07/29/2026
As a provider who offers ALL forms of HRT including pellets, I am very hesitant to offer pellets to women whose ovaries are still working (not in menopause). Pellets will take your T levels very high, and although this can make you feel great temporarily, there are most often long term side effects that could pop up down the road. Unwanted hair growth, deepening of the voice, acne, thinning of scalp hair, and MORE!!!
That being said, I do have a few younger patients who have been on T pellets for years, and they do fine!! But "low T" should never be the first diagnosis in a young woman with health complaints.
If we feel that a trial of T is beneficial in a young woman, I often push for the use of cream or injections first. This is beneficial in case unbearable side effects arise because those treatments can be discontinued much faster than pellets!
