Why should testosterone pellets be avoided in women?

Here at Alloy, we strongly advise against the use of testosterone pellets in women for several important reasons:

  • Testosterone pellets are not FDA approved and lack standardized dosing, which means you can end up with dangerously high levels of testosterone that are difficult to control.
  • Once the pellets are implanted, they cannot be removed, so if you experience side effects like hair loss or other symptoms from high testosterone, you have to wait for the effects to wear off naturally.
  • There is no reliable safety data on these pellets, and major medical societies such as the International Society for the Study of Women's Sexual Health and the Menopause Society do not support their use.
  • Pellets are also very expensive and often require unnecessary testing.

Safer alternatives exist, such as topical testosterone gels or creams at much lower, controlled doses, and many women find that guideline-approved estrogen and progesterone therapy can address their needs without the risks associated with pellets.

For a deeper dive, check out these helpful video chapters featuring Alloy’s experts:

If you’re interested in safe, evidence-based menopause and hormone therapy options, visit our product page to learn more about what we offer at Alloy.


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