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Bioidentical Hormone Replacement Therapy Pellets: Relief for Menopause and Andropause Symptoms

Restore your balance with customized bioidentical hormone replacement therapy pellets from Exuberan by Virtua. Learn how this plant-based therapy effectively treats symptoms of menopause and andropause with consistent hormone release.

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Updated December 02, 2025

By Wyndham Pursley, APN, Nurse Practitioner, Exuberan by Virtua

Designed to aid both women and men, bioidentical hormone replacement pellet therapy (BHRT) is a proven, customized approach to relieving the disruptive symptoms of menopause and andropause (male hormone decline).

What are bioidentical hormone replacement therapy pellets?

Bioidentical hormones have the exact chemical structure as the estrogen and testosterone naturally produced in the body. BHRT pellets are rice-sized, solid compounds of plant-derived estradiol and/or testosterone. At Exuberan by Virtua, our trained experts review your bloodwork results to customize your pellets, ensuring they are optimized for your age, body chemistry, and weight.

Our providers insert these pellets under the skin near your hip during an office appointment. Over time, the pellets release small amounts of hormones directly into your bloodstream to restore levels similar to what your ovaries (or testes in men) produced during your younger adult years.

Why choose BHRT pellets over conventional hormone therapies?

Research has shown that BHRT pellets deliver consistent hormone levels directly into the bloodstream. The benefits include:

  • Avoids fluctuations: Unlike creams, pills, or patches, pellets prevent daily hormonal peaks and valleys.
  • Bypasses the liver: Direct delivery into the bloodstream avoids changes in the liver seen with oral hormone therapy.
  • Reduces stroke risk: Compared to some oral therapies, this delivery method eliminates the production of increased clotting factors that can potentially lead to stroke.

How can women benefit from BHRT pellet therapy?

When hormones like estrogen and testosterone fluctuate before and after menopause, they affect your physical and mental well-being, impacting everything from mood to bone density. The goal of replacing lost hormones includes:

  • Boosting energy and sleep: Reducing fatigue and achieving increased energy and better sleep
  • Improving sexual function: Enhancing sexual desire and satisfaction and decreasing vaginal dryness
  • Improving brain and mental health: Decreasing anxiety and depression, and improving overall memory and cognitive function
  • Enhancing physical health: Relieving hot flashes, night sweats, joint pain, and headaches, and improving skin texture and appearance, bone density, heart health, metabolism and weight gain, and muscle mass

How can men benefit from BHRT pellet therapy?

Boosting low testosterone levels in men (andropause) can help restore vitality and quality of life. Benefits include:

  • Improved sexual function: Enhancing libido and sexual satisfaction and improving erectile function
  • Increased vitality and physical health: Increasing energy, bone density, and muscle mass, and decreasing aches and pains
  • Mood stabilization: Decreasing anxiety and depression

How long do BHRT pellets last?

  • Women: Pellets typically last 3 to 5 months.
  • Men: Pellets typically last 4 to 6 months.

Ready to restore your balance and vitality with BHRT pellet therapy?

If you're experiencing menopause or andropause symptoms, schedule a consultation with Exuberan by Virtua. Discover how customized BHRT pellet therapy can help you feel like your younger self again.