Perimenopause is rough in many ways, it CAN increase social withdrawal urges because rapidly fluctuating estrogen and progesterone impact mood, anxiety, energy, emotional regulation, ability to deal with stress, and sensitivity to social cues from other people. This is exhausting, no wonder so many women simply don't have the energy to want to be social. Have you recently found yourself declining invitations, withdrawing when you used to be the one keeping everyone laughing,