Email: appointments@completemidlifewellness.com
Hormone Pellet Therapy

Hormone Pellet Therapy

Hormone pellet therapy is a form of bioidentical hormone treatment that delivers plant-derived estradiol and testosterone through a small subcutaneous implant. Designed for continuous, physiologic release over several months, this approach supports more stable hormone levels and a personalized response based on each woman’s symptoms, physiology, and lab profile. We look forward to discussing this with you in depth during your consultation. In the meantime, here are 10 key insights to help guide your understanding:

1. Effective pellet therapy depends on precise, individualized dosing that integrates clinical symptoms, metabolic patterns, and laboratory data rather than relying on standardized protocols.

2. When dosed appropriately, pellet therapy supports consistent hormone exposure over time, which may help reduce the physiologic stress associated with fluctuating hormone levels.  

3. Clinical outcomes are highly dependent on provider expertise, particularly in understanding hormone metabolism, tissue sensitivity, and patient-specific variability in absorption and response.

4. The misconception that pellets inherently produce excessively high hormone levels is not supported by clinical practice, where imbalances are typically related to inappropriate dosing rather than the delivery method itself.

5. In experienced hands, pellet therapy can be dosed to achieve symptom relief while maintaining hormone levels within a safe and physiologically appropriate range.

6. With over 15,000 pellet insertions performed, our approach reflects a refined dosing methodology developed through longitudinal patient outcomes and continuous clinical evaluation.

7. Ongoing collaboration with physicians, including educational work associated with Baylor College of Medicine, contributes to advancing safe and effective pellet dosing practices across providers.

8. Hormone requirements are not static, and pellet therapy is adjusted over time based on changes in symptoms, life stage, and objective laboratory findings.

9. Care is delivered within a structured medical framework that includes follow-up, monitoring, and ongoing assessment to ensure both safety and effectiveness over time.

10. Pellet therapy is considered within a broader spectrum of hormone delivery options and is recommended selectively, based on each patient’s clinical profile, preferences, and long-term health goals.

We look forward to discussing all of these options with you!

Book Your Consultation

Interested In Hormone Pellets?

We welcome you to schedule a consult with us to ensure that hormone pellets are the right option for you. Even if you’re just looking for more information on hormone pellets, we welcome you to reach out, and we can discuss the best option for you!

Book Your Consultation

FAQ’s

Pellets contain plant-based hormones that are biologically identical to the human hormones estradiol and testosterone. The hormones are time released over several months and the dose is variable based on the individual patient’s starting symptoms, age and lab work.

Pellets are injected into the fat of the buttock through a small trochar (like a large hollow needle) through a tiny incision which does not even require a suture and heals invisibly. Local anesthetic is used to make it minimally uncomfortable and the insertion takes less than 5 minutes.

Most women require a new pellet about every 4 months, and most men about every 6 months. More physically active people will metabolize the hormones more quickly, perhaps as early as every 3 months for women or 5 months for men.

For women in menopause, essentially all of the common menopause symptoms (hot flashes, night sweats, vaginal dryness, mood swings, lack of energy, insomnia, brain fog, and others) will disappear or be very minimal. Testosterone will also improve muscle:fat ratio, energy and libido for most women. For men, testosterone will improve libido, many cases of ED, muscle loss, sleep and energy.

For women, estrogen is not given until menopause, but testosterone replacement can be helpful for many women as young as 30. Men can also benefit from testosterone replacement, although we only offer them to men who are finished childbearing.

Symptoms will return and benefits will disappear as soon as replacement is stopped. So unless a health condition develops that makes hormone replacement unwise, you will benefit from staying on replacement as long as you want to feel good! (Your whole life.)

Many of our female patients have a huge improvement in libido and energy with their pellet, and still struggle if their male partner has low testosterone or ED. We will offer pellets to male partners of our patients.

Yes, pellets do need to be placed in the office. We no longer offer mobile pellet placement.

I cannot say enough good things about this place! I see Megan Medina, PA—she is an absolute gem. The pellets have helped me so much. They truly take their time with you and go over every detail of your health history and blood work. This is probably the most thorough workup I have ever had. Each time I return for my pellets, it’s a wonderful experience. I’m a big baby about the lidocaine, but it only lasts a second, and the benefits of the pellets far outweigh any discomfort. If you’re in menopause and considering hormone therapy, this is the way to go.

I have nothing but positive things to say about Complete Midlife Wellness Center! Every visit is such a pleasant experience—and since becoming a patient a year ago and receiving my first pellet insertion, I truly feel like a new person. I recently saw Dr. Leah and immediately loved her. She was caring, thorough, completely focused on my needs, and so personable. I can’t say enough!

I was going through menopause and felt absolutely miserable—emotionally and physically. I became very depressed because of it. A friend suggested hormone therapy, and I’m so glad I tried it. It completely changed things for me—my mood balanced out, I felt happier, and my symptoms greatly improved. If you’re feeling the way I was, do yourself a favor and visit the Complete Midlife Wellness Center. You’ll feel so much better!

The way my labs were explained made all the difference. I had previous bloodwork done and was told everything looked fine, but no one ever explained how timing in my cycle affected those results. Here, that was one of the first things discussed. It completely changed how I understood my symptoms and why they had been overlooked before.

They addressed things I didn’t even know were related. I came in thinking about a few main concerns, but we ended up discussing sleep, energy, and even subtle changes I hadn’t connected to hormones. It was the first time someone explained how interconnected everything is during this phase, which gave me a much clearer picture of what was going on.

This was a completely different level of care. I had been trying to make sense of what was happening for a while, but everything felt fragmented—different symptoms, different explanations, no clear connection. What stood out here was the depth of understanding and the way everything was brought together—my cycle, symptoms, and overall health. Nothing felt rushed, and nothing was dismissed. It was the first time I felt like someone truly understood this phase and knew how to approach it.
Thank you for the clarity, the time, and the level of care.