{"id":93671,"date":"2026-08-12T11:17:20","date_gmt":"2026-08-12T11:17:20","guid":{"rendered":"https:\/\/site.itshrt.com\/worldnews\/norah-odonnell-what-i-learned-from-my-doctor-about-menopause\/"},"modified":"2026-08-12T11:17:20","modified_gmt":"2026-08-12T11:17:20","slug":"norah-odonnell-what-i-learned-from-my-doctor-about-menopause","status":"publish","type":"post","link":"https:\/\/site.itshrt.com\/worldnews\/norah-odonnell-what-i-learned-from-my-doctor-about-menopause\/","title":{"rendered":"Norah O&#8217;Donnell: What I learned from my doctor about menopause"},"content":{"rendered":"<p> <script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js?client=ca-pub-6606220950177433\"\r\n     crossorigin=\"anonymous\"><\/script>\r\n<!-- ItShrt World News -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-6606220950177433\"\r\n     data-ad-slot=\"1882483372\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\r\n<br \/>\n<\/p>\n<div id=\"\">\n<p>For this week&#8217;s &#8220;Healthful,&#8221; I sat down with my very own doctor, Rachel Rubin, to tackle the important topic of menopause: How your body changes, why women may be needlessly suffering, and what you can actually do about it.<\/p>\n<p>Here&#8217;s what I learned in our conversation, <a href=\"https:\/\/www.youtube.com\/@HealthfulwithNorahODonnell\" target=\"_blank\" rel=\"noopener\">streaming now on YouTube<\/a> and available wherever you listen to your podcasts:<\/p>\n<h2>Menopause as &#8220;a castration event&#8221;<\/h2>\n<p>&#8220;Menopause is a castration event, whether we like it or not, whether it&#8217;s natural or not,&#8221; Dr. Rubin said. &#8220;Whether it&#8217;s supposed to happen or not, we are outliving our ovaries.&#8221;<\/p>\n<p>Rubin described menopause as essentially the ovarian function turning off: Your ovaries no longer make estrogen, progesterone or testosterone. &#8220;You&#8217;re not making the hormones that you were during your reproductive years, and that has consequences because you have hormone receptors throughout your entire body,&#8221; she explained.<\/p>\n<p>The severity and symptoms are different for everyone, but women commonly experience hot flashes, poor sleep, mood changes, weight gain and memory issues.\u00a0<\/p>\n<p>While Rubin said some men see a natural decline of testosterone as they age, they &#8220;don&#8217;t really get to &#8216;castrate&#8217; levels.&#8221; She explained her castration remarks in the context of a gas tank analogy: &#8220;Women, their gas tank is zero. Men, they kind of live at like half a tank, and maybe if they get to a quarter of the tank, they can go to their doctor, they get some testosterone, and they go back to half to three-quarters tank and they feel great.&#8221;<\/p>\n<h2>Vaginal hormones can prevent UTIs \u2014 and save billions in Medicare<\/h2>\n<p>Urinary tract infections are common during and after menopause, and if untreated, can lead to sepsis, hospitalization and even death. It&#8217;s why Rubin said she thinks all menopausal women should be offered vaginal hormones, which fix the urinary tract&#8217;s microbiome and can prevent UTIs.<\/p>\n<p>Right now, fewer than one in 10 postmenopausal women are using vaginal estrogen, even though its use is supported by the American Urological Association, and it&#8217;s often covered by insurance.<\/p>\n<p>Rubin said giving women vaginal estrogen could save Medicare $6 billion to $22 billion a year, citing costs around urgent care visits, hospitalizations and ICU admissions.<\/p>\n<h2>Women actually produce more testosterone than estrogen<\/h2>\n<p>You need testosterone to make estrogen in the ovaries \u2014 and women make more testosterone than estrogen.<\/p>\n<p>Rubin said there&#8217;s global consensus that testosterone helps menopausal and perimenopausal women with low libido, but there&#8217;s no FDA-approved testosterone product for women. Although, it can be prescribed off-label. Rubin said her patients who take testosterone tell her it helps with more than libido \u2014 that patients come back and say, &#8220;I just feel more like me.&#8221;<\/p>\n<p>I&#8217;ve never talked about this publicly before, but I use testosterone prescribed by Rubin \u2014 it comes in a tube that&#8217;s normally prescribed to men, but I administer it in much smaller doses. There wasn&#8217;t an &#8220;aha&#8221; moment for me, but I noticed its effects over time, and in concert with other hormones.<\/p>\n<section class=\"content__body--footer\">\n<\/section>\n<p>  <!-- data-recirc-source=\"queryly\" --><\/p>\n<aside class=\"component list recirculation component--type-recirculation  \">\n        <\/aside>\n<section class=\"content__body--footer\">\n      <!-- tags --><\/p>\n<section class=\"content__tags\">\n<p class=\"content__tags__label\">In:<\/p>\n<\/section>\n<\/section><\/div>\n<p><script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js?client=ca-pub-6606220950177433\"\r\n     crossorigin=\"anonymous\"><\/script>\r\n<!-- ItShrt World News -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-6606220950177433\"\r\n     data-ad-slot=\"1882483372\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\r\n<br \/>\n<br \/><a href=\"https:\/\/www.cbsnews.com\/news\/menopause-norah-odonnell-dr-rachel-rubin-healthful\/\">Source link <\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>For this week&#8217;s &#8220;Healthful,&#8221; I sat down with my very own doctor, Rachel Rubin, to tackle the important topic of<\/p>\n","protected":false},"author":1,"featured_media":93672,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[32],"tags":[310,3642],"class_list":["post-93671","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-top-stories","tag-health","tag-menopause"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.2 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Norah O&#039;Donnell: What I learned from my doctor about menopause - World News<\/title>\n<meta name=\"description\" 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