Sex and intimacy are important parts of health and wellbeing—but they’re often left out of the menopause conversation. While hot flashes, night sweats, and mood swings get plenty of attention, changes in sex drive (libido) can be just as impactful during perimenopause.
If you’ve noticed your sexual desire shifting in your late 30s or 40s, you’re not alone. Fluctuating hormones, physical changes, and lifestyle factors all play a role. Here’s what to expect, what’s normal, and strategies that can help.