Hormone pellet therapy is a form of bioidentical hormone replacement therapy (BHRT). Small pellets containing bioidentical hormones—compounds chemically identical to those produced by the body—are placed under the skin. These pellets gradually release hormones over time, providing a consistent dose to help balance hormone levels.

Typically, these pellets contain estrogen or testosterone derived from natural plant sources. Over several months, they dissolve, offering steady and predictable hormone release. Many find this approach more convenient than daily pills, patches, or creams.

How Does Hormone Pellet Therapy Work?

The procedure is simple and minimally invasive. A healthcare provider numbs a small area of skin, usually around the hip, and makes a tiny incision to insert the pellet beneath the skin. The process takes only a few minutes and doesn’t require stitches. Most people experience little discomfort and can return to normal activities shortly afterward.

Once inserted, the pellets release hormones gradually over three to six months. This slow, consistent release helps maintain stable hormone levels, avoiding the peaks and valleys often associated with other HRT methods, such as pills or injections.