Why Do Menopause Specialists Hate Testosterone Pellets?

Here’s the the truth, we LOVE testosterone…but how it is dispensed does matter! Testosterone pellets, once inserted are there. We cannot do anything to adjust the dose they just have to absorb based on your metabolism. And that is where the issues can arise. Metabolisms differ A LOT! Some women are fast metabolizer and uptake the hormone quite fast, some women it takes a while and so when you are going every 3 months to get a pellet, you are essentially upping your dose. I have had women start growing hair, have vocal changes, and see acne re-ignite like never before. Of course in our busy lives, the place and forget method of pellets is helpful. You don’t have to remember to do a cream or gel, it isn’t messy, and it does work for a lot of people.

But in medicine, we try our best to minimize the side effects for most cases. So we tend to prescribe creams or gels to help us get the perfect dose, follow with labs (testosterone does need to be closely followed in women), and make sure you aren’t getting long-lasting side effects that were avoidable. Many women are cautious of the creams and gels because they don’t want to transmit it onto someone else, but good hand hygiene truly minimizes this and allows you and your specialist to get the perfect dose.

The best part about all of this is THERE ARE OPTIONS! And you have a choice! But definitely have a good chat about all the good, the bad, and the in-between with someone who knows these hormones well. You deserve to feel good, have a libido again, and testosterone can help.