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.

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recordings per month · last 12 months

Recordings per month over the last 12 months — 2 in all, peaking in Jun 2026 with 1.

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The Diary Of A CEO with Steven Bartlett · Dr Rachel Rubin: Women’s Sexual Health, Menopause, Hormone Replacement Therapy (HRT), and Orgasms! · 22 Jun 2026 podcast

So birth control is wonderful, but there are side effects to birth control.

It's just like there's side effects to any medication.

And so one of the side effects is it lowers testosterone.

And so that can cause low libido, pain with sex in a small subset of people who take it.

So if you are someone who does have side effects, then it's worth having conversations of different forms of birth control, which may not lower your testosterone as much.

Does that make sense?

So can I explain?

Because I think, again, knowing the basics and the fundamentals give women and men access to the information so they can make choices with what they want to do with it.

OK, so how do birth control pills work?

When you take a combined birth control pill, it has a fake amount of estrogen and a fake amount of progestin in it so high that it tricks your body into not ovulating.

So when you have so much hormone around, your body says, oh, I don't need to make my own because there's plenty around.

And so the ovaries shut down.

So your ovaries are no longer making their own hormones because, and this happens to men too, when you take high doses of testosterone, you become infertile because your testicles say, oh, I don't need to produce sperm right now because there's plenty of testosterone around.

And so birth control causes your ovaries to just stay quiet.

They shut down for a bit.

But your ovary does three things.

It does estrogen, progesterone, and testosterone.

It doesn't add back testosterone.

So her experience possibly was because she wasn't making her own testosterone.

And once she went off that birth control, her ovaries woke back up and make estrogen, progesterone and testosterone, which to you equaled more pleasure.

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