Hormonal changes during perimenopause and menopause can affect mood regulation, stress response, sensory tolerance, and sexual desire. As estrogen fluctuates or declines, women may experience increased irritability, lower tolerance, and changes in intimacy. For many, desire becomes more responsive rather than spontaneous. These shifts can impact relationships, often leading to miscommunication or emotional distance if they are not understood. This is not a relationship failure — it is a physiological change that can be addressed with the right information and support.
