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BHRT & Hormone Replacement

Hormone Pellet Therapy

Small compounded testosterone or estradiol pellets inserted under the skin release a steady dose over 3–5 months — convenient but with less dosing flexibility than other routes.

Hormone Pellet Therapy illustration
Success rate
N/A
Avg cost (US)
$300–$700/insertion
Recovery
1–2 days
US volume / yr
~500,000
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Who it helps

Adults on hormone replacement who want a no-daily-dose option and prefer a hands-off delivery method.

What to expect

5-minute in-office procedure under local anesthesia. Small incision at the hip or buttock.

Recovery

Return to normal activities in 1–2 days. No swimming or heavy exercise for a week.

Cost range

$300–$600 per pellet insertion for women; $500–$900 for men; not typically covered by insurance.

Questions to ask your doctor

  • What are my alternatives (patch, gel, injection)?
  • How will you adjust dose if I have side effects?
  • What is the extrusion or infection rate?

Frequently asked

Are pellets FDA-approved?

Compounded pellets are not FDA-approved; they fall under compounding-pharmacy regulation.

What if my dose is wrong?

It's hard to reverse once inserted — this is the trade-off for convenience.

Ready to talk to a specialist?

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Related procedures

General information only — not medical advice. Always consult a qualified clinician for your specific situation.