Women might notice:

• a reduced ability to feel pleasure or interest

• muted emotional responses

• difficulty feeling excited, moved, or engaged

• motivation that feels mechanical rather than meaningful

• a sense of “going through the motions”

Many women in perimenopause describe the emotional sensitivity as feeling like they have “thinner skin.” Things that once rolled off, now register. Conversations replay in your mind. Disappointment feels sharper. Even affection can feel more intense.