Hormone Replacement Implant

For many women, the idea of hormone replacement therapy (HRT) can be daunting. Aside from the widely publicised risks and benefits of HRT, the vast amount of treatment options for the delivery of HRT alone is mind boggling which is why the first and most important step you take is finding the right specialist. General Practitioners are normally the first point of call.

The GP will perform the necessary blood tests to determine your hormone levels and advise on the best course of action for you which can be HRT by tablet form, skin patches, oestrogen gel and implant. In cases whereby HRT implant placement is the preferred option, the patient will be referred to a specialist. FACEmed Consultant Gynaecologist Mr Joe Onwude is a specialist in hormone replacement implants and for a long time has worked alongside the Private GP service treating their patients.

What is the Hormone Implant?

The implant itself is a small pellet that slow releases the hormones estradiol and testosterone over a 6-8 month period. Estradiol (aka oestradiol) is the primary female sex hormone produced by the ovaries. The estradiol within the HRT implant is normally of a dosage between 25-50mg. Testosterone is also produced in women’s ovaries in very small amounts. The testosterone dose within the implant is standardised at 100g.

If you still have your womb and have not had a hysterectomy you will be prescribed progesterone (aka progestogen) alongside your implant treatment. Progesterone works as an opposition to the cancer risk of HRT. The gold standard of progesterone delivery is insertion of the Mirena coil. Oral options are provided otherwise.

The implant itself is placed in the fatty part of the upper buttock. A local anaesthetic injection is used to numb the area and a 5mm incision (cut) is made in the skin, the implant is then placed under the skin into the fatty layer. It is a walk-in walk-out outpatient procedure and lasts just few of minutes. It is usually performed every 6-8 months depending on your personal circumstances which will be discussed and agreed between both you and the gynaecologist. Doses and frequency of placement of the implant can be adjusted according to your hormone levels which will be tested at each visit. Normal estradiol range is 300-600pmol and in some cases a higher limit can be agreed. If the results of your estradiol level are too high then implant placement will be deferred to a later date.

The risks and benefits of the HRT implant

The risks and benefits of the HRT implant are the same as those of any transdermal (via the skin) hormone replacement therapy such as skin patches. These methods have an improved response rates within the body when compared to other forms such as tablets. Perimenopausal and menopausal symptoms such as hot flushes, night sweats, anxiety, low energy levels, depression, change in sexual desire, poor memory and many more will see a marked improvement. Another benefit of the implant is the long-term protection against osteoporosis that it can give. The implant is convenient and you do not have to worry about taking tablets or changing patches.

The side effects may include those of all forms of HRT which are breast tenderness, headaches, mood changes and bloating.

Who is eligible for the implant?

Women who are experiencing symptoms of peri-menopause and menopause.

Get in Touch

01268 833680enquiries@facemed.co.uk

FACEmed Cosmetic Medical & Dental Centre, Crays Hill, Billericay, Essex CM11 2XP

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