Most women are familiar with undergoing hormonal fluctuations. Since youth, women's bodies become habitual to the decline and increase of progesterone and estrogen that regulate the reproductive cycle. The changes are usual and casual. We begin to understand what to consider. But perimenopause alters that, by introducing unusual and irrelevant hormonal states and causing women's sexual health issues. The fluctuations in hormonal levels through perimenopause can also impact a woman’s mental well-being which later, in turn, may induce a drop in libido.