Dr. Rachel Rubin

Her case is not an easy case.

It's actually a very challenging case.

But she made the choice and we worked together to kind of figure out what she needs to feel like her.

And that matters.

Where does testosterone matter most in this like cascade?

Because, you know, female sexual function is, I like to describe it like a traffic circle.

And there's several like pathways in there.

We have elasticity.

We have lubrication.

We have pain.

We have libido in the brain.

We have all these things.

Is testosterone kind of lubing that whole wheel?

I think there's local topical testosterone, like your vaginal DHEAs that can help with the bladder and the urinary symptoms.

Is there a vaginal testosterone formula?

DHEA is the closest thing that we have at this point that's FDA approved.

There are some of us who will do a topical, a low dose compound, not for libido, but for that vestibule tissue.

That's a common compound.

I don't compound a lot of things, but that's one area where I will.

So we don't have a lot.