Rachel S. Rubin MD - Urologist and Sexual Medicine Specialist

08/17/2026

For years, conversations about testosterone therapy largely focused on men.

Not anymore.

One of the things I'm most excited about this year's Harvard Medical School course is our expanded focus on women's hormone therapy and s*xual health. Alongside an incredible faculty — including Dr. Kelly Casperson, Dr. Corinne Menn, and Dr. Marianne Brandon — we'll tackle the evidence behind menopause, HRT, testosterone therapy in women, s*xual dysfunction, breast cancer survivorship, and so much more.

Because great medicine doesn't happen in silos. It happens when we bring the best evidence together.

If you're ready to rethink what you know about hormone therapy and s*xual medicine, we'd love to have you join us.

📍 Orlando | January 28–30, 2027

Registration is now open. Learn more at http://learn.hms.harvard.edu/testosterone

*xdoctorspod

08/07/2026

Find colleagues who make you think bigger.

I'm thrilled to join two physicians I deeply admire, Dr. Abraham Morgentaler and Dr. Mohit Khera, as co-course directors of Harvard Medical School's Testosterone Therapy, HRT, and Sexual Health course.

For three days we'll challenge assumptions, debate the data, and share practical clinical pearls that clinicians can take straight back to their patients.

The faculty we've assembled is truly extraordinary. If you love learning as much as I do, you're going to have an amazing three days.

Registration is open!

📍 Orlando | January 28–30, 2027

For more info or to register, visit learn.hms.harvard.edu/testosterone

*xdoctorspod@ kellycaspersonmd

https://learn.hms.harvard.edu/testosterone

08/04/2026

I am SO excited to welcome Dr. Talia Sobel to our practice — and we are incredibly lucky to have her.

Dr. Sobel is a board-certified internal medicine physician with advanced fellowship training in women’s health from Johns Hopkins. She previously served as an Assistant Professor of Medicine in the Division of Women’s Health at Mayo Clinic Arizona.

Why does this matter? Because women in midlife deserve more than fragmented care. Menopause does not happen in a vacuum. Hormones, heart health, bone health, metabolism, sleep, mood, s*xual health, cancer survivorship — it is all connected.

Dr. Sobel understands the whole picture. She is brilliant, thoughtful, compassionate, and deeply committed to listening to women and helping them feel better.

Beginning September 8th, she will be seeing new patients in our Bethesda office. I cannot wait for you to meet her. 💜

Learn more at http://rachelrubinmd.com or at my link in bio!

07/21/2026

Yes! You should use vaginal estrogen to prevent uti

Gift link

https://www.nytimes.com/2026/07/21/well/live/vaginal-estrogen-menopause-symptoms.html?unlocked_article_code=1.zVA.jsiI.kcIl92bRguMj&smid=nytcore-ios-share

1,891,956 women with recurrent UTI In an epic database

Those who got vaginal estrogen prescriptions had major decreases in

Hospital admission
Sepsis and
Death

60-80% lower odds of death ☠️🪦⚰️

Giving vaginal estrogen is in the guidelines and yet only 5% of patients were given prescriptions.

We have a lot of work to do and need to get the word out

LaClair J, Visingardi J, Wells B, et al. Vaginal Estrogen Prescription is Associated with Reduced Risk of Serious Adverse Outcomes in Women of All Age Groups with Recurrent Urinary Tract Infection: An Epic Cosmos Database Analysis. Urology. 2026.

Vaginal Hormones:
- prevent urinary tract infections, sepsis and death
- fix urinary frequency, urgency, and leakage
- they help lubrication, pain with s*x and satisfaction
- they have NEVER been shown to cause cancer of any kind or blood clots

As of 2025 there are now guidelines in place to teach out how and why

Learn more about this problem
https://www.rachelrubinmd.com/gsm

Free training and guide to teach you how
https://www.rachelrubinmd.com/education

Read the new Guidelines here: https://www.auanet.org/guidelines-and-quality/guidelines/genitourinary-syndrome-of-menopause

07/02/2026

Join us today!!
We begin mentorship in how to prescribe hormone therapy

https://rachelrubinmd.thinkific.com/courses/HTsummer

4:30pm EDT
CANT MAKE IT LIVE?
watch the replay and have access to recordings
5 CME
$250

Non prescriber? Join us to learn!

———-

Everyone is invited!

Every Thursday in July at 4:30pm EDT we are doing a live event to discuss the toolbox of hormone therapy

Can’t make us like? Catch the replay on your commute to work!

week one: overview of the toolbox

week two: Vaginal Estrogen / DHEA for genitourinary syndrome of menopause

week three: Estrogen therapy

week four: Progesterone therapy

week five: Testosterone therapy

The format: I teach, I answer questions, I call on people LIVE to do cases.

----------

Clinicians will get 5 CME credits

You will have access to the recordings if you can’t watch it live.

The best part?

It’s only $250.

We get that not everyone is going to go to a menopause conference.

Most of us weren’t taught this in our training.

But we CAN learn this.

If you’re not a prescriber, you may want to join us to learn the tool box and learn how to advocate for yourself and the people you love.

Summer School never looked so fun.

——
Register NOW
Link in my bio
Register here: https://rachelrubinmd.thinkific.com/courses/HTsummer

——

if you want a really deep dive check out our early adopters course at https://www.rachelrubinmd.com/education

07/01/2026

Join us TOMORROW for the kick off of our live 5 week summer series on how to prescribe hormones.

