Only 80 US doctors trained in both sexes
Dr Rachel Rubin is one of only 80 doctors in the US trained to treat both male and female sexual health.
Snapshot · 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
Where this was said
Why Women's Healthcare Is Still Neglected
At 2:15 · chapter starts 0:00
American Express pre-roll ad plays, followed by Dr Rubin's opening remarks on vaginal estrogen cream and the orgasm gap — the provocative hook that sets up the episode.
Why Women Are Being Failed by Medicine
The most affluent, well-connected women in the world can't access basic hormonal healthcare. Oprah saw 5 doctors before her heart palpitations were linked to menopause. Halle Berry was misdiagnosed with herpes when she actually had genitourinary syndrome of menopause. If the elite can't navigate this system, the rest of us don't stand a chance.
Oprah saw 5 doctors for menopause
Oprah had to see five doctors before her heart palpitations were correctly attributed to perimenopause and menopause, illustrating widespread medical ignorance on the subject.
Similar snapshots
500 self-help techniques → 12 levers
Spencer Greenberg and Jeremy Stevenson analyzed almost 500 self-improvement techniques and found they all reduce to just 12 underlying psychological drivers.
Cold exposure: weak long-term evidence
Cold exposure has good short-term alertness benefits but the evidence base for long-term health benefits is much weaker than popularly believed.
20 habit techniques tested; almost none worked
In a randomized study of 20 habit-formation techniques run on hundreds of people, almost none of the techniques produced statistically meaningful results.
Tiny habit users stick to the FULL habit more
People given a tiny-habit fallback option (e.g. 10 squats instead of gym) were actually MORE successful at completing the full habit, not less.
Habit reflection = standout technique
The most effective habit-formation technique was 'habit reflection' — recalling a past successful habit, writing down what helped, then applying those lessons to a new habit.
Behavioral activation rivals CBT for depression
A study found that simply scheduling enjoyable activities was as effective as standard cognitive behavioral therapy for depression, leading to its own therapy called behavioral activation.
Worry time: batch all worries to 5 PM
The 'worry time' technique — deferring all worries to a designated time of day — helps people realize they have more control over worry than they thought and reveals it is less useful than it feels.
Sleeping faster by trying to stay awake
A study found that participants told to try to stay awake while in bed fell asleep faster than participants told to try to sleep — illustrating the paradox of direct effort.
Social anxiety eliminated in ~6 months
Spencer Greenberg reduced his severe social anxiety dramatically in roughly 6 months through a structured exposure therapy hierarchy, culminating in asking strangers for hugs.
