“This is because oestrogen which is depleted in the menopause and the perimenopause phase, which is the time leading up to the menopause, starts to come down.
“Oestrogen – one of its most important jobs is to affect some of the brain chemicals, the neurotransmitters in our brain particularly the ones that affect our mood like serotonin and dopamine.
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“So if your oestrogen levels, particularly in the perimenopause phase, kind of wave up and down rather than come down your mood can go up and down with that oestrogen kind of moving up and down as well.”
Impact on sex life
Doctor Amir added: “When oestrogen levels come down the vulva ends up thin and dry.
Source: Daily Express