2.5 million people watched this video we posted 24 hours ago. https://www.instagram.com/reel/DaNZPpStfQp/?utm_source=ig_web_copy_link&igsh=MzRlODBiNWFlZA==

vaginal hormones prevent UTI, sepsis, hospitalizations and DEATH

and yet women aren't being given these options because nobody knows how to write the DAMN prescriptions.

Join us.
clinicians. learn how to do it
patients. learn how to advocate for yourselves

we will do live coaching through cases.
I'll make it easy for you.

5 CME

if you can't make it live join the replay

===

Everyone is invited!

Every Thursday in July at 4:30pm EDT we are doing a live event to discuss the toolbox of hormone therapy

Can’t make us like? Catch the replay on your commute to work!

week one: overview of the toolbox

week two: Vaginal Estrogen / DHEA for genitourinary syndrome of menopause

week three: Estrogen therapy

week four: Progesterone therapy

week five: Testosterone therapy

The format: I teach, I answer questions, I call on people LIVE to do cases.

----------

Clinicians will get 5 CME credits

You will have access to the recordings if you can’t watch it live.

The best part?

It’s only $250.

We get that not everyone is going to go to a menopause conference.

Most of us weren’t taught this in our training.

But we CAN learn this.

If you’re not a prescriber, you may want to join us to learn the tool box and learn how to advocate for yourself and the people you love.

Summer School never looked so fun.

——
Register NOW
Link in my bio
Register here: https://rachelrubinmd.thinkific.com/courses/HTsummer

——

if you want a really deep dive check out our early adopters course at https://www.rachelrubinmd.com/education

06/30/2026

A newly published study of nearly 1.9 million women found that women with recurrent urinary tract infections who were prescribed vaginal estrogen had:

✅ Lower rates of sepsis
✅ Fewer hospitalizations
✅ Lower all-cause mortality

That's an incredible finding.

Now, let's be clear about what this study does—and doesn't—show.

This was an observational study, so it does not prove that vaginal estrogen caused these better outcomes. The women who received vaginal estrogen may also have received better overall medical care. The authors discuss this important limitation.

But here's what we already know from years of high-quality research:

✔️ Vaginal estrogen is one of the most effective treatments for Genitourinary Syndrome of Menopause (GSM).

✔️ It helps restore the health of the vaginal and urinary tissues.

✔️ It reduces recurrent urinary tract infections in many postmenopausal women.

✔️ It is recommended by major medical guidelines.

Unfortunately, far too many women are never offered this treatment because of outdated fears and misconceptions about estrogen.

If you've been struggling with repeated UTIs, vaginal dryness, painful in*******se, urinary urgency, or bladder symptoms after menopause, don't assume it's "just aging."

These symptoms are common—but they are treatable.

💜 Women deserve evidence-based care.

💜 Women deserve clinicians who understand menopause.

💜 Women deserve to know all of their options.

Full study here
https://www.sciencedirect.com/science/article/abs/pii/S0090429526003584?dgcid=coauthor

06/22/2026

06/20/2026

Saw Suffs the musical last night and ugly cried the whole show.

It’s about the history of Alice Paul and the team of suffragists who spent years and years fighting for the right for women to vote.

These fights are long. Hard. And nobody ever agrees on the details of how to get to the finish line.

And once you get to the finish line?

There’s so much more work to do.

More fights to have.

There’s a lot of drama between the old guard who wanted control and things done a certain way and the new guard who wanted to take a more aggressive and radical approach.

This is still happening today. In many many fights we are still fighting.

It was extra wild to run into Dr. Cheryl Iglesia - a famous urogynecologist who was on the original paper in 2014 describing genitourinary syndrome of menopause.

It took 11 years for us to get guidelines written and decades to get warning labels removed from estrogen products.

Dr Iglesia has made her career in the academic ladder climbing and paving the way for many of us. She has worked to train hundreds of urogynnecologists.

She and I have had our moments over the years. We take very different approaches to the problems ahead.

But I am here because of strong women like her. Whether we always agree or not. I am grateful.

Last night we both felt like Great American B*tches.

Go see this show. It’s amazing.

🥹🥹🥹🥹🥹🥹

06/20/2026

Everyone is invited!

Every Thursday in July at 4:30pm EDT we are doing a live event to discuss the toolbox of hormone therapy

Can’t make us like? Catch the replay on your commute to work!

week one: overview of the toolbox

week two: Vaginal Estrogen / DHEA for genitourinary syndrome of menopause

week three: Estrogen therapy

week four: Progesterone therapy

week five: Testosterone therapy

The format: I teach, I answer questions, I call on people LIVE to do cases.

----------

Clinicians will get 5 CME credits

You will have access to the recordings if you can’t watch it live.

The best part?

It’s only $250.

We get that not everyone is going to go to a menopause conference.

Most of us weren’t taught this in our training.

But we CAN learn this.

If you’re not a prescriber, you may want to join us to learn the tool box and learn how to advocate for yourself and the people you love.

Summer School never looked so fun.

——
Register NOW
Link in my bio
Register here: https://rachelrubinmd.thinkific.com/courses/HTsummer

——

if you want a really deep dive check out our early adopters course at https://www.rachelrubinmd.com/education