Dr. Rachel Rubin

Yeah, I mean, the data is very clear on this. Less than 6% of internal medicine, OBGYN or family practice doctors get even an hour of menopause education in their training. Do you remember learning about menopause in your medical school? Zero, not one minute. I didn't learn one minute of it.

Yeah, I mean, the data is very clear on this. Less than 6% of internal medicine, OBGYN or family practice doctors get even an hour of menopause education in their training. Do you remember learning about menopause in your medical school? Zero, not one minute. I didn't learn one minute of it.

Oh, yeah. So because you are taught hormones are dangerous or the bodybuilders take the hormones, the snake oil salesmen take the hormones. We don't talk about this in real medicine. Everyone says it's not my industry. It's not my thing. I went to this internal medicine conference yesterday and all the internal medicine doctors were saying, but this isn't my field. I don't feel comfortable, right?

Oh, yeah. So because you are taught hormones are dangerous or the bodybuilders take the hormones, the snake oil salesmen take the hormones. We don't talk about this in real medicine. Everyone says it's not my industry. It's not my thing. I went to this internal medicine conference yesterday and all the internal medicine doctors were saying, but this isn't my field. I don't feel comfortable, right?

An endocrinologist was standing there saying, I don't feel comfortable doing this. I said, you're a hormone doctor. That is what you do. It is so embarrassing. I've been asked to speak at multiple academic centers to teach on hormone therapy. And every time I'm like, is this real life? I am a urologist teaching hormone doctors about how to prescribe hormone therapy. And it is real life.

An endocrinologist was standing there saying, I don't feel comfortable doing this. I said, you're a hormone doctor. That is what you do. It is so embarrassing. I've been asked to speak at multiple academic centers to teach on hormone therapy. And every time I'm like, is this real life? I am a urologist teaching hormone doctors about how to prescribe hormone therapy. And it is real life.

And this is why I'm so loud about it, because we have to change this. We have to change this on a big level because I need the ICU doctors and the pulmonologists and the heart doctors and all the doctors to know that menopause affects their organs. Colon cancer. Why aren't GI doctors talking to women that estrogen prevents colon cancer? Why are we checking DEXAs at 65?

And this is why I'm so loud about it, because we have to change this. We have to change this on a big level because I need the ICU doctors and the pulmonologists and the heart doctors and all the doctors to know that menopause affects their organs. Colon cancer. Why aren't GI doctors talking to women that estrogen prevents colon cancer? Why are we checking DEXAs at 65?

Why are rheumatologists not prescribing hormone therapy? I found out recently that psychiatrists, because I do a lot of teaching about how to prescribe hormone therapy. A few of us are very passionate about it. And I was like, sit with me. I will teach you how to write the prescriptions.

Why are rheumatologists not prescribing hormone therapy? I found out recently that psychiatrists, because I do a lot of teaching about how to prescribe hormone therapy. A few of us are very passionate about it. And I was like, sit with me. I will teach you how to write the prescriptions.

I've had psychiatrists tell me their malpractice insurance will not cover them if they prescribe hormone therapy. And I said, wait a minute. You prescribe postpartum depression drugs, which are progestin based. You do reproductive psychiatry, which means birth control is a part of what you do.

I've had psychiatrists tell me their malpractice insurance will not cover them if they prescribe hormone therapy. And I said, wait a minute. You prescribe postpartum depression drugs, which are progestin based. You do reproductive psychiatry, which means birth control is a part of what you do.

And you're being told you're not allowed to prescribe hormone therapy when hormone therapy is one of the greatest antidepressants in the history of medicine. It is insanity. We're living in a nightmare.

And you're being told you're not allowed to prescribe hormone therapy when hormone therapy is one of the greatest antidepressants in the history of medicine. It is insanity. We're living in a nightmare.

Super interesting, and I'm very passionate about this topic. And so I think it comes from this idea that I do testosterone for men all the time. I'm very confident. I love prescribing testosterone for men's sexual health. And actually, very interestingly enough, when we prescribe testosterone for men, remember, their gas tank doesn't get empty. It gets low. It's off-label.

Super interesting, and I'm very passionate about this topic. And so I think it comes from this idea that I do testosterone for men all the time. I'm very confident. I love prescribing testosterone for men's sexual health. And actually, very interestingly enough, when we prescribe testosterone for men, remember, their gas tank doesn't get empty. It gets low. It's off-label.

We are doing off-label testosterone therapy in men. Unless they have Klinefelter's or some significant medical problem, we're doing off-label testosterone for men. And it's very understood. It's talked about. The FDA just three weeks ago removed the labeling on testosterone therapy, saying it no longer is a cardiovascular disease risk. So that's great news.

We are doing off-label testosterone therapy in men. Unless they have Klinefelter's or some significant medical problem, we're doing off-label testosterone for men. And it's very understood. It's talked about. The FDA just three weeks ago removed the labeling on testosterone therapy, saying it no longer is a cardiovascular disease risk. So that's great news.

So the thing about women and testosterone is it's actually not a menopause thing. Testosterone is an age-related decline. So in your 30s, you're starting to drop your testosterone. And testosterone, I don't know who decided that men get testosterone and women have estrogen. Like we both have both of the hormones.

So the thing about women and testosterone is it's actually not a menopause thing. Testosterone is an age-related decline. So in your 30s, you're starting to drop your testosterone. And testosterone, I don't know who decided that men get testosterone and women have estrogen. Like we both have both of the hormones.