Hormone Pellet Implants
According to various studies, hormone replacement therapy with pellet implants is the most effective method to bring the body to its optimal level in women. The implants are placed under the skin, consistently releasing small doses of hormones providing optimal therapy.
What are Pellets?
The pellets used in our office are either testosterone or estradiol; they are pressed or fused into very small solid cylinders. The majority of pellets in the United Stated are produced by compounding pharmacies and delivered in sterile vials.
Pellets deliver consistent, optimal levels of hormones for 3-4 months. It avoids the ups and downs of hormones seen with other forms of delivery. Pellets do not increase the risk of blood clots. When compared to other methods of hormone replacement therapy, studies show pellets have been great for the relief of menopause symptoms, maintenance of bone density, restoring normal sleep patterns, and enhancement in sex drive and sexual response. Studies show an increase in energy, reduced anxiety, and improvement in memory and concentration. Testosterone pellets increase lean body mass and reduces fat mass.
How and where are the pellets inserted?
Pellet implantation is a very quick and convenient procedure that is relatively painless. A local anesthetic is used and the pellet is inserted through a small incision in the upper buttocks. One small stitch is used to allow you to continue on with your day as normal. You will receive post procedural instructions to take home.
Are there any side effects or complications?
Complications may include: minor bleeding or bruising, discoloration of the area, infection, and possible extrusion of the pellet. Other than slight bruising, these complications are very rare. Testosterone stimulates the bone marrow and increases red blood cell production. Testosterone, delivered by pellets or other methods, may cause an elevation in the red blood cells. If the hemoglobin and hematocrit get too high, a unit of blood may have to be donated. After the pellets are inserted, vigorous activity should be avoided for 48 hours. Antibiotics may be prescribed; however, this is a ‘clean procedure’ and antibiotics may not be needed.
Do pellets have the same danger of breast cancer as other forms of HRT?
Pellets do not pose the same risk of breast cancer as high doses of oral estrogens that do not maintain the correct estrogen ratio. Nor do they increase the risk of breast cancer. Data shows that balanced, bio-identical hormones are breast protective. Testosterone pellets has been shown to decrease breast proliferation and lower the risk of breast cancer.
Are there any side effects to estrogen pellet implants?
When a patient first starts, there may be mild, temporary breast tenderness. This will resolve on its own. There may also be a temporary water weight gain, this will also resolve on its own.
Will stradiol & testosterone pellets help with hair loss?
Hormone deficiency is a common cause of hair loss; treatment can help to re-grow thicker, more nourished hair.
How long until a patient feels better after pellets are inserted?
Patient’s notice a change within 24-48 hours, while others may take a week or two to notice a difference. Stress is a major contributor to hormone imbalance and illness.
How are hormones monitored during therapy?
A blood test will be done prior to starting the pellet therapy. The hormone levels will be evaluated to determine the dosage needed. A blood test is done 4 weeks after the pellet implant to establish the new hormone levels. A thyroid test may also be done at that time.
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