Women’s sex lives are being quietly destroyed, and their doctors don’t even know it… Sexual medicine specialist Dr Rachel Rubin reveals the hidden hormone crisis, how prescription drugs can impact sex, and the treatments most doctors aren't prescribing like Hormone Replacement Therapy.
Dr Rachel Rubin is a board-certified urologist and sexual medicine specialist, and one of only 80 doctors in the US trained to treat both male and female sexual health. She recently played a pivotal role in the removal of the FDA's boxed warning on menopausal hormone therapy - one of the most significant healthcare policy changes affecting midlife women in decades. She is also the Founder of Rachel Rubin MD and Director-at-Large of the International Society for the Study of Women's Sexual Health.
She explains:
◼️ Why most doctors fail women on sexual health, and how to build a team that won't
◼️ Why menopause is a whole-body hormone event, and the treatments that actually help
◼️ The physical barrier blocking orgasm in 1 in 4 women, and how to fix it
◼️ How a tight pelvic floor could be ruining your sex life
◼️ Why your sexual pain and low libido are physical problems your doctor keeps missing
Chapters
- 00:00:00 Why Women's Healthcare Is Still Neglected
- 00:04:17 If Men Had These Symptoms, Would Medicine Be Better?
- 00:07:02 Why Even Gynaecologists Misunderstand The Clitoris
- 00:08:03 What You'll Learn From This Conversation
- 00:11:07 The Question Women Ask Most
- 00:11:32 Why Testosterone Matters For Women
- 00:13:41 How Birth Control Can Kill Libido
- 00:16:25 How GLP-1s And Antidepressants Affect Sex Drive
- 00:18:26 Should Women Take Testosterone?
- 00:19:30 Understanding The Menstrual Cycle
- 00:23:11 Why Perimenopause Starts Earlier Than You Think
- 00:25:19 What Is HRT And How Does It Work?
- 00:26:01 Does Estrogen Increase Cancer Risk?
- 00:27:27 Why HRT Got A Bad Reputation
- 00:29:24 The 4 Types Of HRT Explained
- 00:31:19 What Really Causes UTIs?
- 00:33:22 Vaginal Hormones Explained
- 00:37:19 Does Cranberry Juice Actually Help UTIs?
- 00:38:31 When Should You Start HRT?
- 00:40:36 A HRT Success Story
- 00:44:43 Ads
- 00:46:47 Is Pain During Sex Normal?
- 00:49:28 How To Have Better Sex
- 00:51:54 What Your Pelvic Floor Actually Does
- 00:53:48 Signs You Have Pelvic Floor Problems
- 00:55:24 Is It Normal Not To Orgasm?
- 00:57:30 What Is A Clitoral Adhesion?
- 00:58:55 How Sex Toys Can Improve Intimacy
- 01:00:07 What Men Get Wrong About Arousal
- 01:01:57 What Happens To Women After Orgasm?
- 01:02:55 Do Women Get Anything From Penetrative Sex?
- 01:04:40 How Porn Changed Our Expectations
- 01:06:58 What Healthy Porn Looks Like
- 01:08:12 How Porn Can Damage Relationships
- 01:10:12 Ads
- 01:12:21 Why You Should Change Up Your Sex Life
- 01:13:35 Why We Hide Our Sexual Struggles
- 01:17:17 Responsive Vs Spontaneous Desire Explained
- 01:19:58 The Question Every Couple Should Ask
- 01:20:51 What If You Want Different Things In Bed?
- 01:23:10 How To Tell Your Partner About Kinks
- 01:24:28 The Secrets People Hide From Their Partners
- 01:25:42 How To Tell If She's Faking Orgasms
- 01:27:46 How Stress And Dopamine Influence Libido
- 01:29:33 Should Sex Be Scheduled Or Spontaneous?
- 01:31:24 How Self-Esteem Affects Sex
- 01:33:04 The Most Important Thing We Missed
- 01:35:06 Better Communication, Better Sex
- 01:42:51 Why This Work Matters So Much
- 01:43:57 What Needs To Change In Your Own Life?
Independent Research:
https://stevenbartlett.com/wp-content/uploads/2026/06/DOAC-Rachel-Rubin-Independent-Research-Further-Reading.pdfFollow Dr Rachel:
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