Hormone Pellet Treatment in Hot Springs


Hormone pellets represent a novel, efficient, and effective way to administer bio-identical hormone replacement therapy. Unlike other forms of hormone delivery, pellets are implanted just under the skin in the hip area and deliver a consistent dose of hormones without any further intervention. Pellet treatment can deliver both estrogen and testosterone as needed by the patient’s individual circumstance.


How do I know if I need hormone pellet treatment?

After determining that you are a good candidate for pellet delivered hormone replacement therapy, a time will be scheduled for your procedure. Preparation is minimal, requiring only the cleaning of the implant area (usually the hip) and injection of a local anesthetic to minimize any pain or discomfort.

The pellets are implanted just under the skin using a medical device known as a trocar. These pellets are tiny enough that they should not cause discomfort. Approximately 2 to 3 pellets are implanted and slowly dissolve over time.


The entire procedure takes about 10 minutes and most patients have very little discomfort once the local anesthetic wears off. There is minimal downtime to speak of and patients can continue with their normal activities as soon as they leave the office (best to avoid submerging insertion site in water for 1 week-showering is acceptable the following day.

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What are the benefits of hormone replacement pellets?


We use only the highest quality bio-identical hormone pellets to ensure safety and efficacy as well as minimizing any negative interaction with the body. These hormones are specially formulated and compounded by accredited and licensed pharmacies to ensure the greatest biocompatibility with each patient. Pellet implantation is particularly beneficial because the delivery of hormones is consistent versus pills or cream that have spikes and troughs of hormone delivery throughout the day. Furthermore, patients do not have to remember to apply creams or take pills and only require retreatment every three to six months.


Risks and potential considerations of pellets

Very rarely, an infection can occur at the implantation site. Also, there is the potential for the pellets to be rejected and extruded, meaning that they come out from under the skin. You may be started on a cream or patch to determine the appropriate dosage of hormones before the implantation of pellets. Any side effects of hormone replacement therapy will be closely monitored.



The Bottom Line

By combining bio-identical hormone replacement therapy with a delivery method like subcutaneous pellets, we offer the patient the ideal balance between safety, efficacy, and convenience. Call us to learn more about pellets and bio-identical hormone replacement therapy and to schedule a consultation to see if it is right for you.

Still have questions?


See some of our most frequently asked questions:

  • How quickly do hormone pellets work?

    After 2-5 days, patients will start feeling the effects of their pellets.

  • Does insurance cover hormone pellets?

    Pellet therapy involves implanting a slow-release pellet under the skin, so the cost may vary depending on your healthcare provider. It is a cash-based procedure, hormone pellets are typically not covered by health insurance and a patient will probably have to shoulder the total cost on their own.

  • Are hormone pellets better than injections?

    Though all three methods of hormone administration were effective in raising levels, the topical and pellet methods had more even and steady serum hormone levels. When comparing pellet therapy vs. injections, pellets offered more reliable, consistent dosing over time.

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