Dr Rachel Rubin: "I'm Filled With Rage!" Your Doctor Was Never Taught About Women's Bodies!

Women's sexual and hormonal health is widely neglected by the medical system, leaving many to suffer from avoidable issues like low libido, chronic pain, and recurrent infections. Better education, informed use of hormone therapies, and open communication can resolve many of these concerns and significantly improve quality of life.

• Doctor training gaps — Most medical professionals receive little to no instruction on female sexual anatomy, hormone cycles, or menopause, which leads to dismissed symptoms [07:43].

• Testosterone importance — Testosterone is a vital hormone for women, not just men, and levels often decline in the 30s, contributing to changes in libido and orgasm intensity [13:33].

• Birth control side effects — Contraceptive pills can lower testosterone levels, potentially resulting in decreased sex drive for a segment of users [16:24].

• HRT stigma — Outdated and misunderstood research from decades ago created a false fear around hormone replacement therapy, causing most doctors to avoid offering it even when it is safe and effective [29:05].

• Vaginal health solutions — Applying local estrogen or DHEA creams can safely treat dryness, pain, and recurrent urinary tract infections for women at any age [34:28].

• Clitoral anatomy — The clitoris is the primary source of pleasure for most women, yet many do not know where it is or how it functions because medical training excludes it [58:06].

• Clitoral adhesions — Roughly one in four women have skin stuck to the clitoris, a condition that can be easily resolved to improve sexual satisfaction [58:23].

• Pelvic floor issues — Pain or difficulty during sex often stems from tight or dysfunctional pelvic floor muscles, which can be treated through physical therapy rather than ignored [54:30].

• Communication barriers — Relationships often struggle because couples lack the language to discuss sexual pain and needs, leading to incorrect assumptions about the partner's interest or health [1:15:15].

• Arousal styles — Many women experience responsive desire, meaning arousal often builds after sexual activity starts, rather than happening spontaneously beforehand [1:18:58].

• What are the common symptoms of perimenopause that patients should watch for?

• How do vaginal hormones prevent urinary tract infections?