Hormone pellet therapy has become a popular and effective way to address symptoms of hormone imbalance, offering consistent and natural relief for both men and women. However, like any medical treatment, it’s important to understand the potential risks and side effects to make an informed decision. At Modern Medical Spa in Richland, WA, we’re committed to educating our patients about the benefits and considerations of bioidentical hormone replacement therapy (BHRT) with estrogen and testosterone pellets.
What Are Hormone Pellets?
Hormone pellets are tiny implants made from bioidentical hormones derived from plant sources that are chemically identical to the hormones produced naturally by your body. Once inserted beneath the skin, they deliver a steady and consistent dose of hormones, addressing symptoms of imbalance without the highs and lows of other hormone replacement methods.
While most patients tolerate hormone pellets very well, understanding the potential risks ensures you’re fully prepared for treatment.
Common Side Effects of Hormone Pellets
As with any hormonal therapy, your body may need time to adjust to the treatment. Here are some common, typically mild side effects:
Initial Hormone Fluctuations:
In the first few weeks after insertion, some patients experience mild side effects as hormone levels stabilize. These may include:
Breast tenderness (in women).
Increased facial oiliness or acne (in men and women).
Mood swings or mild irritability.
Skin Irritation at the Insertion Site:
Some redness, swelling, or bruising around the insertion site is normal and usually resolves within a few days.
Increased Libido:
While often considered a benefit, some patients may find this initial surge uncomfortable or unexpected.
Potential Risks of Hormone Pellet Therapy
Although rare, there are some risks associated with hormone pellet therapy that patients should be aware of:
Pellet Extrusion:
In a small percentage of cases, the pellet may work its way out of the skin, particularly if the insertion site is exposed to heavy friction or vigorous activity shortly after the procedure.
Prevention: Following aftercare instructions, such as avoiding intense physical activity for 3–5 days post-insertion, minimizes this risk.
Hormone Overload:
In some cases, patients may initially receive too much hormone, leading to symptoms such as:
Irritability or anxiety.
Increased hair growth or thinning in certain areas.
Solution: Your provider will closely monitor your response and adjust dosages in future treatments to ensure balance.
Weight Changes:
Hormone therapy can sometimes lead to slight weight gain or redistribution of body fat. This is more common with testosterone therapy but can be managed with diet and exercise.
Gender-Specific Risks
For Women (Estrogen Therapy):
Breast Tenderness or Enlargement: Elevated estrogen levels can cause temporary tenderness or swelling in breast tissue.
Spotting or Bleeding: Women who are still menstruating may experience changes in their cycle or light spotting, especially in the early months of therapy.
Increased Risk of Blood Clots: Although rare, higher estrogen levels may slightly increase the risk of clot formation. This is why we assess each patient’s medical history carefully before starting therapy.
For Men (Testosterone Therapy):
Increased Red Blood Cell Count: Elevated testosterone levels can lead to a condition called polycythemia, which increases the risk of blood clots. Routine blood tests help monitor and manage this risk.
Prostate Health: Testosterone therapy may temporarily increase prostate size, leading to mild urinary symptoms. However, there is no conclusive evidence linking testosterone therapy to prostate cancer.
Who Should Avoid Hormone Pellet Therapy?
Hormone pellet therapy may not be suitable for everyone. You should avoid this treatment if you:
Have a history of hormone-sensitive cancers, such as breast or prostate cancer.
Have uncontrolled heart disease or a history of blood clots.
Are pregnant, breastfeeding, or planning to conceive.
Have severe liver disease or unexplained vaginal bleeding.
At Modern Medical Spa, our providers will thoroughly evaluate your medical history to ensure that hormone pellet therapy is safe and appropriate for you.
Managing and Minimizing Risks
The good news is that most risks associated with hormone pellet therapy can be managed with proper care and regular monitoring. Here’s how:
Follow Post-Insertion Instructions:
Avoid soaking in water (e.g., baths, pools) or heavy lifting for a few days to reduce the risk of infection or pellet extrusion.
Communicate Openly:
Report any unusual symptoms, such as prolonged swelling, pain, or mood changes, to your provider.
Routine Monitoring:
Regular follow-ups and lab testing ensure your hormone levels remain balanced and your therapy is optimized.
Healthy Lifestyle Choices:
Pairing hormone therapy with a nutritious diet, regular exercise, and stress management improves results and minimizes side effects.
Why Trust Modern Medical Spa?
At Modern Medical Spa, we prioritize patient safety and satisfaction. Voted the best in the Tri-City area, our highly respected providers have the expertise to deliver hormone pellet therapy tailored to your unique needs. From your initial consultation to follow-up care, we’re committed to helping you achieve optimal health and balance.
Schedule Your Consultation Today
If you’re considering hormone pellet therapy and want to learn more about its risks and benefits, contact us today. Call 509-392-5007 to schedule your consultation. Let us help you restore balance and reclaim your vitality with care you can trust.
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