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The fluctuations in the levels of your hormones can also have a negative impact on your sex life, especially because it is often associated with decreased libido. During perimenopause, there is a decrease in the level of progesterone and dominance of estrogen, which results into lack of sex drive. This ca also lead into vaginal dryness and the lack of tension from the vaginal muscles. This explains why women in the menopausal stage often complain about their sex life.