Testosterone Pellets — Hormone Replacement Therapy in Lima, Peru

Bioidentical microimplants with sustained release for 3 to 6 months. No daily pills, no weekly injections — under medical supervision by Dra. Geldres.

What are testosterone pellets?

Testosterone pellets are bioidentical microimplants the size of a grain of rice, placed under the skin in an outpatient procedure of approximately 15 minutes. Once inserted, they release testosterone in a steady, sustained manner over 3 to 6 months — restoring physiological hormone levels without the fluctuations of pills, injections, or topical gels.

Unlike traditional hormone treatments, pellets mimic the body's natural release: a stable dose, no peaks or valleys. That means consistent energy, better sleep quality, restored libido, and sustained emotional well-being — without remembering daily pills, scheduling weekly injections, or applying messy gels.

At Elyzea, our advanced aesthetic medicine center in Miraflores, Lima, hormone therapy with pellets is supervised personally by Dra. Geldres, board-certified plastic surgeon. Before the procedure, a complete medical evaluation with hormonal labs determines your personalized dose based on your clinical profile and goals.

Reported benefits of testosterone pellets

More energy and vitality — Recover your daily activity level without the persistent fatigue of hormonal imbalance.
Mental clarity and better focus — Working memory, concentration, and mood stability.
Restorative sleep — Improved sleep quality and deeper rest cycles.
More efficient physical recovery — Better response to exercise and training, faster muscle recovery.
Restored libido — For both men and women. Intimate well-being and healthy sexual response.
No daily routines — Sustained release for months — no daily pills, no weekly injections, no gels.
Stable hormone levels — None of the peaks and valleys of traditional treatments.

How does the procedure work?

1

Medical evaluation

Complete hormonal panel (total and free testosterone, estradiol, SHBG, hematocrit, PSA in men) and personalized consultation with Dra. Geldres.

2

Outpatient placement

3-5 mm microincision in the upper buttock area under local anesthesia. Pellets are inserted with a specialized trocar. 15-minute procedure.

3

Sustained release

Your body receives a steady dose of testosterone over 3 to 6 months, depending on individual metabolism and dose applied.

4

Follow-up

Follow-up labs at 4-6 weeks to fine-tune the next dose based on your clinical and biochemical response.

Who is this therapy for?

Testosterone pellet therapy is indicated for adult men and women with symptoms compatible with hormonal imbalance and low levels confirmed by laboratory testing.

In men

  • · Persistent fatigue without apparent cause
  • · Decreased libido
  • · Loss of muscle mass
  • · Increased abdominal fat
  • · Mood changes, irritability
  • · Difficulty sleeping
  • · Slower physical recovery
  • · Reduced cognitive performance

In women

  • · Decreased sexual desire
  • · Chronic fatigue
  • · Loss of muscle tone and strength
  • · Mood changes during perimenopause or menopause
  • · Brain fog, difficulty concentrating
  • · Vaginal dryness and intimate well-being concerns
  • · Non-restorative sleep
  • · General lack of vitality

Treatment requires prior hormonal labs to confirm the indication and determine the personalized dose.

Before and after the procedure

Before

  • Hormonal labs and general health panel (Dra. Geldres will send the complete order).
  • Medical consultation to review results and define the dose.
  • No fasting or special preparation needed on the day of the procedure.
  • Avoid blood thinners or anti-inflammatories for 48 hours beforehand (only if approved by your physician).

After

  • Keep the dressing on for 24-48 hours. Keep the area dry.
  • Avoid intense exercise, swimming, or sauna for 5 to 7 days.
  • Mild discomfort, small bruising, or tenderness in the area is normal for 3-5 days.
  • Clinical effects appear progressively between the second and fourth week.
  • Lab follow-up at 4-6 weeks to assess response and adjust the next application.

Why choose Elyzea for your hormone therapy?

Board-certified plastic surgeon supervision. Dra. Geldres personally evaluates each case. Hormone therapy isn't an automatic prescription — it requires clinical and biochemical interpretation only a qualified physician can provide.

Bioidentical pellets. The testosterone used is chemically identical to what your body produces naturally — not synthetic analogs.

Complete hormonal labs before starting. We don't initiate therapy without a baseline panel — total and free testosterone, estradiol, SHBG, hematocrit, PSA in men, DHEA and cortisol when indicated.

Personalized dosing. We don't treat everyone the same. Your dose is calculated based on your baseline level, symptoms, age, sex, and goals.

Clinical follow-up. Lab control at 4-6 weeks to adjust subsequent applications based on your real response, not a standard protocol.

Testosterone pellet pricing

Pellets 100 mg

S/1,200 (~US$343)

Sustained release 3 to 6 months

Pellets 200 mg

S/1,500 (~US$429)

Sustained release 3 to 6 months

Price includes the placement procedure under medical supervision. Prior hormonal labs and the medical evaluation consultation are billed separately based on the specific tests required for your case. The initial medical consultation with Dra. Geldres is free.

Reference exchange rate: 1 USD = 3.5 PEN. Prices subject to update.

Frequently asked questions

No. While traditionally associated with men, women also produce testosterone naturally and benefit from therapy when their levels drop — especially during perimenopause and menopause. The dose for women is significantly lower (typically 100 mg or less) and benefits include restored libido, energy, muscle mass, and emotional well-being.

Between 3 and 6 months, depending on your individual metabolism, the dose applied, your physical activity level, and other physiological factors. After follow-up labs at 4-6 weeks, we can better predict when you'll need the next application.

The standard hormonal panel includes: total and free testosterone, estradiol, SHBG (sex-hormone binding globulin), hematocrit and hemoglobin, lipid panel, and glucose. PSA is added for men. DHEA-S and FSH/LH may be included for women based on clinical context. Dra. Geldres will send the complete lab order after your first consultation.

The area is anesthetized with local anesthesia before the microincision, so the procedure itself is painless. You may feel pressure during trocar insertion. In the 48-72 hours afterward, mild discomfort or tenderness in the area is normal — similar to a small bruise.

Some patients notice improvements in energy and well-being from the first week. Full clinical effects — libido, physical recovery, sleep quality, mood — establish themselves between the second and fourth week, once the pellets have reached their stable release level.

Like any medical treatment, hormone therapy can have side effects. The most common are mild and temporary: bruising or tenderness at the application site, mild fluid retention, possible skin changes. That's why follow-up labs are essential — to detect and adjust any imbalance early. Continuous medical supervision minimizes the risks.

Yes, but with temporary restrictions. Avoid intense exercise (heavy lifting, HIIT, contact sports) for 5 to 7 days to allow the microincision to heal properly. Gentle walking and normal mobility are allowed from the next day.

Once placed, pellets release testosterone throughout their useful life (3-6 months). They cannot be easily removed without a small additional intervention. That's why it's essential to confirm hormonal imbalance with labs before starting and begin with conservative doses. After 3-6 months, you can simply not apply the next dose if you decide not to continue.

Free medical consultation — no commitment

Restore your hormonal balance

Schedule a complimentary consultation with Dra. Geldres. We'll evaluate your symptoms, define the necessary hormonal labs, and design a personalized plan based on your clinical profile.

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