Hormone Pellet Therapy

Bioidentical Hormone Replacement

As we age, hormone levels naturally decline. For many women and men, this shift can affect energy, mood, sleep, weight, libido, and overall quality of life. Hormone pellet therapy is a form of bioidentical hormone replacement designed to restore balance in a steady, consistent way. Our goal is to help you feel clear-headed, energized, and like yourself again.

What Is Hormone Pellet Therapy?

Hormone pellets are small, rice-sized implants placed just beneath the skin, typically in the upper hip area. These pellets contain bioidentical hormones, most commonly estrogen or testosterone, that are chemically identical to what your body naturally produces.

Once inserted, the pellet slowly releases hormones into your bloodstream over several months. This provides a consistent level of hormone support without the daily use of pills, creams, or frequent injections.

The procedure is performed in-office under local anesthesia and typically takes only a few minutes.

Puget Sound Work Injury Clinic - Pellecome - Hormonal Replacement Therapy

Why Would Someone Need Hormone Therapy?

Hormone levels can decline due to:

  • Perimenopause and menopause

  • Age-related testosterone decline

  • Surgical menopause or hysterectomy

  • Chronic stress

  • Thyroid dysfunction

  • Other underlying medical conditions

When hormones fall out of balance, symptoms can interfere with daily life.

Common Symptoms of Hormone Imbalance

If these symptoms are persistent, lab testing can help determine whether hormone imbalance may be contributing.

For Women

  • Hot flashes and night sweats

  • Mood changes or irritability

  • Brain fog

  • Fatigue

  • Weight gain, especially around the midsection

  • Low libido

  • Vaginal dryness

  • Poor sleep

For Men

  • Low energy

  • Reduced libido

  • Mood changes

  • Brain fog

  • Decreased muscle mass

  • Increased body fat

  • Difficulty sleeping

Patients often report improvements in:

  • Energy

  • Mental clarity

  • Sleep quality

  • Mood stability

  • Libido

  • Muscle tone

  • Overall sense of well-being

Because pellets deliver hormones steadily, many patients appreciate the consistency and convenience.

Benefits of Pellet Therapy

  1. Consultation and lab work – We review your symptoms and order appropriate testing.

  2. Personalized treatment plan – Dosing is tailored to your specific needs.

  3. In-office pellet insertion – A quick procedure with local anesthesia.

  4. Follow-up and monitoring – Ongoing labs and symptom review to ensure optimal balance.

Pellets typically last:

  • Women: 3–4 months

  • Men: 4–6 months

What to Expect

  • The hormones used in pellet therapy may be FDA-approved ingredients; however, compounded pellets themselves are not individually FDA-approved products. We use established protocols and careful monitoring to prioritize safety and effectiveness.

  • Pellets provide a steady, consistent release of hormones over several months. Unlike creams or gels that require daily application and can vary in absorption, pellets remove the need to remember a daily dose.

    Oral hormone pills must be processed through the liver, which can affect how the body metabolizes them. Injections can cause hormone levels to rise and fall quickly, sometimes leading to mood or energy fluctuations.

    Pellets are designed to maintain more stable hormone levels, which many patients feel helps reduce symptom swings and improves overall consistency.

  • Recovery is typically simple and straightforward. After insertion, we recommend:

    • Keeping the area clean and dry for 24 hours

    • Avoiding strenuous lower-body exercise for about 3 days

    • Limiting heavy lifting or intense glute workouts during that time

    • Expecting mild soreness or bruising at the insertion site

    Most patients return to normal daily activities right away, with just a few days of modified activity. We provide detailed aftercare instructions at the time of your visit.

  • Most patients report minimal discomfort. A local anesthetic is used during insertion, and mild soreness at the site may last a few days.

  • Some patients notice improvements within a few weeks. Full benefits are typically felt within 4–6 weeks as hormone levels stabilize.

  • Women generally require insertion every 3–4 months. Men typically require insertion every 4–6 months.

  • Hormone therapy is not appropriate for everyone. A full medical evaluation, including labs and review of your health history, is essential to determine candidacy.

Frequently Asked Questions