Is a lower sex drive a normal part of menopause?

It's common, but that doesn't mean it has to simply be accepted. Hormonal shifts during perimenopause and menopause can affect desire, but so can sleep, mood, medications and stress happening at the same time. If the change is bothersome, it's worth exploring.

Can antidepressants really affect libido?

Yes. Certain medications, including many SSRIs, can affect desire, arousal or orgasm. This doesn't mean stopping a medication that is helping with mental health, but it is worth a real conversation with a provider about the options available.

Does low testosterone explain low libido in women?

Sometimes it's part of the picture, but a testosterone level alone cannot diagnose the cause. Desire is influenced by much more than a single lab value, which is why a whole-person evaluation matters more than one number.

When should I bring this up with a provider?

Anytime it matters. There's no need to wait for a symptom to feel severe, or for a provider to bring it up first. A simple, honest statement is enough to start the conversation.

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