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We Can Do Hard Things · October 13, 2026 · 1h 33m

Finally, Menopause Relief: How Did We Not Know This? with Dr. Rachel Rubin

Dr. Rachel Rubin, a urologist and sexual medicine specialist, joins the hosts to discuss the full picture of perimenopause, menopause, and the critical role of hormones. The conversation covers the wide range of symptoms that can start surprisingly early, the inadequacy of hormone testing for diagnosis, the history of medical neglect in women's health, and the life-changing potential of hormone replacement therapy (HRT) including estrogen, progesterone, and testosterone. She provides a powerful framework for how women can advocate for the care they need to feel like themselves again.

This summary was generated from show notes and public descriptions, not from a full transcript review. Details may contain inaccuracies.

Preview

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Perimenopause Starts Earlier and Has a Wider Range of Symptoms Than Most Women Realize
Dr. Rubin explains that perimenopause can start much earlier than people expect, and its signs extend far beyond hot flashes to include surprising issues like sleep disruption, mood changes, and cognitive symptoms.
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A 'Normal' Blood Test Does Not Rule Out Perimenopause
Dr. Rubin critiques the reliance on hormone blood tests, stating that a 'normal' result does not mean a woman is not in perimenopause, because hormones fluctuate wildly during this transition.

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