Testosterone is the most critical hormone the male body produces. While a normal part of aging, low Testosterone can significantly affect the way we feel and our quality of life. Untreated, imbalanced hormones cause a variety of undesirable symptoms:

T By Couri - Male Hormone Therapy

Symptoms of male hormone imbalance (low testosterone):

  • Decreased sex drive, erectile dysfunction
  • Sleep disorders such as insomnia
  • Loss of strength and muscle mass
  • Increased body fat
  • Decreased bone density
  • Low energy levels, fatigue
  • Depression/anxiety
  • Loss of self-confidence, loss of vitality
  • Trouble focusing, memory issues
  • Irritability/moodiness
  • Loss of facial or body hair

If you suspect fluctuating hormones are causing undesirable changes in your body, it’s easy to get your hormone levels checked. Call the Couri Center 309-692-6838. Love your hormones again with personalized testosterone pellets, available for men.

Frequently Asked Questions (FAQ)

What is Bioidentical Testosterone (T by Couri) Pellet Therapy?

An individualized approach to hormone replacement therapy, using biologically identical testosterone pinpoints a man’s exact hormone levels and what hormones are needed to balance their hormone deficiency. The differences between synthetic and biologically identical hormones are in their chemical structures and functionality. Biologically identical hormones are plant-based compounds that have the same chemical structure as the hormones created naturally in the human body.

What is a pellet?

The testosterone hormone we use comes from natural plant sources—yam. They exactly match human hormones. Synthetic pharmaceutical hormones do not. The hormones are pressed into tiny pellets the size of a grain of rice.

What is the procedure like?

When the body is in need of testosterone, tiny pellets placed under the skin consistently releases small doses of hormones. Pellet insertion is a relatively simple in-office procedure done under local anesthesia. The pellets are inserted under the skin in the upper buttocks/hip area through a tiny incision. The incision is then closed with stitches. Patients typically cannot feel the implants under their skin. Once inserted, a steady, low dose of natural testosterone flows directly into the blood stream whenever the body needs it. The body can then control the release of the hormone.

How long do my testosterone pellets last?

Every individual’s body chemistry is unique. Typically, we administer pellets every 4 to 6 months, depending on how rapidly the hormones are metabolized. The pellets do not need to be removed. They are completely dissolved by the body.

When does it start working?

Most patients report that it takes anywhere from 24 to 72 hours from the time of insertion.

*Your doctor will determine if follow up treatments are required.

Are there any side-effects?

Generally, there are minimal side-effects associated with the pellet implant procedure. Complications include: minor bleeding, bruising, infection, and pellet extrusion. Other than slight bruising, the other complications are very rare. Hormone related side-effects vary and should be discussed with your healthcare practitioner.

Post Insertion Instructions for Men

Your insertion site has been closed with a dissolvable suture and covered with a bandage.

  1. The outer layer is the pressure bandage consisting of folded gauze and wide paper tape. Please remove the bandage in 48 hrs.
  2. You can remove the suture after 7-10 days. If you would prefer the suture be removed here, please call the office.

THREE Day Rule:

1. Please avoid the following for three (3) days:

  • Tub Baths
  • Hot Tubs or Swimming
  • Soaking in water
  • Vigorous exercise
  • Strenuous lifting

2. Showers are fine.

3. Moderate exercise after 24 hrs is fine.

Other Important Notes:

  1. Avoid scrubbing the site until the incision is well healed (about 7 days)
  2. The insertion site may be uncomfortable for up to 2 to 3 weeks.
  3. You may experience bruising, swelling, and/or redness of the insertion site which may last from a few days up to 2 to 3 weeks.
  4. You may notice some pinkish or bloody discoloration on the outer bandage. This is normal.
  5. If you experience bleeding from the incision, apply firm pressure for 5 minutes.
  6. Ice your incision area three (3) times a day for ten (10) minutes at a time on the day of your pellet insertion. This will help reduce any swelling, bruising or discomfort that you may experience.
  7. You may take Tylenol or Ibuprofen as needed if you experience any discomfort.

Please call us if you have any active bleeding or pus coming from the incision site.


  1. Please have your labs rechecked in 2-3 weeks before your next pellet insertion for accuracy of dosing.
  2. Other office requests: Yearly Prostate Exam
  3. Please stay up to date with your primary care physician and yearly physicals.