Perimenopause Got You Saying ‘Not Tonight’?

Causes of low libido in perimenopause

Experiencing no sex drive during perimenopause can be frustrating and confusing. Understanding the various factors behind this change is key to addressing the condition.

• Hormonal fluctuations
  Oestrogen and testosterone levels can rise and fall unpredictably. These fluctuations can lead to mood swings, irritability, and fatigue during perimenopause, all of which can impact sexual interest.

• Vaginal dryness and discomfort
  Lower oestrogen levels can cause the vaginal tissues to become thinner and less lubricated, making sex uncomfortable or even painful. This naturally makes many women shy away from intimacy.

• Sleep disruptions
  Hot flushes, night sweats, and anxiety in perimenopause can all interfere with sleep. Ongoing fatigue can take a toll on energy levels and libido.

• Emotional changes
  Perimenopause is often accompanied by mood swings, anxiety, and a sense of emotional upheaval. These mental health changes can have a direct impact on sexual interest and satisfaction.

• Cultural and societal stigma
  Cultural and relationship factors play a key role in sexual wellbeing. Research in India shows that partner support and societal stigma significantly affect women’s experiences, with many feeling reluctant to openly discuss sexual concerns.

• Relationship factors
  During perimenopause, hormonal and emotional changes can add extra strain to relationships. This can make it harder to maintain emotional closeness, and without open communication and intimacy, sexual desire may decrease.

No sex drive at all? Here's what might be happening

Experiencing a complete loss of sexual desire during midlife can be alarming, but it’s not uncommon. Perimenopause low libido is typically driven by a combination of hormonal changes, particularly declining oestrogen and testosterone, along with physical symptoms like vaginal dryness, sleep disruption, and mood swings. These factors can significantly reduce sexual desire, sometimes to the point where it feels non-existent. Psychological elements, such as increased stress, anxiety, or a shift in self-image, can also contribute. It’s important to recognise that a total loss of libido during perimenopause is not unusual, and with the right support, treatment, or lifestyle changes, many women find that their desire can return over time.

There was a time when a flirty glance or a brush of skin could spark something electric. Now? You’d sooner fancy a good night’s sleep than a night of passion. If your sex drive has quietly packed its bags and left the building, you’re definitely not the only one wondering where things went.

Studies indicate that around 27% of women experience low sexual desire before entering perimenopause, and this number increases significantly during the perimenopausal transition. These shifts in perimenopause libido reflect the complex hormonal and physical changes many women face. While this can be frustrating, it’s important to remember that it’s a natural part of the process, and there are effective ways to manage and embrace this new phase with confidence.

What happens to libido during perimenopause?

Low libido during perimenopause is a common experience driven by a complex mix of hormonal, emotional, physical, and relational factors. As women approach menopause, the ovaries gradually slow down production of key hormones, especially oestrogen, which disrupts the delicate equilibrium that supports sexual desire.

Oestrogen is essential for vaginal health, stable mood, and maintaining interest in sex. Its fluctuating and declining levels can make intimacy feel less appealing or even uncomfortable. At the same time, levels of testosterone, another hormone tied to sexual desire, also drop with age, further impacting libido.

However, not every woman will experience low libido in the same way. While some maintain a consistent sex drive, others may notice their desire becoming inconsistent or disappearing altogether. Simple lifestyle and dietary changes, such as learning how avocados boost libido, can also play a role in supporting sexual wellness.

Is it normal? What experts say

It is entirely normal for many women to experience changes in their sex drive during this stage of life. Experts widely agree that fluctuations or a noticeable drop in libido during perimenopause are common and largely driven by hormonal changes, particularly the decline in oestrogen and testosterone. According to studies, nearly half of women report a reduction in sexual desire during perimenopause, often accompanied by other symptoms such as mood swings, fatigue, or vaginal discomfort. While it can feel concerning, healthcare professionals emphasise that this shift is a natural response to the body’s transition and not a sign that something is wrong.

Tips to address loss of interest in sex

If your sex drive has taken a nosedive, there are practical steps you can take to help reignite desire:

• Communicate openly
  Talk with your partner about how you’re feeling. Honesty and vulnerability can help rebuild intimacy, even when libido is low.

• Prioritise self-care
  Taking time for yourself, whether it's a relaxing bath, reading, or simply being alone with your thoughts, can reduce stress and improve your connection with your body. Feeling mentally and emotionally recharged is key to nurturing desire.

• Create space for intimacy
  Busy routines can push intimacy to the bottom of the list. Try scheduling dedicated time for physical connection, without pressure for it to lead to sex. Gentle touch, cuddling, or massage can help re-establish closeness and gradually restore desire.

• Boost physical and mental health
  Exercise, eating well, getting enough sleep, and managing stress can all contribute to improved libido. Mindfulness and relaxation techniques may also help.

• Focus on pleasure, not performance
  Sometimes, redefining what intimacy means can ease pressure. Focus on what feels good in the moment rather than aiming for a specific outcome. This shift in mindset can be particularly helpful when dealing with perimenopausal loss of libido.

• Stay emotionally connected
  Deepening emotional intimacy with your partner through meaningful conversations, shared experiences, or even laughter can help rebuild desire over time.

When to seek professional help?

If low libido is causing distress, affecting your relationship, or leading to feelings of isolation or depression, it may be time to speak to a healthcare professional. Remember, you’re not alone, and you don’t have to just “put up with it.” There are options and resources available to help you navigate these changes with confidence.

Rekindling the flame, your way

Sexual desire isn’t a one-way street; it’s more like a winding path, full of unexpected bends and new views. Experiencing perimenopause loss of libido is just one part of that journey, not a dead end. While it can feel strange initially it’s also an opportunity to reconnect with yourself and your partner in ways that feel authentic and refreshing. Embracing these changes with curiosity and kindness can open doors to a richer, more satisfying chapter of intimacy.

Frequently Asked Questions

1. Is it normal to lose interest in sex during perimenopause?

Yes, many women experience a drop in sexual desire during perimenopause due to hormonal changes and other factors.

2. What causes low libido during perimenopause?

Fluctuating levels of oestrogen and testosterone, along with physical symptoms and emotional changes, can all affect libido.

3. Is perimenopause loss of libido permanent?

Not necessarily; libido can fluctuate and often improves with lifestyle changes or appropriate support.