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

In our new video, clinical sexologist and psychosexual therapist Helena Green explains how hormonal shifts can influence libido, arousal, vaginal dryness, comfort during sex, energy and body image. She also looks at how these changes can affect confidence and connection between partners.

Helena explains why changes in desire are common and are not a sign of rejection, how partners can offer support and why open conversation matters so much. She also introduces non-demand intimacy, a way of staying close without pressure or expectation, and reminds us that menopause is a transition, not the end of a fulfilling intimate life.

With understanding, evidence-based care and supportive relationships, many people and couples adapt well to this stage and continue to enjoy meaningful connection.

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.