Bio-Identical Hormone Therapy: Pellets v. Creams and Gels
As a leading LA OB/GYN, I am one of the few doctors in the LA area who is able to offer my patients the choice of how they are wish to receive their HRT treatment–via pellets or creams and gels. Very few doctors are able to do this.
What is the difference between hormones placed by pellets versus creams and gels?
Pellet hormone replacement therapy places a small pellet of hormones under the skin via a minuscule incision in the upper region of the buttocks. The pellet provides a steady and consistently leveled release of hormone into the blood stream for four to six months. What’s more, the pellet does not have to be coated so one’s stomach acids do not destroy it and it does not have to be metabolized by the liver before it achieves its active state.
Conversely, gels and creams must be applied daily (sometimes twice daily )to achieve proper levels. However, a common complaint is having to wait for cream to be completely absorbed before getting dressed. It is mandatory that patients receiving their bio-identical hormone therapy in this way wait 15 minutes between application and dressing so that the hormone ends up in their bloodstream, not their clothes. That being said, bioidentical gels and creams are still a viable option for some patients, though the general consensus has been that pellets are better.