Perimenopause and menopause can bring physical, emotional and relational changes that affect both sex and intimacy.

In our new video, clinical sexologist and psychosexual therapist Helena Green explains how hormonal shifts may influence libido, arousal, vaginal dryness, comfort during sex, energy levels and body image. These changes can also affect confidence and connection within relationships.

This discussion explores why shifts in desire are common and not a personal rejection, how partners can offer support and why open communication is essential. It also introduces the concept of non-demand intimacy and highlights that menopause is a transition, not the end of a fulfilling intimate life.

With understanding, evidence-based care and supportive relationships, many individuals and couples can adapt to this stage and maintain meaningful connection.