Optimizing Vaginal Health Through Menopause | Dr. Rachel Rubin 

We’re so excited to welcome Dr. Rachel Rubin!
Dr. Rubin is a board-certified urologist and sexual medicine specialist. She’s an assistant clinical professor of urology at Georgetown University and owns her own private practice in the Washington, D.C. area. She’s trained in both male and female sexual medicine (and is one of only a handful of physicians fellowship-trained in both)!
She’s the education chair for the International Society for the Study of Women’s Sexual Health (ISSWSH) and is an associate editor for the Journal of Sexual Medicine Reviews. Her work has been featured in the New York Times and on PBS and NPR.
She joins Alloy community manager Rachel Hughes (more Rachels, more fun!) for a discussion on all things vaginal health!
00:00 - Introduction
02:10 - Seeing a Urologist in Perimenopause & Menopause
04:43 - Bladder Issues in Menopause
06:06 - The Importance of Hormones to Genitals
09:10 - Bladder Prolapse
10:31 - Vaginal Prolapse
11:07 - Lichen Sclerosus
13:10 - GSM
14:27 - The Importance of MHT and Vaginal Estrogen
19:27 - Vaginal Estrogen Can Be Lifesaving in Your Elder Years
23:10 - When to Start Vaginal Estrogen & How Long Can You Use It
24:46 - Benefits of Using Vaginal Estrogen Alongside MHT
25:30 - Contraindications for Vaginal Estrogen
27:54 - Importance of Vaginal Estrogen for Yeast Infections
29:00 - How Much to Use When Starting Vaginal Estrogen
31:17 - Urination After Orgasm
31:55 - Stress Urinary Incontinence (SUI)
32:47 - Bladder Prolapse Treatment
33:30 - When to Start Treating GSM in Perimenopause
33:57 - Finding the Right Doctor Matters
35:52 - Sex after Bladder Prolapse
37:00 - How to Use Vaginal Estrogen Cream
38:36 - Vaginal Estrogen for Frequent Yeast Infections
40:10 - Peeing During Exercise
42:20 - Pain after Vaginal Botox
42:47 - Treatment for Sensitive Anus
43:39 - Is Vaginal Atrophy Part of GSM
45:49 - The Importance of Your Pelvic Floor
47:08 - All the Benefits Vaginal Estrogen Provides
49:48 - Spreading Awareness of Vaginal Estrogen
50:49 - The Importance of Vaginal Estrogen for Bacterial Vaginosis (BV)
52:26 - Where to Start and What to Use
54:00 - The Importance of Advocacy and Sharing This Knowledge