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

June 22, 2026

AI Summary

5 min read

The Orgasm Gap Is Not a Mystery—It's a Medical Failure

Dr. Rachel Rubin, a urologist specializing in sexual medicine, opens with a startling statistic: the word "clitoris" does not appear in the 2026 training checklist for OB-GYNs. This single fact encapsulates what she calls a systemic failure to educate doctors—and patients—about women's sexual health. "I am filled with rage," she says, "because people are limiting their ability to have great sex, great relationships, and great health because they aren't having access to all the information they could."

Melinda Gates saw three doctors before getting proper hormone therapy. Oprah saw five. Halle Berry was misdiagnosed with genital herpes when she actually had genitourinary syndrome of menopause. "The rich people are not getting good information about their bodies," Rubin says. "So what are the rest of us doing?"

The Biology That Nobody Teaches

Rubin's core argument is that women's sexual problems are often treated as purely psychological when biology plays a massive role. "We spend so much time talking about psychosocial issues, about emotions, and all of that is true—but we minimize biology when it comes to women."

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What you'll learn

1 (03:09) **Why Dr. Rubin is filled with rage** - systemic failure to teach doctors about women's sexual health and hormones
2 (06:54) **Why doctors give poor advice on hormones** - lack of training plus time pressure leads to misinformation
3 (07:48) **OBGYN training gap on sexual anatomy** - the word “clitoris” does not appear in current residency checklists
4 (11:56) **Most common patient questions** - hormones, pain with sex, and libido
5 (12:13) **Testosterone’s role across a woman’s lifespan** - levels drop in the 30s, not only at menopause
6 (20:07) **Five hormonal life stages** - puberty through post-menopause and what changes at each
7 (26:09) **HRT history and current safety data** - 2002 Women’s Health Initiative misinterpretation created lasting fear

+ Full timestamped outline available in the app

Show Notes

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