#507 Swinging the Pendulum on Menopause Care With Dr Rachel Rubin

The Curbsiders Internal Medicine Podcast

Education, Health & Fitness, Higher Education, Science, Medicine

4.8 • 3.3K Ratings

🗓️ 8 December 2025

⏱️ 95 minutes

🔗️ Recording | iTunes | RSS

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Summary

Transform your approach to menopause care with the latest evidence and expert insights you can use tomorrow. Learn how to move beyond outdated WHI-era fears and confidently prescribe individualized, effective hormonal therapies. We’re joined by urologist and sexual medicine specialist Dr Rachel Rubin (@DrRachelRubin), who brings clarity, practicality, and a fresh perspective to this rapidly evolving field.

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Show Segments

Intro
Case
Shifting care for menopause
WHI/black box warning labels
What makes you nervous?
Local vaginal treatments
Progesterone therapy
Estrogen therapy
Testosterone therapy
Perimenopause
Outro

Credits

Producer, Writer, Show Notes, Infographic, Cover Art: Molly Heublein MD
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP; Molly Heublein MD
Reviewer: Leah Witt MD
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guest: Rachel Rubin MD

Disclosures

Dr. Rachel Rubin reports financial support from Sprout Pharmaceuticals . The Curbsiders report no relevant financial disclosures.

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Transcript

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0:00.0	Hey, before we get to the show, I wanted to remind you to check out our Patreon at patreon.
0:04.7	com slash curbsiders.
0:06.8	If you haven't signed up yet, sign up now to get ad-free episodes, twice-monthly bonus episodes,
0:12.0	and a whole bunch of other cool stuff at patreon.com slash curbsiders.
0:19.2	All right, Paul, I have a unrelated pun, but I'm going to try it out anyway.
0:24.5	On the other hand, Paul, on the other hand, you have different fingers.
0:34.6	All right, one more.
0:35.6	I got a menopause one.
0:37.8	Okay.
0:38.2	Okay.
0:38.8	What is, what's the name of the menopause superhero?
0:43.4	Hmm.
0:44.5	The hot flash?
0:45.8	Just the flash.
0:47.0	Oh, okay.
0:49.3	I like hot flash.
0:50.8	It's like, it can be the hot flash, you know.
0:53.0	Okay.
1:13.4	The curbsiders podcast is for entertainment, education, and information purposes only. And the topics discussed should not be used solely to diagnose, treat, cure, or prevent any diseases or conditions. For the more of the views and statements expressed on this podcast are solely those of the host and should not be interpreted to reflect official policy or position of any entity aside from possibly cash like more honest, and affiliate outreach programs. if indeed there are any. In fact, there are none. Pretty much, we aren't responsible if you screw up. You should always do your own homework and let us know when we're worth.
1:11.9	Go. aside from possibly cash like more honest, and affiliate outreach programs. If indeed, there are any. In fact, there are not. Pretty much, we aren't responsible if you screw up.
1:13.3	You should always do your own homework and let us know when we're wrong.
1:22.7	Welcome back to the curbsiders.
	...

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