By Valinda Harlan, LMHC, LPC | Bright Future Counseling LLC | Couples Counseling PNW Perimenopause and symptoms of menopause can start in your 40s. Couples counseling can help Key Takeaways Menopause is a significant hormonal and emotional transition that affects not just the person experiencing it, but the relationship as a whole. Mood changes, body image shifts, sleep disruption, and loss of sexual desire are all common, and none of them have to permanently damage your rel

Desire discrepancy is when partners want sex at different frequencies or intensities. It is one of the most common concerns couples bring to therapy. You are not broken, and your relationship is not doomed.