Is this you?
- You're 40–55 and sex is changing
- Your cycle is irregular and so is your libido
- You wonder if it's perimenopause
What the research says
Perimenopause affects 6–14 million women in the US at any time. HRT, vaginal estrogen, and lifestyle interventions all have evidence.
How tantra approaches this
Embraces responsive desire, longer arousal runways, and the body that is now, not the body that was.
When to see a doctor instead
Always — perimenopause warrants medical management.