn't have a uterus, so they didn't need the progestin therapy, had a decreased risk of getting and dying from breast cancer.

And it didn't make the news. Even in that study that put the box labeling on all the products, it's not true. So then when you looked at the estrogen and the progestin groups, there was a fear that there was an increased risk of incidence, but not mortality from breast cancer. And even when you look at that data, there is questioning of the fact that the placebo group

And it didn't make the news. Even in that study that put the box labeling on all the products, it's not true. So then when you looked at the estrogen and the progestin groups, there was a fear that there was an increased risk of incidence, but not mortality from breast cancer. And even when you look at that data, there is questioning of the fact that the placebo group

actually was more protected by breast cancer because many of them had been on hormones in the past. And when you use a correct placebo group, the lines actually go together. And so you're more of a statistics nerd than I am, but the reality is there was no difference. And so we scared an entire generation of people away from hormones because of a bad misinterpretation of statistics.

actually was more protected by breast cancer because many of them had been on hormones in the past. And when you use a correct placebo group, the lines actually go together. And so you're more of a statistics nerd than I am, but the reality is there was no difference. And so we scared an entire generation of people away from hormones because of a bad misinterpretation of statistics.

Shout it from every rooftop you can find.

Shout it from every rooftop you can find.

You are not going to get pushback from me on that. This is a disaster. I just got back yesterday from teaching at the largest internal medicine conference, ACP, the American College of Physicians, and you're talking more than 20,000 internal medicine physicians. What a wonderful thing. I was asked to give a course on female sexual dysfunction, and it was wonderful. I talked a lot about menopause.

You are not going to get pushback from me on that. This is a disaster. I just got back yesterday from teaching at the largest internal medicine conference, ACP, the American College of Physicians, and you're talking more than 20,000 internal medicine physicians. What a wonderful thing. I was asked to give a course on female sexual dysfunction, and it was wonderful. I talked a lot about menopause.

There was no other menopause content at this course. There was no courses, how to prescribe, given everything you've done, my colleagues and myself have done to bring it into just popularity. Patients are coming in asking questions, and there wasn't even a course to learn about I can't say that's true for GLP-1s or any of these lipid-lowering agents or all of the things that you've been pushing.

There was no other menopause content at this course. There was no courses, how to prescribe, given everything you've done, my colleagues and myself have done to bring it into just popularity. Patients are coming in asking questions, and there wasn't even a course to learn about I can't say that's true for GLP-1s or any of these lipid-lowering agents or all of the things that you've been pushing.

The problem is you now have a brain drain, I think, because the doctors who prescribed hormone therapy either retired or died, and there was no one they taught ahead of them. Now, I was very lucky. I had very good mentorship and incredible experience, but we are now trying to make up for lost time to train people how how to write prescriptions.

The problem is you now have a brain drain, I think, because the doctors who prescribed hormone therapy either retired or died, and there was no one they taught ahead of them. Now, I was very lucky. I had very good mentorship and incredible experience, but we are now trying to make up for lost time to train people how how to write prescriptions.

So it's not enough to say, hey, the WHI was misinterpreted and we've done a bad thing for women. People don't know how to do this. It's a huge problem. And the reality is this is half the population. This is not niche medicine. The fact that menopause medicine is the tiniest little room of subset of gynecology, which it should not be under gynecology. This is whole body medicine.

So it's not enough to say, hey, the WHI was misinterpreted and we've done a bad thing for women. People don't know how to do this. It's a huge problem. And the reality is this is half the population. This is not niche medicine. The fact that menopause medicine is the tiniest little room of subset of gynecology, which it should not be under gynecology. This is whole body medicine.

And yet nobody seems to care.

And yet nobody seems to care.