Low libido
Low libido refers to a decline in sexual desire or interest, which can occur during perimenopause and menopause due to hormonal changes, physical symptoms, or other life factors.
How to track
- Log weekly self-assessment of desire level using a consistent scale (e.g., 0-10).
- Note frequency of sexual thoughts or interest compared to previous patterns.
- Record physical comfort factors (vaginal dryness, pain, arousal changes).
- Track relationship context, stress levels, sleep quality, and mood.
- Log timing relative to cycle changes, HRT adjustments, or other medications.
Common context
Libido changes during menopause transition are highly individual and often linked to multiple factors including hormone levels, sleep disruption, mood changes, and physical comfort.
What to bring to a clinician
- What pattern do you see in desire levels over several weeks?
- Are physical symptoms (dryness, discomfort) affecting desire or arousal?
- What other symptoms coincide with changes in libido?
- How does libido pattern relate to your cycle or HRT regimen?