54. Vulvovaginal hormone therapy with urologist Dr. Rachel Rubin

The Pelvic Floor Project

In this episode, I sit down with board-certified urologist and sexual medicine specialist, Dr. Rachel Rubin to discuss:

• GSM (genitourinary syndrome of menopause)
• Symptoms that bring a woman in to see a pelvic health physiotherapist that often go hand in hand with GSM
• Why hormones are important and what happens during perimenopause/menopause
• What a physical exam of the vulva may reveal
• Options for hormone therapy (creams, rings, tablets)
• Systemic vs. local hormone therapy
• The fears around hormone therapy
• What the research says
• Reasons why it isn’t easy to find answers
• Gaps in our health care system
• Positive changes being seen
• An action plan for patient and practitioners listening

Dr. Rachel Rubin is a board-certified urologist and sexual medicine specialist. She is an assistant clinical professor of Urology at Georgetown University and recently started her own private practice in the Washington DC region. She is one of only a handful of physicians fellowship trained in male and female sexual medicine. Dr. Rubin is a clinician, researcher, and vocal educator in the field of sexual medicine. She completed her medical and undergraduate training at Tufts University, her urology training at Georgetown University, and her fellowship training under Dr. Irwin Goldstein in San Diego. In addition to being education chair for the International Society for the Study of Women’s Sexual Health (ISSWSH), she also serves as an Associate Editor for the Journal Sexual Medicine Reviews.
To find Dr. Rubin:

Instagram
Twitter
www.rachelrubinmd.com

Links mentioned:

ISSWSH (International Society for the Study of Women’s Sexual Health): https://www.isswsh.org
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