Skip to main content
All CollectionsFrom the Doctor
Winona's HRT Compared to Pellet Therapy
Winona's HRT Compared to Pellet Therapy

How Winona compares to pellet therapy

Jo Cullen avatar
Written by Jo Cullen
Updated yesterday

Winona does not provide hormone replacement therapy in the form of pellets.

Pellet therapy involves a minor office surgery during which pellets that contain bioidentical hormones are surgically implanted under the skin. A numbing shot is used, making the procedure relatively painless. A scalpel is then used to make a small incision, and a trocar (large needle) is used to place the pellets under the skin. These pellets last between 3-5 months, and the procedure needs to be repeated for as long as therapy is desired.

Benefits of pellet therapy:

  • Sustained, consistent release of hormones over time

  • Uses bioidentical hormones and can combine multiple hormones in one pellet

  • Avoids “first pass metabolism,” so it's gentler on the liver and better for lipid profile

Disadvantages of pellet therapy:

  • It's a surgical procedure, so it comes with the typical risks of bleeding, bruising, and infection.

  • In-person doctor visits are required every 3-5 months to repeat the procedure.

  • Each procedure is irreversible, so a patient cannot change their mind during the course of treatment.

  • Side effects may be long term until the hormones wear off.

Winona provides bioidentical hormone therapy via pills, patches, and specially-compounded creams. These therapies are highly effective without requiring a surgical procedure or in-person visits. Winona provides telehealth with experienced menopause specialists and delivers prescription(s) directly to your home. You never need to go to a doctor's office or a pharmacy. The doses can be adjusted at any time as needed, and if you have a rare side effect, you can stop taking the medication immediately - no waiting months for the hormone to be absorbed.

The creams and patches avoid first pass metabolism just like the pellets. Winona's bioidentical hormone replacement provides excellent, non-invasive symptom relief from the comfort of your home.

If you're ready to start your Winona Journey, click the button below. If you're already a Winona patient, click here to access your patient portal

Did this answer your question?