The effect perimenopause has on your ability and willingness to have sex is complex because there are so many physical and mental factors that go into a healthy sex life.
On the physical side, lost estrogen can cause your vagina to become dry and thin and that makes sexual intercourse painful. Hot flashes and night sweats can impact your sleep, and when you are fatigued and sleep deprived, it hardly puts you in the mood. The aging process, outside of perimenopause, can also play a role. Some women become depressed or feel less attractive as they get older, which can affect sexuality. However, there is no reason with proper treatments and the right mindset that you shouldn’t be able to have a healthy sex life into your later years.