During perimenopause and the menopause transition, hormonal changes, caused by vascillating estrogen and progesterone levels, can wreak havoc on your emotional and physical well-being — and, in the process, significantly impact your sex life. In researching my book, Sexually Woke, I studied more than 1,000 people between the ages of 40 and 65 — more than 70 percent of whom identified as perimenopausal or menopausal. The single most common complaint about perimenopause? Decreased sex drive (51 percent). Fatigue, insomnia, weight gain, and vaginal dryness rounded out the top five.
While it’s true, the effects of perimenopause can derail your sex life, there’s good news too. My research revealed that we can not only recharge their libidos and get our relationships back on track, but also have the best sex of our lives after 40, 50, and beyond.
Below are five insights about perimenopause and sex I derived from both research for my book and longstanding career as a gynecologist specializing in midlife care. Understanding these insights and implementing (with a healthcare provider’s guidance) some of these solutions can help you to restore your sex drive and your sex life, pretty much for good.