Hormone optimization is not one-size-fits-all. From fatigue and low libido to mood swings and
weight gain, symptoms of hormone imbalance can affect every aspect of life. Fortunately,
modern hormone therapy offers personalized solutions—especially when using bioidentical
hormones that match your body’s natural chemistry.
At Vitara Wellness, we focus on bioidentical hormone replacement therapy (BHRT). But
beyond choosing the right hormone type, the method of delivery can make a significant
difference in your results, comfort, and consistency.
This article explores the most common BHRT delivery methods—including pellets, creams,
patches, injections, and oral capsules—so you can know your options in Bioidentical Hormone Therapy and make an informed choice that aligns with your needs and lifestyle.
What Are Bioidentical Hormones?
Bioidentical hormones are molecularly identical to the hormones your body produces naturally.
Sourced primarily from plant compounds like yam or soy sterols, these hormones—such as
estradiol, progesterone, and testosterone—are processed in a lab to exactly replicate human
hormones. This precise match allows for more natural interaction with your body’s receptors,
often leading to improved tolerance and symptom relief.
Your Bioidentical Hormone Therapy Delivery Options: Comparing Modalities
Here’s a breakdown of the most commonly used delivery methods in BHRT, including benefits,
drawbacks, and how each compares:
Pellet Therapy (Subcutaneous Implants)
How it works: Small, rice-sized pellets are inserted under the skin (typically in the hip
area), where they slowly dissolve and release hormones steadily over 3–6 months.
Pros:
○ Consistent dosing, no daily maintenance
○ Avoids hormone peaks and crashes
○ Often preferred by those who want “set it and forget it” convenience
Cons:
○ Requires an in-office procedure
○ Not adjustable once implanted
Why we recommend Pellet Therapy: At Vitara Wellness, we prefer pellet therapy for its stable delivery,
reduced symptom fluctuations, and long-term adherence. It’s also ideal for patients who want to
avoid the daily routine of creams or pills.
Topical Creams and Gels
How it works: Applied to the skin, typically on the arms or thighs, where hormones are
absorbed transdermally.
Pros:
○ Easy to adjust dosage
○ Non-invasive and self-administered
Cons:
○ Daily application required
○ Potential for inconsistent absorption
○ Risk of skin transfer to others
Transdermal Patches
How it works: Worn on the skin and replaced every few days, patches deliver hormones
like estradiol gradually into the bloodstream.
Pros:
○ Steady absorption
○ Less liver metabolism than oral forms
Cons:
○ Skin irritation is common
○ May detach with sweating or showering
Injectable Hormones (IM Injections)
How it works: Hormones such as bioidentical testosterone are injected intramuscularly,
typically weekly or bi-weekly.
Pros:
○ Rapid symptom relief
○ Can be dosed precisely
Cons:
○ Can create hormonal peaks and valleys
○ Requires regular injections (self-administered or in-office)
○ May lead to fluctuating mood or energy in some patients
Our view: Injectable testosterone is a widely used, effective option—especially for men—but
may not offer the same stability as pellets. We do offer and support injectable formats when
appropriate, particularly when patients prefer greater control or experience better outcomes with
this method.
Oral Capsules (e.g., Micronized Progesterone)
How it works: Taken by mouth, these capsules are metabolized through the digestive
system.
Pros:
○ Familiar and convenient
○ Often used for nighttime benefits (e.g., sleep, mood)
Cons:
○ First-pass liver metabolism can alter effects
○ Not all hormones are well-absorbed orally
Why Vitara Wellness Prefers Pellet Therapy—But Offers All Options
While we frequently recommend pellet therapy for its consistency, safety profile, and ease of
use, we understand every body is different. Some patients respond better to injectables. Others
prefer the flexibility of creams or capsules. Our goal is not to fit you into a box, but to match you
with the modality that works best for your biology and lifestyle.
The Takeaway: Hormone Therapy Personalization Is Key
Whether you’re new to hormone therapy or exploring better alternatives, know this—delivery
matters. Hormone balance is a journey, and your therapy should be tailored, monitored, and
adjusted as your body evolves.
At Vitara Wellness, we offer:
● In-depth lab testing and clinical evaluation
● A full spectrum of BHRT options, including pellets, injectables, creams, and more
● Patient education, safety monitoring, and ongoing support
Ready to Feel Like Yourself Again?
If you’re dealing with symptoms of hormone imbalance, schedule your consultation with our
expert team. Together, we’ll craft a customized, bioidentical hormone therapy plan that aligns
with your health goals and preferences.
📞 Call (760) 537-1488 or visit www.vitarawellness.com to book your appointment today.
