It depends on so many factors.
Mine came to SCREECHING halt with full blown menopause. Hit me like a brick wall.
If there was sex (ugh) it was painful. Like a two by four covered in sandpaper.
It was not fun, not pleasant. Neither was my brain fog. I will not bore you with the rest of the symptoms I suffered with, but will tell you, I got help.
Was super fortunate to find a doctor who was patient and knowledgeable concerning menopause and most importantly bio identical hormones.
Once I started on them things began to improve. The suffocating hot flashes, night sweats slowed....then as time went on, stopped. I was able to sleep through the night, and qobders or wonders, pee only when I WANTED TO!
Sex got interesting to me and pleasure returned. Libido was the icing on the cake.
My libido niw is about the same as when I was in my 20s.
This is not premarin or other pill. And must be admistered by a Qualified Doctor.
It has improved my life 100%.