Do hormone pellets enhance laser treatment outcomes?
There is no strong clinical evidence that hormone pellets enhance vaginal laser treatment outcomes. Hormone therapy can improve symptoms of GSM, but pellets carry risks and are not standard NHS practice.
Detailed Medical Explanation
Hormone pellets are implanted under the skin to deliver oestrogen or testosterone, but are not licensed or routinely recommended in the UK due to unpredictable dosing and safety concerns. Vaginal oestrogen (in tablet, cream, or ring form) is preferred for GSM and may enhance tissue healing after laser, but robust data on “synergy” with laser are lacking. Discuss options with a menopause specialist before combining therapies. For more information see NHS HRT and NICE guidance.
Clinical Context
Hormone pellets are not available via the NHS and should only be considered after consultation with a menopause or hormone specialist.
Evidence-Based Approaches
Current NICE and British Menopause Society guidelines do not recommend hormone pellets for GSM or in combination with laser. See NICE guidance and British Menopause Society Toolkit.