In Detail
Hormone pellets are small, rice-sized implants — typically containing bio-identical testosterone, and in women sometimes estradiol — placed under the skin of the upper buttock through a brief, in-office procedure. Once in place, they release hormones gradually over several months.
The appeal is convenience and consistency: no daily creams, no weekly patches, no twice-weekly injections. Levels stay relatively steady between insertions, which some patients find smoother than the peaks and troughs of other methods.
Pellets are not for everyone. Dose adjustments are not as easy as with topicals or injections — once placed, the pellet must run its course. Candidates are selected carefully, and the first cycle is treated as a calibration to determine the right dose for that individual.