The Diary Of A CEO with Steven Bartlett

Podbit · The Diary Of A CEO with Steven Bartlett

Dr Rachel Rubin: Women’s Sexual Health, Menopause, Hormone Replacement Therapy (HRT), and Orgasms!

Explore episode Jun 22, 2026
Health & Fitness
How Birth Control Quietly Kills Libido

Dr Rachel Rubin: Women’s Sexual Health, Menopause, Hormone … · Jun 22, 2026 Health & Fitness

The combined birth control pill works by flooding the body with synthetic hormones so high that the ovaries stop producing their own. But ovaries make three hormones: estrogen, progesterone, and testosterone. The pill adds back estrogen and progestin but not testosterone — and that missing testosterone is why up to 27% of pill users report reduced libido.

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How Birth Control Can Kill Libido

At 15:05 · chapter starts 13:41

Female testosterone falls sharply in the 30s — not at menopause — causing reduced libido, slower orgasm, and less arousal, yet most medical charts omit it entirely.

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