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You Are Not Broken

150. Meds for Low Desire and Clitoral Phimosis with Dr. Rubin

You Are Not Broken

Kelly Casperson, MD

Medicine, Health & Fitness

5743 Ratings

🗓️ 3 April 2022

⏱️ 32 minutes

🧾️ Download transcript

Summary

How sexual function is biopsychosocial and the meds that affect the “bio” part of this There are two FDA approved meds for women with low desire. They work in 50-60%of people that take them. They work by boosting dopamine. Addyi - filbanserin - came out in 2015. It is an oral nightly medication. Side effects are sleepiness and may include weight loss. It is safe to use if you are on antidepressants. Vyleesi – bremelanotide – an on demand injection – likely works by increasing dopamine. Do we fix hormones first or use these meds first? How to navigate prescribing these meds as a provider? Dr. Rubin talks about her work changing national guidelines. 23% of women have clitoral adhesions Clitoral phimosis - workup and meds versus surgery – Dr. Rubin’s pilot study How do we prevent recurrence? Resources discussed today https://www.instagram.com/drrachelrubin https://www.rachelrubinmd.com/ https://www.facebook.com/DrRachelRubin/ ISSWSH Find a provider: https://app.v1.statusplus.net/membership/provider/index?society=isswsh NAMS find a provider: https://portal.menopause.org/ SMSNA find a provider: https://app.v1.statusplus.net/membership/provider/index?society=smsna Our podcast sponsor is Bonafide Bonafide products help women embrace the natural changes that occur throughout all phases of life. Discount code for 20% off: NOTBROKEN Sales link: https://hellobonafide.com/notbroken This Podcast is not approved for credit by CMEfy, however, you may reflect on how this Podcast applies to your day-to-day and engage to earn AMA PRA Category 1 Credit(s)™ via point-of-care learning activities here: https://earnc.me/X8BGyS --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit megaphone.fm/adchoices

Transcript

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0:00.0

You are listening to You Are Not Broken, the only podcast that combines science, medicine, and psychology to re-educate your brain and help you live your best love life.

0:11.5

And I'm your host, board certified female urologist, Dr. Kelly Casperson.

0:16.7

Hey friends, I'm so excited today to have my very good friend Rachel Rubin in on our podcast today.

0:22.7

Dr. Rubin, will you just come on the podcast like every six months because it gives us a time to

0:26.3

catch up and people need to hear you. So I would absolutely love that. And this is our third, right?

0:31.2

This is our third podcast together. And I've been begging you to be back on just because I want

0:36.3

to be a part of all of your amazing brilliance and popularity, I'm so

0:40.3

proud of you.

0:41.2

And every time I see you pop up on my newsfeed, I'm like, I know her.

0:45.3

I know her.

0:46.1

I've been there from the beginning.

0:47.9

Ah, you're so kind.

0:48.8

You're so kind.

0:49.4

Yeah.

0:49.6

I mean, we have a good time talking and you are a wealth of knowledge. And I just feel like America is such a large country. It's kind of a bummer. You're on the East Coast. I am on the East Coast. I'm in the Washington,

0:58.7

D.C. area. But it is, pandemic has been amazing to make all these really good friends through social

1:04.9

media and through Zoom and things like that. I think we've met what one time in real life? Very, like, I saw the back of your head or something.

1:13.5

Like a hot minute.

1:14.7

So it's just funny that people who you text with regularly, you do phone calls regularly,

1:19.0

you just, I mean, you have changed my life so drastically in the last two years,

1:22.7

which is just amazing to say about someone that you have not really spent any time with in person.

1:28.2

Oh, you are so kind.

...

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