Rachel S. Rubin MD - Urologist and Sexual Medicine Specialist

09/24/2025

I’ve got spy’s everywhere!

Friends it’s working! People are going to their doctors and asking about vaginal estrogen!

Shout out to awesome urologist

Don’t forget to comment to FDA by Sept 24.

TELL them they should remove the boxed label on vaginal estrogen

Comment here: https://www.regulations.gov/document/FDA-2025-N-2589-0001

Want to learn how to prescribe vaginal hormones?

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

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

09/21/2025

You have 4 days left!

Comment to FDA by Sept 24.

TELL them they should remove the boxed label on vaginal estrogen

Comment here: https://www.regulations.gov/document/FDA-2025-N-2589-0001

Want to learn how to prescribe vaginal hormones?

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

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

09/20/2025

🚨Our biggest call to Action! 🚨

📣 This is our chance to be heard — The FDA is accepting public comments on menopause and HRT, and your voice matters. Over 500 comments have been submitted. Let's aim for 1000!

⏰ Due 9/24/25 11:59pm EDT - Less than 20 days to rally!

It’s super easy:

Go to http://www.regulations.gov/ and search FDA-2025-N-2589-0001
Click → “Comment” → follow the prompts.

✅ Advocate for the removal of the boxed warning on vaginal estrogen products.
✅ Share your personal story.
✅ Share your clinical experience.
✅ Tell them women deserve better.

📝 Every comment counts. Let’s do this. Be part of the change.

09/19/2025

Register for our course and learn at your own pace

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

There are 5 major things to consider with menopause

1. Estrogen systemically
2. Progesterone systemically especially if there’s a uterus
3. Testosterone systemically
4. Vaginal hormones to prevent UTI and treat GSM
5. Vulvar vestibule hormones for introital pain

It was mentioned many times at the FDA expert roundtable on Menopause & HRT that there weren't enough clinicians taught how to manage menopause. We didn't learn it in med school, but we can definitely learn it now!

I also have a free gsm course and guide of how to prescribe local hormones

Links here: https://www.rachelrubinmd.com/education

09/18/2025

Be an early adopter

Register for our course and learn at your own pace

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

There are 5 major things to consider with menopause

1. Estrogen systemically
2. Progesterone systemically especially if there’s a uterus
3. Testosterone systemically
4. Vaginal hormones to prevent uti and treat gsm
5 vulvar vestibule hormones for introital pain

I did a deep dive on Peter Attia The Drive podcast recently that was well received.

I also have a free gsm course and guide of how to prescribe local hormones

Links here: https://www.rachelrubinmd.com/education

09/17/2025

I bet my text messages are better than your text messages!

09/17/2025

Latest Medscape piece

Don’t forget to comment to FDA by Sept 24.

TELL them they should remove the boxed label on vaginal estrogen

Comment here: https://www.regulations.gov/document/FDA-2025-N-2589-0001

Want to learn how to prescribe vaginal hormones?

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

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

https://www.medscape.com/viewarticle/i-need-your-help-tell-fda-they-are-wrong-about-estrogen-2025a1000odi

09/17/2025

Latest Medscape piece

Don’t forget to comment to FDA by Sept 24.

TELL them they should remove the boxed label on vaginal estrogen

Comment here: https://www.regulations.gov/document/FDA-2025-N-2589-0001

Want to learn how to prescribe vaginal hormones?

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

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

https://www.medscape.com/viewarticle/i-need-your-help-tell-fda-they-are-wrong-about-estrogen-2025a1000odi

Dr Rachel Rubin needs your help. The FDA is collecting public comment about the boxed warning on vaginal estrogen products, but we only have a few days left to make them listen.

09/14/2025

Anyone looking for awesome inexpensive but amazing cme?

Next Saturday come hang w us urologists.

This is a great course for anyone! Check out the agenda.

Agenda/Register here: https://medstar.cloud-cme.com/course/courseoverview?P=5&EID=42876

Discount code: 40DEAL