For many women in perimenopause, these changes are unsettling because they don't simply feel like a list of symptoms. They can affect the way you experience yourself. The question I often hear isn't just, "Could this be perimenopause?" It's "Why don't I feel like myself anymore?"

Long-term relationships go through seasons, and sexual desire often changes along the way. Many couples feel confused or discouraged when intimacy no longer feels as easy, frequent, or natural as it once did. In our practice, we want couples to know that this shift is common, and it does not automatically mean the relationship is broken.