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But if changes feel sudden, cause pain during sex, or take a toll on your relationship or well-being, it's worth mentioning them to a clinician (like one of Midis experts), who can: review any medications youre taking rule out underlying conditionssuch as thyroid disorders, depression, or anemiathat can affect sex drive discuss symptoms like vaginal dryness or hot flashes that may be related to hormone changes during perimenopause or menopause order labs if needed Low libido is treatable