Pellets deliver consistent levels of hormones for approximately 3 months. They avoid the fluctuations of hormone levels seen with most other methods of delivery. There is data to support the ‘long term’ safety of hormones delivered by pellet implants.

Even patients who have failed other types of hormone therapy have a high success rate with pellets.

The insertion of pellets is a simple, painless procedure done in the office under local anesthesia. The pellets are inserted in the upper buttocks through a small incision, which is then taped closed with steri-strips. The experience of the health care professional matters a great deal, not only in placing the pellets, but also in determining the correct dosage of hormones to be used.

Complications from the insertion of pellets include; minor bleeding or bruising, discoloration of the skin, infection, and the possible extrusion of the pellet. It is possible to develop an allergic reaction to the pellets. These complications are very rare.

After insertion of the implants, vigorous physical activity is avoided for 48 hours in women and up to 1 week in men.

Testosterone may cause acne and increase in facial hair in some women.

Estradiol may cause breast tenderness, fluid retention, bloating or weight gain in the hips and thighs, or postmenopausal vaginal bleeding.

With hormone therapy, you may notice more energy, better sleep and improved mood. Muscle mass and bone density may increase while fatty tissue decreases. You may notice increased strength and physical performance, an improvement in skin tone and hair texture. Concentration and memory may improve as will overall physical and sexual health. Libido typically is improved.

Some people begin to ‘feel better’ within 48 hours while others may take a week or two to notice a difference.

The pellets usually alleviate symptoms for 3-4 months. They completely dissolve on their own and do not need to be removed.

Hormone levels will be evaluated before therapy is started. Levels will be reevaluated prior to insertion of the next set of pellets in 3 months. After the first year of therapy, hormones levels may be followed less frequently.

Pellet insertion averages $325 for women. Men require a higher dose, so pellets are typically $700 for men. Pellets need to be inserted 3 or 4 times a year depending on how rapidly you metabolize the hormones. 

• Avoid vigorous physical activity for 2 days (women) or 7 days (men).
• You may shower in 24 hours.
• Apply an ice pack following the procedure to help reduce swelling or bruising.
• Remove the gauze dressing in 24 hours.
• Leave the steri-strips (skin tape) on until it begins to curl at the edges. You may remove it in 5-7 days if it does not loosen up on its own.
• You may have some mild redness around the small incision, this is normal.
• Mild discomfort for up to 72 hours following the procedure is also normal.
• Infection is very rare. However, if the redness and swelling increases after 48 hours, or if the area becomes more tender, these may be signs of an infection. Please call the office as you may need a prescription for antibiotics.