Clitoral Adhesions & Testosterone: Dr. Rachel Rubin on What Doctors Overlook

Why is half the world’s population walking around with an ignored, misunderstood body part? If the clitoris and penis are made of the same tissue, why is one thoroughly studied and the other barely mentioned in medical training?

The clitoris is more than just a pleasure center—yet most doctors barely acknowledge it, let alone know how to examine it properly. Dr. Rachel Rubin joins me to expose the medical blind spots surrounding clitoral health, including the shocking lack of education on clitoral adhesions and why so many women suffer in silence.

We also dive into the impact of testosterone in women’s health, how outdated medical biases are keeping life-changing treatments out of reach, and why the FDA’s warning labels on vaginal estrogen are doing more harm than good.

Dr. Rachel Rubin shares her groundbreaking research on sexual medicine, why simple procedures like clitoral lysis can be life-changing, and how she’s fighting to get doctors to start asking the right questions about sexual function.

This episode is packed with critical insights on women’s health, pleasure, and the science that’s been overlooked for far too long.

Episode Highlights:

• Why the clitoris and penis are made of the same tissue—but only one gets studied
• The hidden problem of clitoral adhesions and how they impact sensation
• How testosterone plays a crucial role in women’s health (and why most doctors ignore it)
• The truth about vaginal estrogen, the FDA’s misleading warning, and the fight to fix it
• The urgent need for better education on sexual health in medical schools

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Dr. Rubin’s Bio

Dr. Rachel S. Rubin is a board certified urologist with fellowship training in sexual medicine. She is an assistant clinical professor in urology at Georgetown University and owns her own practice in Washington DC. Dr. Rubin provides comprehensive care to all genders. She treats issues such as pelvic pain, menopause, erectile dysfunction, and low libido. Dr. Rubin is the former education chair and current Director-at-Large for the International Society for the Study of Women’s Sexual Health (ISSWSH), and she serves as associate editor for the Journal of Sexual Medicine Review and the Video Journal of Sexual Medicine. Her work has been featured in the NYT, NPR and PBS. She was named a Washingtonian Top Doctor in 2019-2024.

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