The Mel Robbins Podcast

The Ultimate Guide to Women’s Sexual Health, Hormone Replacement Therapy (HRT) & Menopause

167 snips
Mar 23, 2026
Dr. Rachel Rubin, a board-certified urologist and women’s sexual health specialist, dives into the issues many women are told to ignore. She explores menopause, libido, painful sex, recurrent UTIs, leakage, and GSM. She also gets into vaginal estrogen, testosterone, birth control side effects, and why women’s care is so often missed.
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ANECDOTE

A Vaginal Ring Restored Quality Of Life In Dementia

  • Rachel Rubin tells of a dementia patient in severe pain who could not sit and was taking opioids until a vaginal estrogen ring was placed.
  • Three months later, the husband reported she sat without pain, stopped opioids, and regained quality of life.
ANECDOTE

Her Mother's ICU Fight Made The Label Battle Personal

  • Rachel Rubin fought ICU doctors, pharmacists, and rotating teams to keep her critically ill mother on vaginal estrogen during a six-month hospitalization.
  • Her mother later died, and the FDA removed the boxed warning on vaginal estrogen on her birthday, making the advocacy deeply personal.
ADVICE

Consider Vaginal Estrogen For Symptoms At Any Age

  • Consider vaginal estrogen if you have urinary symptoms, pain with sex, dryness, or recurrent UTIs, regardless of age or cancer history.
  • Rachel Rubin explicitly includes breastfeeding women and says quality of life matters in shared decision-making.
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