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BHRT Pellets
BHRT pellets advantages and complications. How are bioidentical hormones administered?
BHRT can be administered via creams, gels, skin patches, troches, injections and pellets. While any form of BHRT is a step in the right direction when your hormones are imbalanced, certain methods may work better for you than others.
Advantages of pellet therapyUsually used in testosterone and occasionally estrogen.It's convenient, with no mess of the creams. It's very safe whereas oral therapy isn't. Tiny incision, less than a quarter inch in diameter. The pellets are smaller than a grain of rice. The pellets can last up to 5 months. Generally 3 to 5 months is the time frame to expect. The pellet only takes a couple minutes to put in. Basically, the doctor makes a tiny incision, puts the pellet under the skin and close the wound and it heals nicely. Some hormone doctors prefer to use bioidentical hormone pellets for BHRT because they work with the body to release hormones into the blood stream as needed. Men and pellet therapyTestosterone pellet therapy is a form of hormone replacement that is typically used in men over age 50.If you are suffering from testosterone deficiency, it is likely that you are often fatigued, have a decreased libido and difficulty achieving or sustaining an erection. Pellet therapy is a non-synthetic hormone replacement that is implanted in the lower abdominal wall or upper buttocks. Pellets are not manufactured or marketed in the United States, and you will need to go to a specialized clinic to receive implants. Pellet Therapy side effects
Minor complications may occur from the insertion of the pellets.
After insertion, you may experience minor bruising and bleeding or skin discoloration. Early physical activity is a cause of ‘extrusion', which is a pellet working it's way out. Antibiotics may be prescribed if a patient is diabetic or has had a joint replaced. However, this is a ‘clean procedure' and antibiotics may not be needed. A potential, rare complication may be infection or extrusion of the pellet. These side effects can usually be avoided if vigorous physical activity is avoided for at least a week after the procedure. 
Possible Effects of Testosterone Replacement
Testosterone therapy may also decrease development of sperm, especially in younger men. Typically sperm production returns to normal if the therapy is stopped, but you may want to have semen samples frozen and stored if family planning is in your future. Testosterone may cause a slight increase in facial hair in some women. Testosterone stimulates the bone marrow and increases the production of red blood cells. A low testosterone level in older men is a cause of anemia. Testosterone, delivered by implants or other methods, can cause an elevation in the red blood cells. If the hemoglobin and hematocrit (blood count) get too high, a unit of blood may be donated. After the insertion of the implants, vigorous physical activity is avoided for 48 hours in women and up to 5 to 7 days in men.
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