Q: What is low libido in perimenopause and menopause? A: Low libido in perimenopause and menopause refers to a decreased interest in sex, which can often manifest as a reduced desire for sexual activity, difficulty becoming aroused, or painful intercourse due to vaginal dryness.
Let's Explore How and Why
Hormonal Changes Influence Sexual Desire Declining levels of estrogen and testosterone - both key hormones for libido - can lead to a noticeable drop in sexual interest. The changes may occur gradually or feel sudden, leaving many women feeling confused or concerned.
Vaginal Dryness Makes Intimacy Uncomfortable Lower estrogen can cause the vaginal tissues to thin and lose natural lubrication. This often leads to discomfort or pain during sex, which understandably reduces desire for intimacy.
Mental Load & Fatigue Kill the Mood Many women in midlife are balancing work, relationships, and caregiving responsibilities. mental exhaustion, decision fatigue, and a lack of personal space can drastically affect desire, especially when emotional intimacy is lacking.
Body Image Shifts Impact Confidence Weight changes, ageing skin, and breast tenderness can influence how a women feels in her body. This internal narrative affects libido more than many realise - especially if comparison or shame is present.
Medications May Be a Factor Certain antidepressants, blood pressure medications, and even antihistamines can lower libido. During perimenopause and menopause, these side effects may compound existing hormonal challenges.
So What Can We Do About It?
Herbs Can Help Reignite Passion Botanicals like Maca Root, Tribulus, Horny Goat Weed and Shatavari have been traditionally used to support libido, energy, and hormonal harmony. They may help rekindle desire by improving circulation, mood, and stress response.
Stress is a Major Libido Killer High cortisol (stress hormone) levels can blunt sexual desire and interfere with hormonal communication. Practices like breathwork, meditation, or gentle movement can help bring the nervous system back into a more receptive state.
Emotional Connection Plays a Big Role For many women, libido is deeply tied to feeling emotionally safe and connected. Prioritising quality time, communication, and affection outside of sexual activity can naturally increase intimacy and desire.
Libido May Shift in Waves Just like moods or energy levels, libido isn't static. Fluctuations are normal - especially throughout the perimenopause and menopause process. Being curious, compassionate, and open to change can ease pressure and help you to feel more empowered.
Reclaiming Pleasure is a Personal Journey Midlife can be a beautiful time to redefine sensuality, pleasure, and connection on your own terms. Whether that includes self-exploration, education, therapy, or bodywork, reigniting libido often starts with tuning back in to yourself.
Daily Affirmation
"My Energy Flows Freely and I Trust it's Rhythm" Encourages acceptance of fluctuating energy levels, libido, and motivation - all of which are normal during this time