
Hormone Replacement/Pellet Therapy
What is a Hormone Pellet?
Estradiol and testosterone pellets are compounded bio-identical hormones that are inserted in the fat layer under the skin of the hip and release these hormones slowly over time, maintaining constant and reliable blood levels. The hormone levels gradually rise, peak at 3-4 weeks, and then gradually fall over the following few months.
In the natural pre-menopausal state, ovaries make 3 types of estrogen as well as testosterone and progesterone. These hormones are maintained in a balance. Hormone pellet therapy is better able to mimic pre-menopausal physiologic levels of estradiol and estrone, 2 of the 3 types of estrogen that are produced by the ovaries. Pellet therapy also offers the option of adding testosterone, which is produced by the ovaries along with estrogen before menopause.

Women who receive hormone pellets find that they feel normal again, many after suffering for years with difficult menopausal symptoms. These women report no more hot flashes or night sweats. They regain their ability to sleep through the night peacefully and wake up feeling refreshed with a general feeling of well-being. Women who receive both estradiol and testosterone pellets also report a renewed sex drive, ability to enjoy sex and experience orgasms for the first time in years.
Insertion is easy, quick, and relatively painless. A small area on the hip is sterilized and local anesthetic is injected just under the skin. A tiny nick is made in the skin and, using a trochar, the hormone pellets, which are the size of rice grains, are inserted under the skin. The tiny incision is closed with adhesive strips and covered with a band-aid. Frequency of Hormone Pellet placement typically ranges from every 3-4 months.
Insurance does not cover insertion or the Pellet medication. Payment in full is required at the time of insertion.