Many women experience sexual wellness changes during perimenopause and menopause, but many do not raise them early because the symptoms feel private or hard to explain.

Two common issues are:

  • lower libido
  • vaginal dryness or discomfort

When these symptoms appear with sleep changes, mood shifts or irregular cycles, they can fit into a broader transition pattern. A structured self-check helps women identify whether these symptoms are isolated or part of something larger they want to discuss with a clinician.