Many women going through hormonal shifts experience a drop in libido or sex drive. Perimenopause is the time when women's hormones shift, typically between 40 and 55 years old. (It can start earlier and go later). Her hormones are slowly shifting from levels needed for being able to have a baby to lower levels that she will maintain for the rest of her lifetime. As progesterone, estrogen, and testosterone shift, her sex drive can drop and even disappear. But this does not have to be permanent. A woman can regain her sex drive and ability to orgasm when her hormones are balanced. Stress can also play a significant role is hormone balance and can turn hot sex to ice. Find a healthcare practitioner who can fully assess your hormonal status and offer you treatment options to bring your hormones back into balance. This can often be done with natural medicine and without pharmaceuticals.