Perimenopause & Libido: Why Desire Changes
Perimenopause libido changes happen because testosterone and estrogen both affect desire. Falling estrogen also causes vaginal dryness, which makes sex uncomfortable. Addressing dryness, prioritizing intimacy, and sometimes testosterone therapy help.
Supporting libido
Desire is complex, involving hormones, relationship, and physical comfort.
- Address vaginal dryness with lubricants, moisturizers, or vaginal estrogen.
- Prioritize intimacy and connection, not just spontaneous desire.
- Exercise boosts mood and body image, which support desire.
- Testosterone therapy helps some women with low libido.
Track how you feel and spot the pattern
PhaseBloom logs your symptoms and mood against your cycle in seconds a day, so you can see which days hit hardest and prepare before they arrive.
Track how you feel and spot the pattern
PhaseBloom logs your symptoms and mood against your cycle in seconds a day, so you can see which days hit hardest and prepare before they arrive.
Frequently asked questions
Is low libido normal in perimenopause?
Yes. Changes in desire are common due to hormone shifts, fatigue, stress, and relationship factors. It is not a personal failure and can often be improved.
Can you take testosterone for libido in perimenopause?
Testosterone is sometimes prescribed off-label for low libido in women. It can help, but should be discussed with a doctor experienced in hormone therapy.