Introduction.

In the dynamic landscape of management of menopausal symptoms, hormone implants (small implants that sit under the skin) for the treatment of menopausal symptoms and low libido (sex drive) has emerged as a revolutionary solution for managing hormonal imbalances or symptoms of the menopause. Hormone implants offer a convenient and effective way to regulate hormones, providing individuals with a range of benefits. In this blog post, we will delve into the world of hormone implants, exploring their advantages, the procedure, and why they are gaining popularity.

What are Hormone Implants?

Hormone implants are small (size of a grain of rice) devices that sit under the skin, that slowly release bio-identical hormones such as oestrogen and testosterone into the bloodstream, providing consistent hormone levels throughout the days and nights. Symptom control can last for as long as six months and they are typically made from biocompatible, dissolvable materials.

Who will benefit?

Hormone implants are rarely used as a first line option for treatment of menopause symptoms due to the effectiveness and ease of starting other forms of hormone replacement therapy, such as the gel, patches or tablets. However, implants can be revolutionary for those who:

  • Get little or no symptomatic benefit and/ or are found to not be absorbing the hormones given as a tablet or through the skin (e.g. patches, gels and sprays).
  • Cannot maintain stable hormone blood levels and find their symptoms fluctuate throughout the day or night on the oral or skin routes.
  • Struggle to get hold of specific types of HRT due to supply shortages and constantly find themselves going back to square one, having to try different types of HRT.
  • Are unable to take any other type of HRT (e.g. due to skin reaction or a risk of blood clots with tablet HRT)

How are they inserted?

Hormone implants are usually inserted in the lower tummy or outer buttock, through a small cut in the skin (around 1cm in size), after the skin has been numbed with local anaesthetic. Once the implants are inserted, the small cut is closed with either a steristrip or a dissolvable stitch.

The procedure takes around 15 minutes, after which the patient is free to get back to their usual activities. It may take up to two weeks for symptoms to improve, as the implant begins to absorb into the blood stream. Benefits may last six months, at which point a new implant is inserted.

Progesterone?

For those that have had a hysterectomy (removal of the womb), all that is needed is the implant as no progesterone is needed. However, for those who still have a uterus, a progesterone will be required to keep the lining of the womb thin and prevent any abnormal bleeding or precancerous changes (in the long term). As such, those with a uterus will need either a Mirena coil (intra uterine device that releases progesterone) or another form of progesterone. It is advisable to leave a mirena coil in and continue the progesterone for 1-2 years following stopping implants (if you ever want to stop them!).

Conclusion.

In conclusion, hormone implants offer an excellent alternative to standard daily treatments, for the management of menopause symptoms. By offering a convenient, long-term solution with targeted therapy options, they have become a popular choice for individuals seeking to regain control over their hormonal health. As with any medical procedure, it is essential to consult with qualified healthcare professionals to determine the most suitable approach for individual needs. Stay informed, stay healthy, and consider the transformative potential of hormone implants on your wellness journey.

If you would like further information or would like to discuss your HRT options with a highly qualified menopause specialist and consultant in reproductive medicine, please get in touch on 0115 966 2111 or email mandy.banbury@circlehealthgroup.co.uk.