Hormone replacement therapy (HRT) implants are a treatment option for managing symptoms of menopause and low testosterone. HRT implants, also called pellets, are small capsules that are inserted under the skin to release hormones into the body at a steady rate over several months.
Benefits of HRT implants
Compared to other forms of HRT, implants offer several advantages:
- Provide consistent hormone levels over a long period, avoiding peaks and valleys
- Convenient - only need replacement every 3-6 months
- Bypass digestive system and liver, delivering hormones directly into bloodstream
- Low maintenance after insertion
Types of HRT implants
The most common types of HRT implants use either
estrogen or testosterone:
Estrogen implants
Testosterone implants
- Used to treat low testosterone (low T) in both men and women
- Alleviate symptoms like low energy, decreased sex drive, erectile dysfunction
- Release testosterone over 3-6 months
The insertion procedure
Getting hormone implants placed is a quick, minor office procedure. The steps include:
- Local anesthetic is administered under the skin
- Tiny insertion device is used to deposit pellets in a fan-shaped pattern
- Pressure bandage applied
- Full effects take 7-10 days as hormones stabilize
- Implant site heals within a few days
Most people can resume normal activity immediately. Some temporary soreness, bruising, or swelling may occur. Serious side effects are rare when proper protocols are followed.
Considerations before getting implants
HRT implants may not be suitable for everyone. Discuss with a healthcare provider if:
- You have a hormone-sensitive cancer or blood clotting disorder
- You are pregnant, may become pregnant, or are breastfeeding
- You take certain medications that interact with hormones
- You have liver disease or coronary artery disease
Frequently asked questions
Can the implants move or come out?
The pellets are very small and typically become fixed in place as the insertion site heals. Unless there is trauma, physical force, or disruption of the skin at the implant site, the pellets do not spontaneously move or fall out.
When do the pellets need to be replaced?
Depending on the type and dose of hormones, most implants release hormones for 3-6 months. Levels can be monitored through blood tests to determine the ideal replacement timing.
Do the pellets show under the skin? Can they be seen or felt?
In most cases, the tiny implants are not visible underneath the skin after healing takes place. Sometimes subtle bumps can be felt at the insertion site if palpated. The pellets may also occasionally be visible as small specks under some scar tissue. But this does not affect the release of hormones.
What happens if I stop using implants?
The effects of the hormones will wear off once the implants are depleted, similar to stopping other forms of HRT. Any menopausal or low testosterone symptoms that were alleviated may resume. Discuss an appropriate discontinuation protocol with your healthcare provider.
In summary, HRT implants can provide steady hormone levels over months without frequent applications. They may improve compliance and quality of life for those with menopausal or low testosterone symptoms. Talk to your doctor to see if hormone implants are a good fit for your needs and health status.
