Hormone Health


What is Bio-Identical Hormone Replacement Therapy (BHRT) with Pellets?

Bio-IdenticalHormone Replacement Therapy (HRT) with pellets is a medical treatment used to restore hormonal balance in the body. This therapy is often prescribed to women who experience hormone decline or imbalance due to aging such as peri-menopause and menopause, medical conditions, or surgical procedures. Pellet therapy involves the insertion of tiny hormone-containing pellets under the skin to deliver a consistent and steady dose of hormones over an extended period. At Lucie Capek MD Plastic Surgery & MedSpa, we use bio-identical hormones, which are hormones that are made from plants and chemically closely mimic the hormones your body naturally produces before menopause. Pellets provide consistent hormone levels without the fluctuations seen in menstrual cycles, or from replacement therapy using hormone creams and pills. Common bio-identical hormones used in pellet therapy include estrogen, progesterone, and testosterone.

Who Can Benefit from Pellet Hormone Therapy?

BHRT with pellets may benefit women who have symptoms of hormone decline or imbalance related to age or other factors, causing problems that range from wellness issues to serious medical conditions. As hormone levels decline around menopause, women may also feel less like ‘themselves’, which has a negative impact on their quality of life. They may not have the strength or energy they once had, sex may be difficult or uncomfortable, they may gain or lose weight and become more sensitive to heat and cold. All kinds of things can change!

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Dr. Lucie Capek offers advanced cosmetic plastic surgery from the unique perspective of a female plastic surgeon. Since 1996, she has been serving patients in the Capital District from Albany, Saratoga, Schenectady, and Troy, NY. She is known for using the latest technology to perform body contouring, breast surgery, and facial cosmetic surgery. She personalizes every treatment to give each patient the most natural-looking results, enhancing their beauty and increasing their self-confidence. Above all, her practice is dedicated to your health and wellness. Dr. Capek understands that your beauty and confidence is about more than just your appearance. To schedule your first consultation, contact Lucie Capek, MD.


What are the Benefits of BHRT with Pellets?

BHRT with pellets can help alleviate the numerous unpleasant symptoms associated with peri-menopausal and menopausal hormone decline, in additional to mitigating associated health risks.

Studies have shown that benefits may include:

  • Relief from hot flashes and night sweats
  • Improved mood and mental clarity
  • Enhanced energy levels and sense of well-being
  • Better sleep quality
  • Increased libido and relief from vaginal dryness
  • Improved bone density (particularly in postmenopausal women)
  • Muscle mass maintenance or gain
  • Reduced breast cancer risk
  • Heart health protection
  • Improvement in insulin resistance
  • Decrease in body fat, weight management

What Does the BHRT Pellet Therapy Process Look Like?

Your specific treatment process may vary, but in general it will follow the steps below.


One of our experienced providers will perform a thorough evaluation of your overall health and hormonal health specifically, and discuss your symptoms. They will determine if BHRT pellet therapy is appropriate for you and discuss next steps, including a blood draw, to evaluate your hormone levels.

Labs and Customized Treatment Plan

The dosage of hormones delivered via pellets is tailored to each individual’s unique hormonal needs. Hormone levels are assessed through blood tests and symptoms to determine the appropriate hormone balance. Your blood draw will be done comfortably right in our office by one of our providers or nurses. The blood samples are sent to LabCorp for evaluation.

Pellet Insertion

During a simple in-office procedure, tiny hormone pellets are placed just beneath the skin, typically in the upper buttock area. Local anesthesia is used to minimize discomfort.

Steady Hormone Release

Over time, the pellets gradually release hormones into the bloodstream. The release is continuous, mimicking the body’s natural hormone production and avoiding big fluctuations. Steady hormone levels relieve symptoms more consistently over time.


Your provider will monitor your hormone levels and adjust the therapy as needed to maintain optimal hormone balance. Pellets typically need to be replaced every 3-4 months.

QuadA Accredited


Dr. Capek is pleased to offer her patients an intimate, comfortable and discreet surgical experience at Capek Surgical Arts (CSA), her state-of-the-art Quad A accredited operating suite right here in Latham, NY. You can undergo your procedure under the expert care of board-certified Plastic Surgeon Dr. Capek and her exceptional team of anesthesia and clinical staff without having to go to a hospital or surgery center.. Cae you can expect with Dr. Capek and her team.


Benefits of Pellet Therapy for Hormone Delivery


Pellet therapy provides a steady release of hormones, avoiding the fluctuations often associated with other BHRT methods.


Pellets typically need to be replaced every 3-4 months, unlike creams or pills that need to be used daily.

Symptom Relief and Heath Benefits

There are various health benefits you may experience, including but not limited to muscle mass maintenance or gain, reduced breast cancer risk, heart health protection, improvement in insulin resistance, and a decrease in body fat and weight management.

Improved Quality of Life

Steady hormonal balance can lead to improved energy, mood, and overall well-being

Frequently Asked Questions

What are the benefits of BHRT Pellets compared to other forms of hormone replacement?

BHRT pellets offer the advantage of providing a steady and consistent release of hormones over time, reducing the risk of hormone fluctuations. Additionally, they can be customized to match individual hormone needs more precisely, potentially resulting in fewer side effects. They are also an incredibly convenient treatment option as they do not require daily application of a cream or taking a pill.

How long do BHRT pellets last in the body?

BHRT pellets typically last between 3 to 4 months in the body, gradually releasing hormones over this period. The frequency of replacement usually matches this interval, but may vary slightly depending on individual hormone levels and treatment goals.

What symptoms can BHRT pellets help alleviate?

BHRT pellets can help alleviate symptoms associated with menopausal and peri- menopausal symptoms including hot flashes, night sweats, mood swings, fatigue, low libido, weight gain and cognitive issues.

What are other health benefits of BHRT?

Recent studies show that BHRT pellets have added health benefits , including bone health and muscle mass maintenance, protecting you from heart disease and even decreasing the risk of breast cancer.

How soon can patients expect to notice results after starting BHRT pellet therapy?

Patients may start noticing improvements in symptoms within a few weeks to a couple of months after starting BHRT pellet therapy, although individual results can vary. Some individuals may experience relief sooner, while others may require more time for the hormones to reach optimal levels in the body. The dosing of your pellets is adjusted as needed over the first few months of treatment.

Schedule a Consultation

While BHRT pellet therapy is generally safe and effective, it’s essential to consider potential risks and side effects. Discuss these with your healthcare provider. Contraindications, or situations where pellet therapy may not be advisable, include certain medical conditions like active breast cancer, pregnancy, or severe cardiac issues.

If you believe you may benefit from pellet therapy, give our office a call at (518)786-1700 to set up a consultation to discuss your options and address any questions or concerns you may have. You can also fill out our online form.


For more information, schedule your consultation appointment with Dr. Capek today!