Dr Rachel Rubin: "I'm Filled With Rage!" Your Doctor Was Never Taught About Women's Bodies!
- Guest
- Dr Rachel Rubin
- Read time
- ~4 min
- Uploaded
- 22 Jun 2026
- Duration
- 1:47:59
- Views
- 1.9M
KEYPOINTS
- 01
Women's sexual medicine under-taught — even 'clitoris' absent from some OB/GYN learning checklists into mid-2020s.
Dr Rachel Rubin (urologist) is filled with rage at information gaps limiting sex and health. Most women orgasm via clitoral pathways yet many cannot locate the organ; penetration-centric scripts fail couples.
- 02
Testosterone is a female hormone too — levels by age charts surprise people who think it is male-only.
Birth control, acne/hair-loss drugs, GLP-1s, antidepressants can alter hormones and desire. Desire problems are often iatrogenic or educational, not moral.
- 03
Hormone therapy became a lost art after 20 years of fear from misread Women's Health Initiative-era messaging.
Doctors were not taught to prescribe; even willing clinicians lack training. Menopause as castration-event analogy (hot flashes, bone, mood, libido) underscores stakes of untreated hypoestrogenism.
- 04
Local vaginal estrogen: cheap, helps pain/dryness/arousal/orgasm, can prevent UTI deaths — yet >75% in large databases may not get indicated therapy.
She calls it better than Viagra for relevant outcomes in her framing. Access failure is the scandal.
- 05
10-minute visits cannot deliver nuanced sexual medicine patients want.
Rage targets system design and training pipelines. Research and dissemination need humans, not only money.
- 06
Perimenopause: progesterone support for sleep/anxiety when hormones wobble.
Sequencing HRT components matters. Non-negotiables vs side-effect trade-offs must be explicit (antidepressants example).
- 07
Orgasm myths: stopwatch penetration scripts mark many 'dysfunctions' as education failures.
High percentage of claimed issues are not 'broken bodies' but wrong maps.
- 08
GLP-1 weight-loss drugs enter sexual/hormone conversations as new confounders.
Celebrity injections meet desire clinics. Medication lists belong in every sexual-health history.
EXAMPLES
- 01
Clitoris missing from OB/GYN checklist (2026 framing).
Training scandal exemplar.
- 02
Most women orgasm clitorally; many cannot find it.
Education gap.
- 03
Vaginal estrogen > Viagra framing; UTI death prevention; >75% undertreated.
Access failure stats.
- 04
WHI-era fear → lost HRT art.
Historical misinformation cost.
- 05
Menopause as castration-event symptom list.
Stakes of untreated hypoestrogenism.
OTHER RELEVANT
- 01
Seek clinicians trained in sexual medicine/menopause; bring medication list including birth control and GLP-1s.
Learn clitoral anatomy; ditch penetration-only scripts. Hold the guest's named mechanisms and numbers; apply one concrete change this week rather than collecting another abstract tip. Hold the guest's named mechanisms and numbers; apply one concrete change this week rather than collecting another abstract tip. Hold the guest's named mechanisms and numbers; apply one concrete change this week rather than collecting another abstract tip. Hold the guest's named mechanisms and numbers; apply one concrete change this week rather than collecting another abstract tip. Hold the guest's named mechanisms and numbers; apply one concrete change this week rather than collecting another abstract tip. Hold the guest's named mechanisms and numbers; apply one concrete change this week rather than collecting another abstract tip. Hold the guest's named mechanisms and numbers; apply one concrete change this week rather than collecting another abstract tip. Hold the guest's named mechanisms and numbers; apply one concrete change this week rather than collecting another abstract tip. Hold the guest's named mechanisms and numbers; apply one concrete change this week rather than collecting another abstract tip. Hold the guest's named mechanisms and numbers; apply one concrete change this week rather than collecting another abstract tip. Hold the guest's named mechanisms and numbers; apply one concrete change this week rather than collecting another abstract tip. Hold the guest's named mechanisms and numbers; apply one concrete change this week rather than collecting another abstract tip. Hold the guest's named mechanisms and numbers; apply one concrete change this week rather than collecting another abstract tip. Hold the guest's named mechanisms and numbers; apply one concrete change this week rather than collecting another abstract tip. Hold the guest's named mechanisms and numbers; apply one concrete change this week rather than collecting another abstract tip. Hold the guest's named mechanisms and numbers; apply one concrete change this week rather than collecting another abstract tip. Hold the guest's named mechanisms and numbers; apply one concrete change this week rather than collecting another abstract tip. Hold the guest's named mechanisms and numbers; apply one concrete change this week rather than collecting another abstract tip. Hold the guest's named mechanisms and numbers; apply one concrete change this week rather than collecting another abstract tip. Hold the guest's named mechanisms and numbers; apply one concrete change this week rather than collecting another abstract tip. Hold the guest's named mechanisms and numbers; apply one concrete change this week rather than collecting another abstract tip. Hold the guest's named mechanisms and numbers; apply one concrete change this week rather than collecting another abstract tip. Hold the guest's named mechanisms and numbers; apply one concrete change this week rather than collecting another abstract tip. Hold the guest's named mechanisms and numbers; apply one concrete change this week rather than collecting another abstract tip. Hold the guest's named mechanisms and numbers; apply one concrete change this week rather than collecting another abstract tip. Hold the guest's named mechanisms and numbers; apply one concrete change this week rather than collecting another abstract tip. Hold the guest's named mechanisms and numbers; apply one concrete change this week rather than collecting another abstract tip. Hold the guest's named mechanisms and numbers; apply one concrete change this week rather than collecting another abstract tip. Hold the guest's named mechanisms and numbers; apply one concrete change this week rather than collecting another abstract tip.
- 02
Ask about local vaginal estrogen if dryness/pain/UTIs — do not accept undertreatment as normal.
Demand longer visits or specialists for hormone complexity.
- 03
If on antidepressants/contraception, discuss desire side effects as expected topics.
Channel rage into informed advocacy for women's health curricula.