HRT bioidentical pellets

Pellet Hormone Replacement

Pellet Hormone Replacement services located in Aventura, FL

Bioidentical hormone replacement therapy is a natural perimenopause and menopause treatment option. Many major medical organizations have endorsed hormone therapy as the best treatment for symptoms of menopause. Bioidentical hormones are an exact structural match to the hormones found in the human body, offering enhanced safety and efficacy. 

Our leading Hormone Replacement Therapy expert, Anna Birman, PA-C, is a trusted practitioner for her experience and dedication to improving the quality of life for individuals experiencing hormonal imbalances. With a focus on personalized care and evidence-based practices, Anna has helped countless patients achieve better health and well-being through hormone therapy. Our expert Anna Birman, PA-C will evaluate your personal and family medical history to determine if you’re a good candidate for pellet therapy. Hormone therapy isn’t right for everyone as some people don’t tolerate hormone therapy well or have pre-existing health risks that make hormone therapy impossible.


Hormone imbalances can affect women at various stages of their lives, not just during menopause. Hormones play a crucial role in regulating many bodily functions, and fluctuations can lead to a variety of symptoms. Here’s a closer look at the potential impacts of hormone imbalances throughout different life stages and the symptoms they can cause:

      • Unexplained weight gain
      • Excess belly fat
      • Trouble gaining lean muscle mass                                   
      • Memory problems, lack of focus, brain fog
      • Premenstrual Symptoms (PMS, PMDD)
      • Vaginal Dryness
      • Hot Flashes, night sweats
      • Anxiety, depression, mood swings
      • Low Sexual Desire
      • Insomnia
      • Low Energy, fatigue


Hormone pellets, also known as hormone implants, are small, solid cylinders or discs that contain bioidentical compressed hormones. These hormones are derived from plant sources and are formulated to to mimic the body’s natural processes by releasing hormones at a steady rate that maintains predictable hormone levels. These pellets are custom-made by a pharmacist based on a doctor's prescription.


Hormone pellets are implanted during a 15-minute procedure in your doctor’s office. A small area on the hip or buttock is cleaned, and a local anesthetic is injected to numb the site. Through a small incision, the prescribed number of pellets are implanted in the fatty tissue just below the skin. A sterile dressing is then applied, and you leave the office with instructions to ice the implantation site and keep it dry for a few days. Most people find the procedure to be quick, easy, and pain-free.


Hormone pellets offer several potential benefits for individuals undergoing hormone replacement therapy (HRT), particularly when compared to other methods of hormone delivery such as pills, patches, creams, or injections. Here are some of the key benefits associated with hormone pellets:

Steady Hormone Levels: Hormone pellets provide a steady and consistent release of hormones into the bloodstream over time. This steady delivery helps maintain more stable hormone levels compared to other forms of HRT, where hormone levels can fluctuate due to daily or weekly dosing.

Convenience: Once inserted, hormone pellets eliminate the need for daily administration or frequent applications (as with creams or patches). This convenience can improve compliance with treatment and reduce the hassle of managing medication schedules.

Long-Lasting Effectiveness: Depending on the specific formulation and individual metabolism, hormone pellets typically last for several months before needing replacement. This prolonged duration reduces the frequency of doctor visits for refills or administration.

Personalized Treatment: Hormone pellets are custom-made based on an individual's hormone levels, medical history, and symptoms. This personalized approach allows for tailored hormone replacement therapy that addresses specific deficiencies and optimizes hormone balance.

Reduced Side Effects: Because hormone pellets deliver hormones directly into the bloodstream in a controlled manner, they can minimize fluctuations that may contribute to side effects such as mood swings, fatigue, or irritability, which can occur with other HRT methods.

Efficient Absorption: The hormones released from pellets are absorbed directly into the bloodstream, bypassing the digestive system and liver metabolism that can affect the potency of orally administered hormones.

Effective Symptom Relief: Hormone pellets are effective in alleviating symptoms associated with hormone deficiencies, such as hot flashes, night sweats, vaginal dryness, decreased libido, mood swings, and cognitive changes.

Bone Health: For women, estrogen delivered through hormone pellets can help maintain bone density and reduce the risk of osteoporosis, a common concern during and after menopause.

Cardiovascular Health: Balanced hormone levels achieved through pellets may contribute to cardiovascular health by potentially improving lipid profiles and reducing the risk of heart disease, though this aspect requires further study.

Improved Quality of Life: By restoring hormone balance and alleviating symptoms of hormone deficiency, hormone pellets can significantly improve quality of life for individuals experiencing menopause, andropause, or other hormonal imbalances.

While hormone pellets offer these potential benefits, it's important to discuss the risks, considerations, and suitability of this treatment option with a healthcare provider experienced in hormone therapy. They can help determine if hormone pellets are appropriate for your individual health needs and monitor your response to treatment over time.


Hormone pellets have been utilized for many years as a delivery method for hormone therapy, renowned for their safety and effectiveness. Complications from this treatment are typically mild and temporary, with the most common issues including redness, bleeding, dermatitis, and scarring at the implantation site. Serious complications are rare, and the most prevalent of these, pellet extrusion, occurs in less than 1% of cases. Impressively, over 90% of patients choose to continue using hormone pellets following their initial treatment.

Providers at Aventura OB-GYN Specialists are now incorporating patented and triamcinolone enhanced HRT bioidentical pellets that provide several benefits to improve patients satisfaction and outcomes and to minimize the risk of complications:

Promote long-term success

Scar tissue and pellet extrusions are minimized

The number of booster doses for new patients is reduced