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Q: What's "normal" for libido through perimenopause?

July 21, 2016

I hear this question every now and then, especially from women who are experiencing a higher libido than before. This is entirely possible and "normal": While hormone levels are, in general, declining, the specific levels of estrogen and progesterone are fluctuating erratically from day to day. Testosterone is typically more steady, with less fluctuation from day to day or month to month. That means that the mix of hormones changes. If testosterone is dominant, a woman may experience an enhanced libido (which is why testosterone is sometimes considered as a part of therapy to restore sexual function). I got an enthusiastic message from a woman who's experiencing this "upside" of perimenopause: "I’m 46 years old, with some normal perimenopausal symptoms...

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