Hormone pellets are becoming a go-to option for people dealing with hormone imbalances.
Whether it’s menopause, perimenopause, or low testosterone, pellet therapy offers a long-term way to feel more like yourself again.
But before deciding if this treatment is right for you, it helps to understand both the benefits and drawbacks.
Let’s walk through the real-world pros and cons of hormone pellets, and how this form of hormone replacement therapy compares to other options.
SEE HOW HORMONE THERAPY CAN HELP YOU
What Are Hormone Pellets?
Hormone pellets are tiny implants, about the size of a grain of rice, that go just under the skin—usually in the hip area.
Once placed, they slowly release a steady dose of hormones over a period of several months.
These hormones are bioidentical, which means they’re designed to match what your body naturally produces.
Pellet therapy is commonly used for women going through menopause and men dealing with low testosterone.
It’s one of several types of bioidentical hormone replacement therapy (BHRT) available today.
The Pros of Hormone Pellet Therapy
Let’s take a look pros of hormone pellet therapy:
Steady, Long-Term Hormone Support
One of the biggest advantages is that pellets deliver consistent hormone levels around the clock.
You don’t get the daily ups and downs that can happen with pills or creams.
That steady balance can make a big difference in how you feel.
You Don’t Have to Think About It Every Day
Once the pellet is inserted, that’s it for several months.
You don’t have to remember to take something every morning or reapply a cream.
For people with busy lives, this hands-off approach is a huge plus.
Relief from Common Symptoms
Many people notice an improvement in symptoms like low energy, mood swings, brain fog, sleep issues, hot flashes, and low libido.
Hormone pellets may also support better mental clarity, stamina, and emotional balance.
Personalized to Your Body
Pellet dosing is customized based on your hormone levels, lab work, and symptoms.
That means you get a treatment plan that’s built specifically for you—not a one-size-fits-all option.
The Cons of Hormone Pellet Therapy
Let’s look at some of the drawbacks of hormone pellet therapy:
It Involves a Simple Procedure
Pellets are inserted under the skin during a short in-office visit.
While it’s a quick process, it still requires a small incision and healing time.
You might experience some mild bruising or discomfort for a few days.
Some People Have Side Effects
Like any hormone therapy, pellet treatment can come with side effects.
These may include acne, bloating, mood swings, or skin irritation at the insertion site.
Occasionally, the body may push the pellet out—a rare event known as extrusion.
Hard to Adjust Once It’s In
Because pellets stay in place for 3 to 6 months, you can’t just stop or lower the dose if something feels off.
Unlike creams or pills, you don’t have the flexibility to adjust the dose mid-treatment.
It May Be More Costly Than Other Options
Pellet therapy can be more expensive than other types of hormone therapy, especially since it’s done less frequently and is often customized.
Not all insurance plans will cover it, so it’s a good idea to ask about cost ahead of time.
Who Are Hormone Pellets Best For?
Pellets can be a great option for women dealing with menopause symptoms, men with low testosterone, and anyone looking for a steady, low-maintenance solution to hormone imbalance.
If you’ve already tried other types of hormone therapy and want something longer-lasting, pellets might be worth considering.
When You Might Want a Different Option
Pellets may not be the best first step if you’re new to hormone therapy and still figuring out what dose works best for you.
If you prefer having the ability to stop or change your treatment quickly, something like creams, gels, patches, or injections might be a better fit.
How We Help at BHRT Delivered With The Pros And Cons Of Hormone Pellets
At BHRT Delivered, we offer personalized bioidentical hormone replacement therapy for both women and men.
That includes hormone pellet therapy, along with other options depending on what fits your body and lifestyle.
We start with lab testing and a one-on-one consultation to understand what your body needs.
If pellets are the right choice, we’ll walk you through everything—from insertion to follow-up.
If not, we’ll talk through other therapies that may be better for your goals.
Our team is here to make hormone therapy simple, effective, and easy to manage—right from the comfort of your home.
You can learn more about our hormone therapy for women or testosterone therapy for men.
Conclusion: Pros and Cons of Hormone Pellets
Pellet therapy offers steady hormone support, convenience, and symptom relief for many people.
But it’s not the right fit for everyone.
Think about what you need from your hormone therapy—whether it’s flexibility, simplicity, or long-term consistency.
If you’re considering hormone pellets or want to explore your options, we’re here to help.
Reach out to us at BHRT Delivered to schedule a consultation and take the first step toward feeling more like yourself again.
FAQs: Pros and Cons of Hormone Pellets
What are the pros and cons of hormone pellets?
Hormone pellets offer steady, long-term hormone delivery and convenience with fewer daily tasks. They may relieve symptoms like fatigue, hot flashes, and low libido. On the downside, they require a minor procedure, can’t be adjusted once inserted, and may cause side effects like acne or mood swings. Cost and insurance coverage can also be a concern.
Can you gain weight with hormone pellets?
Some people may notice weight changes on hormone pellets, but it’s often due to how the body adjusts to hormonal balance. While weight gain is possible, studies tend to show improved metabolism, energy, and muscle tone, especially when combined with lifestyle changes.
How long can I stay on hormone pellets?
You can stay on hormone pellets long term if they continue to work well for you and your provider monitors your hormone levels regularly. Many people use them for years with ongoing symptom relief, adjusting dosing as needed over time.
Are there testosterone pellets for women?
Yes, testosterone pellets are sometimes used for women as part of a customized BHRT plan. In small, carefully dosed amounts, bioidentical testosterone may help with libido, energy, and mood in women, especially during or after menopause.
What is HRT vs TRT?
HRT, or hormone replacement therapy, refers to treatments that restore hormone levels—often used for estrogen, progesterone, and testosterone. TRT, or testosterone replacement therapy, is a type of HRT specifically focused on restoring low testosterone levels, usually in men but sometimes in women as well.
