What are Pellets?

The most common pellets are made up of either estradiol or testosterone. The hormones, estradiol or testosterone, are pressed or fused into very small solid cylinders. These pellets are larger than a grain of rice and smaller than a ‘Tic Tac’. In the United States, pellets are made by a licensed compounding pharmacist and delivered in sterile glass vials.

How do I know if I am a Candidate?

Some of the symptoms you might experience include excessive weight gain, low libido or sex drive, mood swings, insomnia or trouble sleeping, depression, and or irritability. If you are experiencing any of these symptoms, you could be a candidate for BHRT pellet therapy.

How are Where are Pellets Inserted?

The insertion of pellets is a simple, relatively painless procedure done under local anesthesia. The pellets are usually inserted in the hip through a small incision which is taped closed. Experience of the health care professional counts; not only in placing the pellets but in determining the correct dosage of hormones to be
used.

How Long do Pellets Last?

The pellets usually last between 3 and 5 months in women and 5-6 months in men. High levels of stress, physical activity, some medications and lack of sleep may increase the rate at which the pellets absorb and may require that pellets be inserted sooner in some patients.

Do Pellets need to be Removed? 

The pellets do not need to be removed. They completely dissolve on their own.

How are the Pellets Monitored During Therapy?

Hormone levels will be drawn and evaluated before therapy is started. This will include an FSH, estradiol, testosterone and free testosterone for women. Men need a PSA, estradiol, free estradiol and testosterone prior to therapy. Levels will be reevaluated during hormone therapy at 4-6 weeks and again in 3-5 months. After the first years of therapy hormone levels are followed less frequently. The PSA in men is followed every 6-12 months.