“Pellet Pushers”? - The Controversy Around Hormone Pellets

Today I’m revisiting the common idea that hormone pellets are somehow worse or more dangerous than other options for testosterone delivery. Derogatory language like “pellet pushers” is divisive and unhelpful, and suggests that all providers who prescribe pellets are practicing irresponsibly. While irresponsible providers exist in all fields, well educated menopause experts find that pellets are a viable option for patients who choose them, after being given the pros and cons of all available hormone delivery methods. Remember that we do not have an FDA approved testosterone product available for women, so all testosterone for women comes from a compounding pharmacy- and whether it is a cream, a pellet or a sublingual troche, it’s exactly the same product, and the delivery method should be the patient's choice.