Symptom & Goal

Is Running Good for Low Libido During Perimenopause?

Low libido in perimenopause has several causes, and running addresses many of them. Find out how regular running supports hormones, mood, energy, and sexual confidence.

4 min readFebruary 28, 2026

Low Libido Is a Hormonal and Lifestyle Issue

A reduced sex drive during perimenopause is not simply about hormones, though they certainly play a role. Fatigue, low mood, poor body image, disrupted sleep, and high stress all contribute to reduced desire. The interplay of estrogen and testosterone decline creates a less fertile ground for libido. What makes running a useful intervention is that it addresses several of these factors simultaneously, which is why many women find a running habit revives more than just their fitness.

Running, Endorphins, and Desire

Running triggers a well-documented release of endorphins, sometimes called the runner's high. These natural opioid-like chemicals elevate mood, reduce pain perception, and create a sense of euphoria and wellbeing. When you feel good in yourself, desire tends to follow. Running also raises levels of dopamine and serotonin, neurotransmitters that are closely tied to pleasure, motivation, and positive mood. Low dopamine in particular is associated with reduced libido, so any activity that raises it can help.

Testosterone and Aerobic Exercise

Moderate aerobic exercise like running has been shown to support healthy testosterone levels in women. Testosterone plays a direct role in sexual desire, and it declines significantly during perimenopause. Regular running, at a moderate intensity rather than exhaustive distances, appears to provide a hormonal stimulus that partially counteracts this decline. Overdoing mileage or running at extreme intensities can have the opposite effect, temporarily suppressing hormones, so balance and recovery matter.

Body Confidence and the Runner's Identity

Running builds a particular kind of body confidence. It is not about aesthetics so much as capability and resilience. Women who run regularly often describe feeling proud of what their bodies can do, regardless of what they look like. That sense of physical agency and pride translates into feeling more comfortable in intimate situations. The changes running brings to posture, muscle tone, and cardiovascular fitness also help women feel more at ease in their skin during a time when bodies are changing in often uncomfortable ways.

How to Run for Libido Benefits Without Overdoing It

Consistency and moderation produce better hormonal outcomes than high mileage. Aim for three to four runs per week, ranging from 20 to 45 minutes each, at a conversational pace for most of your training. Add one slightly faster session per week if you enjoy variety. Rest and sleep are as important as the running itself. Overtraining suppresses hormones and increases cortisol, which is counterproductive. Listen to your body and keep running enjoyable rather than punishing.

Running Alongside a Broader Approach

If low libido is persistent and affecting your quality of life or relationships, running is a positive step but not necessarily sufficient alone. Speak to your GP about the full range of options, including HRT and testosterone therapy if hormonal deficiency appears significant. Relationship communication, mental health support, and sleep optimisation all contribute. Running gives you a strong and accessible foundation, with daily benefits to mood, energy, and self-image that create a more receptive environment for desire to return.

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Medical disclaimerThis content is for informational purposes only and does not constitute medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider with questions about a medical condition. PeriPlan is not a substitute for professional medical advice. If you are experiencing severe or concerning symptoms, please contact your doctor or emergency services immediately.

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