I am on the perimenopause ride, too! Initially, I was “throwing the book at it”: 1) HRT medications (Est, Tes, & Prog) 2) supplements (mag, b-vitamins, D, vit) 3) Nutrition (anti-inflammation), 4) addressing any global/systematic issues with my physician 5) vaginal inserts , 6) working with a SE practitioner, bodyworker, and somatic sex educator. Eventually, I got burn out, depressed, and went broke. Now, the focus is pleasure: self massage, masturbation, vibration, practices that help me connect with & affirm my body, erotica (writing short erotic stories, recording my fantasies, listening to erotica stories, and talking about erotica with others). I have noticed improvement in the sensation, orgasm, and wetness, but it’s not where it used to be. Don’t know how helpful or supportive this was. Be so patient and sweet to yourself during this time (easier said than done). It can take time for the hormones to balance figure out your unique “body code”, what helps or doesn’t (it’s been trial and error for me). Big Hugs🤗