We have always done well here until very recently. My wife and myself are in our late 40's and I think she may be going through the change. I am hoping once we have insurance she can get on hormone pills/patch or what ever women do at this time and we can return to our regular programming.
My wife is going through the change. A couple of years ago she went to her doctor complaining about unusual menstrual cycles; she was diagnosed later as perimenopausal. Didn't affect our sex life until sex became painful for her. Turns out, she has endometriosis.
She has gone the hormone therapy since then, but the endometriosis is getting worse. She is scheduled to undergo endometrial ablation in a few weeks; also taking care of a small hernia at the same time.
Sex life has definitely changed over the past couple of years. I appreciate her handies and head, but I feel kinda selfish as the only one that orgasms...even clitorial stimulation that leads her to orgasm is painful due to uterine contractions.
It's going to take time, but both of us look forward to a "normal" sex life.
Good luck to you and your wife...I hope she has an easier time with the change.
I'm going to drop into this thread here. First off, the Mrs and I are both into our late 50's. Second marriages for both, her a widow. I brought a young son into our relationship from a badly dysfunctional marriage that simply shouldn't have happened. We have two son's together. All three are great kids.
Sex early on was crazy, but looking back I was an amateur. As life grew more complicated- visitation issues, kids issues, work issues,
health issues- sex began to take a back seat. She had a history of fibroids and sex just didn't feel good for her. Months between. Communication suffered as intimacy lessened. Depression and meds. Walls went up.
Fast forward through several years of trying to hold onto our friendship/marriage, focusing on the kids, not making new friends, very little social life save for extended family... to her doctor and her determining that a hysterectomy might be very good idea. She was afraid of losing her "female-ness" and having hormone issues, but after she did it our lives changed considerably- and for the better! She flat out states that it was one of the best things she has ever done, and only wishes she had done it earlier. The fibroid mass removed along with her uterus- left the ovaries/tubes and cervix intact- was the size of a grapefruit.

Sex actually wasn't uncomfortable anymore!
Add to that- and you guys can chuckle all you want- the 50 Shades Factor. She read the books as I rolled my eyes, and then gave me the first one to read. In there she "discovered" that a woman claiming to not "want it" but "doing it" because it is her wifely duty

, takes her psyche off the hook. She is "allowed" to be a bad girl because, well it isn't up to her. I'm "making" her be "naughty." Where I used to almost always be the one to initiate sex, she now lets me know she is feeling frisky by "preparing"...
A mind #### of sorts, right? I'm not going to argue as long as it isn't just my mind getting the action. And this renewed connection/intimacy has worked wonders for me mentally AND physically...
(Did I say I was 57?)