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Subdermal T pellet implants
Posted: Wed May 29, 2019 11:54 am
by keyman419 (imported)
As I'm planning for my full genital nullification, my hormone doctor has suggested subdermal testosterone pellet implants following surgery. He suggests that they last 4 months but is recommending every 6 months for me since he wants to keep my T at lower levels to match my asexuality. It seems to be easier than a weekly shot but I hear mixed reviews. What has been your experience with using these devices?
I'm wondering if I should get one even before surgery to see what it does to my levels. I'm on the low side to begin with at 312 (ref range 300-850) with my testicals currently intact.
Thanks for your input.
Re: Subdermal T pellet implants
Posted: Wed May 29, 2019 12:36 pm
by seanthomas (imported)
You may wish to consider just avoiding TRT all together and see how you do without it first. It takes about six months for you body to fully adjust to the lack of testosterone and you'd be wise to use a calcium and d3 supplement to stave off osteoporosis, but life without testosterone takes on a sereneness I have found most enjoyable. There are some other down sides many people experience such as fatigue and weight gain, while others do not. It's worth a trial before deciding to use a hormone replacement which carries its own risks.
Re: Subdermal T pellet implants
Posted: Wed May 29, 2019 12:45 pm
by keyman419 (imported)
seanthomas (imported) wrote: Wed May 29, 2019 12:36 pm
You may wish to consider just avoiding TRT all together and see how you do without it first. It takes about six months for you body to fully adjust to the lack of testosterone and you'd be wise to use a calcium and d3 supplement to stave off osteoporosis, but life without testosterone takes on a sereneness I have found most enjoyable. There are some other down sides many people experience such as fatigue and weight gain, while others do not. It's worth a trial before deciding to use a hormone replacement which carries its own risks.
I have done 3 6 month trials of chem cast many years ago, 2 of them with no T in my system and the third with estrogen. I found no T to be extremely difficult so I'm thinking it will be pretty much required but at a much lower level that I can regulate with my doctor. You are right, there is a period of adjustment however.
Re: Subdermal T pellet implants
Posted: Wed May 29, 2019 6:57 pm
by TopManFL (imported)
keyman419 (imported) wrote: Wed May 29, 2019 11:54 am
As I'm planning for my full genital nullification, my hormone doctor has suggested subdermal testosterone pellet implants following surgery. He suggests that they last 4 months but is recommending every 6 months for me since he wants to keep my T at lower levels to match my asexuality. It seems to be easier than a weekly shot but I hear mixed reviews. What has been your experience with using these devices?
I'm wondering if I should get one even before surgery to see what it does to my levels. I'm on the low side to begin with at 312 (ref range 300-850) with my testicals currently intact.
Thanks for your input.
One thing to keep in mind is that once the pellets are in place there is no changing the dose.
With the shots, you can change the dosage every two weeks.
With the gel (or cream) you can change the dosage even quicker.
Androgel is very expensive but, there are compounding pharmacies that will make rub on testosterone cream for a price very competitive to the shots.
There is also a granularity in the cream that can't be obtained from either the shots or the pellets.
If you find that two pumps every day are too much you can switch to one pump on odd days of the month and two pumps on even days of the month.
If that is too much, then one pump every day or one pump every other day. Every other day is easy to keep track of by just using a pump on odd or even days of the month.
The pellets make more money for the doctor because of an in-office procedure being required to place them. Also, every four to six months the pellets require a cut in the skin. Assuming you'll be one this for the rest of your life, that's a lot of cuts in the skin.
Re: Subdermal T pellet implants
Posted: Wed May 29, 2019 7:43 pm
by keyman419 (imported)
TopManFL (imported) wrote: Wed May 29, 2019 6:57 pm
Also, every four to six months the pellets require a cut in the skin. Assuming you'll be one this for the rest of your life, that's a lot of cuts in the skin.
Thanks for all the info. I have considered the cuts to the skin. When I was doing shots many years ago for low T, it was easy to get lazy and not do the shots as directed. I was thinking the pellets would be easier. Doc indicated they are less than $100 and the shots are typically about $75 per month when I did them before. I will do more research and figure out the best options.
Re: Subdermal T pellet implants
Posted: Wed May 29, 2019 9:34 pm
by cboy0815 (imported)
Pellets are working very good, as far I know from others... only the set in procedure isn't nice.
I prefere weekly subcutane injections or absolute easiest, use a gel.

Re: Subdermal T pellet implants
Posted: Thu May 30, 2019 10:45 am
by ambiguous (imported)
I am with Seanthomas on this.
I would give the Now T thing a try first.
The first couple of months are a bit difficult not only are you feeling physical changes that no T can bring but also this can be compounded by a certain amount of anxiety.
