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The Mel Robbins Podcast

The Ultimate Guide to Women’s Sexual Health, Hormone Replacement Therapy (HRT) & Menopause

The Mel Robbins Podcast

SiriusXM Podcasts

Health & Fitness, Society & Culture, Education, Self-improvement, Mental Health, Relationships

4.715.3K Ratings

🗓️ 23 March 2026

⏱️ 134 minutes

🧾️ Download transcript

Summary

This episode is a MUST listen. Mel calls it one of the most important conversations she has ever had on The Mel Robbins Podcast. Most women don’t know this, and this information could save the life of a woman you love. If you are thinking you’re “fine,” while quietly suffering through symptoms that are treatable, you probably don’t know this life-saving medical fact either. Today, Mel is joined by Dr. Rachel Rubin, MD, a leading urologist and sexual health expert, to talk about hormones, menopause, libido, pelvic health, UTIs, and what’s happening in your body. In fact, since recording this episode, the majority of women on the team have spoken to their doctors about what Dr. Rubin shared. You’re about to hear what she wishes every woman knew sooner: Almost every issue that you're dealing with “down there” is likely related to changing hormones. If you’ve ever dealt with a UTI, leaking, urgency, dryness, painful sex, or that feeling that something is “off” down there, and you’ve been told it’s normal, it’s aging, or it’s just something you have to live with, this episode could change your life and have you asking, Why have I not heard this before? Do not learn this too late. By the time most women get the right information, they have already lost years to pain, discomfort, anxiety, and unnecessary treatments. No matter how old you are, all women need to understand this information. In this episode, you’ll learn: -Why recurring UTIs, urgency, frequency, and leakage are often hormonal, not “just sex” or “just aging”, and they can be fixed -What GSM (genitourinary syndrome) is, and how it impacts women in perimenopause, menopause, during breastfeeding, and even while using birth control -The safe, evidence-backed treatment that can prevent UTIs by more than half, and why almost no one tells women about it -Why many women need testosterone as a natural way to increase libido, mood, energy, orgasm, and the feeling of “I’m back” -That 1 in 4 women have a treatable condition that prevents orgasm, and why doctors don’t know how to check it, diagnose it, or treat it This is the conversation that will make you understand your body differently, and realize you have been tolerating things you do not have to tolerate. If you’re a woman in your 20s, 30s, 40s, 50s, 60s and beyond, this is information you deserve to have now. Your health should not be a mystery. You should not have to suffer. This conversation will give you the truth about your health and may even save your life or the lives of a woman you love. For every single study and resource Dr. Rubin mentions, click here for the episode show notes. This episode is one, in particular, where the show-notes are a must-read. If you liked the episode, check out this one next: The #1 Menopause Doctor: How to Lose Belly Fat, Sleep Better, & Stop Suffering Now Connect with Mel: Order Mel’s new product, Pure Genius Protein Get Mel’s newsletter, packed with tools, coaching, and inspiration. Get Mel’s #1 bestselling book, The Let Them Theory Watch the episodes on YouTube Follow Mel on Instagram The Mel Robbins Podcast Instagram Mel's TikTok Subscribe to SiriusXM Podcasts+ to listen to new episodes ad-free Disclaimer

Transcript

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0:00.0

Hey, it's your friend Mel, and welcome to the Mel Robbins podcast.

0:09.0

What you're about to listen to is the single most important episode that we've ever done about women's health.

0:17.2

I'm talking jaw-dropping information about hormones, menopause, birth control,

0:23.4

pregnancy, UTIs, and women's sexual health. Today, I'm joined by one of the world's most highly

0:29.7

regarded, trusted, and renowned urologists and sexual health medical experts who says,

0:35.6

stop gaslighting yourself. You deserve better when it comes to health care.

0:41.2

You deserve to be listened to, treated, cared for, informed, and empowered through every single

0:47.1

change happening in your body and every symptom that you may feel as your hormones go up and down.

0:54.0

I mean, how many times do you have to

0:55.3

explain away the discomfort, the dryness, the pain, and say, oh, it's no big deal, I'm fine.

1:00.9

Don't worry about me. I know. I just don't feel like myself. I'll push through. Just a little

1:06.0

stressed. I know. I know I'm tired, moody, anxious. Well, I'm going to tell you something.

1:10.6

I've said every single one of those things, and I bet you have to.

1:15.1

But after listening today, you will never say those things again.

1:19.7

I hope you not only listen, I truly hope you share this with every woman you know,

1:26.0

with your daughters, your sisters, your friends, your partner,

1:30.1

your mom, your grandma, your aunt, because it will not only change her life, what she learns

1:36.6

in this episode might just save it.

1:43.5

Music Hey, it's your friend Mel, and welcome to the Mel Robbins podcast. I am so happy you're here.

1:56.9

It's such an honor to spend time with you and to be together. And if you're a new listener,

2:05.5

I just want to take a moment and welcome you to the Mel Robbins podcast family. And I'm thrilled that you're listening to this particular episode, not only to learn for yourself, but that you're

2:11.4

also listening on behalf of all the women that you care about in your life. Because I want you to

...

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