In episode 311 of the You're Not Broken podcast, Kelly Casperson, MD, hosts Marcella Hill and her husband to discuss their journey through hormonal changes and their impact on their relationship. They explore the challenges of libido loss, the role of therapy, and the transformative effects of testosterone therapy. The conversation highlights the importance of understanding hormonal health in relationships and the awakening of self-awareness that comes with it. I n this conversation, Marcella Hill and Dr. Kelly Casperson explore the complexities of libido, sexual shame, and the transformative power of hormones in midlife relationships. They discuss the importance of self-discovery, emotional honesty, and the need for patience in navigating personal and relational growth. The dialogue emphasizes that pleasure and desire are not solely for others but are essential for individual fulfillment and connection. Takeaways The relationship was initially strong but faced challenges due to hormonal changes. Libido loss can lead to feelings of anxiety and disconnection in relationships. Therapy can help with communication but may not directly address libido issues. Medical interventions, like hormone therapy, can significantly impact well-being. Testosterone therapy revitalized Marcella's energy and libido, transforming her relationship. Awakening to a new self can create challenges in long-term relationships. Couples can navigate hormonal changes together for better understanding and support. Increased awareness of hormonal health can improve communication and intimacy. Hormones play a crucial role in mental health and overall well-being. Understanding the effects of hormones can lead to proactive health measures. Women often feel shame about their sexual desires. Listening to uncomfortable content can help challenge sexual shame. Orgasm is not just a sexual act; it's about personal joy and passion. Women deserve to feel turned on for their own pleasure, not just for others. Men's enjoyment in relationships often comes from seeing their partner's pleasure. Communication about sexual needs is crucial for both partners. Exploring sexuality can enhance intimacy and connection in relationships. Emotional honesty leads to a more expansive and fulfilling relationship. Hormone therapy can reignite passion and feelings in midlife. Learning to feel emotions is essential for personal growth and connection. https://marcellahill.com/ https://www.instagram.com/beingmarcellahill https://www.wakeherup.co/welcome Sedona in October - only three slots left: https://www.ascendretreats.com/menopause-and-sexual-health-2025 Order my book "You Are Not Broken: Stop "Should-ing" All Over You Sex Life" Listen to my Tedx Talk: Why we need adult sex ed Take my Adult Sex Ed Master Class: My Website Interested in my sexual health and hormone clinic? Waitlist is open To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 20% off your first order. For an additional $5 off Via, use coupon code DRKELLY5. Thanks to our sponsor Midi Women's Health. Designed by midlife experts, delivered by experienced clinicians, covered by insurance. Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care. https://www.joinmidi.com Learn more about your ad choices. Visit podcastchoices.com/adchoices