Why do I get anxiety during sex during perimenopause?

Experiencing anxiety during sex during perimenopause is common, and the timing is not random. Your body's hormonal fluctuations interact with your environment, activity level, and stress response to trigger symptoms at specific moments.

During sex, your body may be more susceptible to anxiety because of factors like temperature changes, physical exertion, stress hormones, or blood sugar fluctuations. Estrogen helps regulate many of these systems, and when levels are unpredictable, your body's response becomes less predictable too.

Practical strategies: Pay attention to what happens in the 30 minutes before anxiety starts during sex. Common triggers include caffeine, alcohol, spicy foods, warm environments, sudden stress, and blood sugar drops. Once you identify your personal triggers, you can plan around them.

Logging when anxiety occurs during sex helps you build a clear picture of your patterns and share useful data with your healthcare provider.