I went 7 to nearly 8 months without T last year and after about 2 months apart from mild flashes a few times a day I was fine.
The key to success I think is keeping motivated and active during this transition.
If after a fair trial it doesn't work out then go on TRT or low dose estrogen.
Re: Subdermal T pellet implants
Posted: Thu May 30, 2019 9:23 pm
by onlyoptionleft (imported)
After my castration in 2015 I did my best to not go on any hormone replacement, but with me being only in my early 30's my doctors said it would be better for my health if I was to take some form of HRT, and they would recommend testosterone. The urologist did end up convincing me that having the pellets would help stabilize my head a bit as well as some other health related issues.
It wasn't the greatest of ideas for me. It took a few days to about a week before I started to notice the changes.
They started slow with starting to get soft morning wood, then it got harder each morning, and then erections at a stiff breeze after about two weeks. I went from practically 0 T in my system to so much that my mind and body couldn't handle it. I felt like I had been a celibate monk to becoming a 19 year old with a steal erection ready to fuck anything. IT was a bit more than I would have liked. And the funny thing was the ammount they were implanting was said to be a medium dosage, it could be increased if needed. I was a bit scared when I was told that bit of info.
Your Mileage may Very, but as stated before once they are in they cant be taken out, and it takes more than 4 months for the effects to ware off completely.
My husband pretty much told me to get off the stuff ASAP for both our sake's.
I hope hearing another persons story about Pellets will help you think if it is right for you.
Re: Subdermal T pellet implants
Posted: Sat Jun 01, 2019 8:45 pm
by sftineun (imported)
TopManFL (imported) wrote: Wed May 29, 2019 6:57 pm
One thing to keep in mind is that once the pellets are in place there is no changing the dose.
Androgel is very expensive but, there are compounding pharmacies that will make rub on testosterone cream for a price very competitive to the shots.
If you find that two pumps every day are too much you can switch to one pump on odd days of the month and two pumps on even days of the month.
If that is too much, then one pump every day or one pump every other day. Every other day is easy to keep track of by just using a pump on odd or even days of the month.
I am on Androgel, and I totally agree with TopManFL. I can adjust Androgel based on my need to keep my T at a minimal amount. I found that I am totally comfortable at 1 pump/day or every other day. Any less, I start feeling fatigue and depression and difficulty concentrating. At two pumps/day, I get too much libido, even though I don't get morning woods, I start getting some reactions at the slightest stimulation, which kind of beat the whole purpose of getting castrated.
Once you get to know how low a level of T your body feels the best at, then maybe consider doing something more fixed, like shots or pellets.
Although it is true that everyone's bodies react differently to loss of T, and everyone's objectives of getting castrated / nullified are different, I think taking a step at a time to find the right place is better than starting off with a full (almost full) dose of T that you get stuck with for 4 - 6 months.
Re: Subdermal T pellet implants
Posted: Sun Jun 02, 2019 5:27 pm
by TopManFL (imported)
sftineun (imported) wrote: Sat Jun 01, 2019 8:45 pm
I am on Androgel, and I totally agree with TopManFL. I can adjust Androgel based on my need to keep my T at a minimal amount. I found that I am totally comfortable at 1 pump/day or every other day. Any less, I start feeling fatigue and depression and difficulty concentrating. At two pumps/day, I get too much libido, even though I don't get morning woods, I start getting some reactions at the slightest stimulation, which kind of beat the whole purpose of getting castrated.
Once you get to know how low a level of T your body feels the best at, then maybe consider doing something more fixed, like shots or pellets.
Although it is true that everyone's bodies react differently to loss of T, and everyone's objectives of getting castrated / nullified are different, I think taking a step at a time to find the right place is better than starting off with a full (almost full) dose of T that you get stuck with for 4 - 6 months.
To explain a little better the precision of the gel versus the pellets.
1.62% Adrogel is normally applied to the shoulders and/or buttocks
Very High Dose: 4 Pumps a Day
Higher Dose: 4 Pumps one day, 3 Pumps the Next
High Dose: 3 Pumps a day
Still High Dose: 3 Pumps one day and 2 the Next
Normal Starting Dose: 2 Pumps a Day
Low Normal Dose: 2 Pumps One day 1 Pump the Next
Low Dose: 1 pump every day
Very Low Dose: 1 pump every other day
Extremely Low Dose: 1 pump every three days
With the pellets, once they are in you are stuck with that dose for four months.
But the gel can be changed from one day to the next.
To keep track of the days with different numbers of pumps, I use the "even day" and "odd day" method. As an example, if I'm doing Two Pumps one day and One Pump the next, I do two pumps on even days of the month and
It's an easy way to keep track. Even if it were one pump every other day, I could do that on either even or odd days of the month.
Hope that helped.