The Diary of a CEODr Rachel Rubin: The Truth About HRT & Menopause Doctors Won't Tell Women | Dr Rachel Rubin
Episode Details
EPISODE INFO
- Released
- June 22, 2026
- Duration
- 1h 47m
- Channel
- The Diary of a CEO
- Watch on YouTube
- ▶ Open ↗
EPISODE DESCRIPTION
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
00:00:00 Why Women's Healthcare Is Still Neglected 00:04:39 If Men Had These Symptoms, Would Medicine Be Better? 00:07:24 Why Even Gynaecologists Misunderstand The Clitoris 00:08:25 What You'll Learn From This Conversation 00:11:29 The Question Women Ask Most 00:11:54 Why Testosterone Matters For Women 00:14:03 How Birth Control Can Kill Libido 00:16:47 How GLP-1s And Antidepressants Affect Sex Drive 00:18:48 Should Women Take Testosterone? 00:19:52 Understanding The Menstrual Cycle 00:23:33 Why Perimenopause Starts Earlier Than You Think 00:25:41 What Is HRT And How Does It Work? 00:26:23 Does Estrogen Increase Cancer Risk? 00:27:49 Why HRT Got A Bad Reputation 00:29:46 The 4 Types Of HRT Explained 00:31:41 What Really Causes UTIs? 00:33:44 Vaginal Hormones Explained 00:37:41 Does Cranberry Juice Actually Help UTIs? 00:39:11 When Should You Start HRT? 00:41:16 A HRT Success Story 00:45:23 Ads 00:47:27 Is Pain During Sex Normal? 00:50:08 How To Have Better Sex 00:52:34 What Your Pelvic Floor Actually Does 00:54:28 Signs You Have Pelvic Floor Problems 00:56:04 Is It Normal Not To Orgasm? 00:58:10 What Is A Clitoral Adhesion? 00:59:35 How Sex Toys Can Improve Intimacy 01:00:47 What Men Get Wrong About Arousal 01:02:37 What Happens To Women After Orgasm? 01:03:35 Do Women Get Anything From Penetrative Sex? 01:05:20 How Porn Changed Our Expectations 01:07:38 What Healthy Porn Looks Like 01:08:52 How Porn Can Damage Relationships 01:10:52 Ads 01:13:01 Why You Should Change Up Your Sex Life 01:14:15 Why We Hide Our Sexual Struggles 01:17:56 Responsive Vs Spontaneous Desire Explained 01:20:38 The Question Every Couple Should Ask 01:21:31 What If You Want Different Things In Bed? 01:23:50 How To Tell Your Partner About Kinks 01:25:07 The Secrets People Hide From Their Partners 01:26:21 How To Tell If She's Faking Orgasms 01:28:26 How Stress And Dopamine Influence Libido 01:30:12 Should Sex Be Scheduled Or Spontaneous? 01:32:04 How Self-Esteem Affects Sex 01:33:43 The Most Important Thing We Missed 01:35:46 Better Communication, Better Sex 01:43:30 Why This Work Matters So Much 01:44:37 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.pdf Follow Dr Rachel: Instagram - https://link.thediaryofaceo.com/AYkgAOV YouTube - https://link.thediaryofaceo.com/1TQZeri X - https://link.thediaryofaceo.com/FxZbK5x Website - https://link.thediaryofaceo.com/4ZKqH2l The Diary Of A CEO:
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SPEAKERS
Steven Bartlett
hostHost of The Diary Of A CEO and interviewer/entrepreneur who introduces guests, asks the questions, and reads sponsor segments.
Dr. Rachel Rubin
guestUrologist and sexual-medicine clinician specializing in hormones, menopause care, and sexual health, with practices in Washington, D.C. and Los Angeles.
EPISODE SUMMARY
In this episode of The Diary of a CEO, featuring Steven Bartlett and Dr. Rachel Rubin, Dr Rachel Rubin: The Truth About HRT & Menopause Doctors Won't Tell Women | Dr Rachel Rubin explores women’s sexual health, hormones, and pleasure: medical myths, practical fixes Rubin says women’s sexual health is neglected because clinicians are undertrained on basics like the clitoris, menopause care, and sexual pain, leading to widespread misinformation and poor access to effective treatments.
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