Factors influencing changes in sexual desire during menopause

Changes in sexual desire during midlife, particularly during perimenopause and menopause, are often attributed solely to hormonal shifts, but experts suggest a more complex range of factors are at play.

Medical professionals note that while hormones are a primary driver, other elements such as stress, sleep quality, medication, physical illness, body image, and relationship satisfaction significantly impact libido. Physical discomfort, such as vaginal dryness or soreness caused by falling estrogen levels, can also lead to a decreased desire for intimacy.

In addition to hormonal and physical factors, psychological and neurological elements like ADHD or general mental load can affect how arousal is regulated. While bloodwork may appear normal, conditions like Hypoactive Sexual Desire Disorder (HSDD) are recognized, and FDA-approved treatments such as Addyi exist to address low desire in women.