Read more about post pellet insertion instructions for patients!
Hormone pellets are inserted through a quick in-office procedure using a sterile trocar. After numbing the skin with a local anesthetic, the provider makes a small incision, typically in the upper buttocks area. Using a trocar, which is a medical-grade insertion tool, the pellet is placed subcutaneously just beneath the skin. The incision is then closed with Steri-Strips or sutures and covered with a sterile dressing.
This method ensures the pellet is securely positioned, allowing it to release a consistent and steady dose of hormones over time. The procedure is minimally invasive and usually leaves little to no visible scarring.
The hormone pellet insertion procedure typically takes less than 15 minutes from start to finish. Most of that time is spent preparing the site and applying local anesthetic to keep the patient comfortable.
Recovery is generally mild and straightforward. Patients are advised to avoid strenuous activity, heavy lifting, or submerging the area in water (such as baths or pools) for a few days to prevent irritation or infection. Some mild swelling or bruising at the insertion site is normal and usually goes away within a few days. Most people can return to normal daily activities immediately following the procedure.
Hormone pellets typically last between 3 to 6 months, depending on the patient's metabolism, hormone levels, and lifestyle. In general, men may need pellet insertion every 5 to 6 months, while women may require it every 3 to 4 months.
Because the pellets dissolve slowly under the skin, they deliver a steady, consistent dose of hormones over time without the fluctuations that can occur with other forms of hormone therapy. Follow-up labs and consultations help determine the best timing for future insertions based on individual response.
The cost of hormone pellet therapy can vary based on factors like geographic location, provider fees, and whether follow-up lab work is included. On average, patients can expect to pay between $300 and $750 per insertion.
Since pellet therapy typically lasts several months, many patients find it to be a cost-effective option compared to other hormone replacement methods. It's important to consult with your provider to understand the full scope of pricing, including any additional visits, labs, or custom dosing that may be required.
For hormone pellet insertion procedures, the most commonly used trocar size ranges from 3.2 mm to 4.5 mm, depending on the number and size of pellets being implanted. A 4.5 mm trocar is often preferred for multiple pellets or larger formulations, while a 3.2 mm or 3.5 mm trocar may be sufficient for smaller dosages or fewer pellets.
Using the appropriate trocar size helps facilitate smooth insertion with minimal tissue disruption. Providers typically select the size based on the patient's hormone prescription and physical anatomy.
Yes, there are important differences in how hormone pellet therapy is administered for men and women. The most significant variation lies in dosage and pellet composition. Men typically require higher doses of testosterone and fewer insertion appointments, often every 5 to 6 months. Women usually receive lower doses and may return for treatment every 3 to 4 months.
Hormonal needs can also differ based on age, health history, and individual symptoms. For example, women may be balancing both estrogen and testosterone, while men are generally focused on testosterone optimization. Providers tailor the therapy based on lab work, medical history, and treatment goals to meet each patient’s specific needs.
