12 May 2025
2h 12m

#348 ‒ Women’s sexual health, menopause, and hormone replacement therapy (HRT) | Rachel Rubin, M.D.

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The Peter Attia Drive - Private Subscriber Feed (🔓 for Vijay Khakhria)

In this episode of The Drive, Peter Attia interviews Dr. Rachel Rubin, a urologist and expert in sexual health, focusing on women's sexual health, hormone decline, menopause, and hormone replacement therapy (HRT). They discuss the neglect of women's sexual medicine, the risks of menopause, the history and misinterpretation of the Women's Health Initiative (WHI) study, and the use of estrogen, progesterone, and testosterone therapy. They also cover the importance of personalized care, the role of testosterone in women's health, and the benefits of local vaginal hormonal therapy. Dr. Rubin shares her concerns about the lack of menopause education among healthcare professionals and the need for more research in women's health, while also highlighting the importance of vaginal health and how it is often overlooked.

Outlines

Part 1: Introduction, Context

Part 2: Testosterone, Research Bias

Part 3: HRT Methods, Dosages

Part 4: Symptoms, GSM, Local Treatment

Part 5: Resources, Advocacy

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