Oestra™ is made to meet you where you are — whether balancing cycles, easing symptoms, or protecting long-term health. Take daily as directed, and give your body time to adjust. Consistency is the secret to feeling your best. See our recommendations below.
Getting started
How Oestra® is different
Oestra® is a bioidentical hormone-enriching treatment that naturally restores your optimal progesterone, estrogen, and testosterone levels to put your body—and life—back in balance.
It’s about the ratio: Oestra® is designed to prevent the dominance of one hormone by raising all three together in the correct ratio, which is crucial for true balance and symptom relief .
Bioidentical & systemic: It uses plant-based hormones that are absorbed systemically for whole-body results, treating a wide range of symptoms, not just local ones.
Smarter delivery: The vaginal application bypasses the liver's first-pass metabolism, allowing for higher, more stable absorption into the bloodstream with minimal side effects.
Why vaginal delivery is a smart choice
Why vaginal delivery is a smart choice
Oestra® is a cream applied vaginally, which allows it to be absorbed directly into the bloodstream. This method bypasses the gut and liver, helping your hormones get where they’re needed faster and more effectively.
Systemic and highly bioavailable • Vaginal delivery bypasses liver metabolism, allowing nearly full absorption of estradiol and progesterone—far better than oral (10-20%) or topical (3-20%). This leads to more stable hormone levels and better symptom control.
More effective, fewer side effects • It delivers consistent results with fewer fluctuations and side effects. Hormone levels remain steady, improving your comfort and results. Clinical evidence—including 100+ studies—supports its effectiveness.
Proven safety • Vaginal hormones don’t raise clotting risks or estrone levels, and they protect the uterine lining. Multiple clinical trials show
controlled absorption and a strong safety profile compared to oral forms.Endometrial protection • Vaginal progesterone uses the “first uterine pass effect” to deliver high local levels directly to the uterus, maximizing protection and turn over of the lining, while reducing risks tied to oral forms.
Clinically validated • Multiple randomized trials confirm that vaginal estradiol and progesterone are safe, effective, and superior for
predictable hormone delivery and endometrial health.
How to use
How to use
How to apply:
Apply vaginally once daily, in AM or PM. One pump is the measured amount. Do not use any other amount.
Push down once on the top of the bottle until cream dispenses one pearl-sized dose. Shake the bottle if the cream doesn’t dispense after the first few pumps. This is to remove any potential air pockets.
Use your finger to apply to vaginal tissue, in the opening or underside of the labia (the mucosal tissue, not the skin).
Use and store at room temperature. Keep out of reach of children and pets. Dispose of in the trash when empty or expired.
If you miss a dose, resume when you remember. Missed doses can result in a withdrawal bleed.
Stop on day 27 of your 28-day cycle to have a period (if you have a uterus and want to mimic your natural rhythm). Do not use while bleeding. You can resume again once bleeding has stopped, or once 2 days have passed and there is little to no bleeding.
Contact our care team if you don’t want to have a monthly period.One pump lasts ~24 hours.
How Oestra® works
How Oestra® works
Oestra® enriches your existing hormone levels rather than replacing them. This helps regulate menstrual cycles, improve sleep and mood, and support energy levels through a fluctuating hormonal landscape.
It is absorbed through the vaginal lining and goes into your bloodstream systemically.
It bypasses liver metabolism to lower the chance of making unwanted liver byproducts.
It keeps hormone levels steady and reliable.
It works throughout your whole body – not just the vaginal area.
Storage instructions
Storage instructions
Store Oestra® at room temperature. Avoid heat or direct sunlight. Always secure the cap to maintain product integrity .
Oestra® ingredients
Oestra® ingredients
Third-party tested for potency, purity & quality.
One pump contains:
0.3% Estradiol
10% Progesterone
Cream base*
*MCT oil, hydrogenated vegan fat, polyoxyl stearate, glyceryl monostearate & ricinoleate, poloxamer 407 and polyoxyl 20 cetostearyl ether
Understanding labs
Understanding labs
You don’t need labs to start or monitor Oestra® but some women find them helpful to track progress or fine-tune treatment.
Important: Skip Oestra® for 24-48 hours before testing. This gives you a “steady state” reading instead of a temporary peak right after application. *Wait 2-3 months before getting labs.
Helpful labs:
Progesterone
Testosterone
Estradiol
FSH
Target levels for 1 pump/day:
Estradiol: 100-300 pg/mL
Testosterone: 10-30 ng/dL
Progesterone: 2.0-6.0 ng/mL
FSH: 1.0-8.0
What to be mindful of
What to be mindful of
Its purpose: To treat over 100 symptoms of low estrogen, progesterone and testosterone, such as:
Heavy and/or painful periods, anxiety, depression, irritability, insomnia, vaginal dryness, low libido, hair loss, dry skin, dry mouth, dry eyes, fatigue, brain fog, joint and muscle pain, and more
Symptoms of endometriosis, postpartum, PCOS, perimenopause and menopause++
Drug interactions:
If you take any mental health medications, mood changes may happen at first but tend to level out. You may need extra monitoring or support, contact us if needed.
If you’re on thyroid medicine or have low thyroid (hypothyroidism), you may need extra monitoring or support, contact us if needed.
Stop using hormone herbs or detoxers like black cohosh, chaste berry or DIM.
Rifampin, phenobarbital, carbamazepine, and St. John’s Wort can reduce the hormone’s efficacy.
Keto/itraconazole, clarithromycin, ritonavir, and grapefruit juice can slow how your body processes Oestra®.
If you’re taking warfarin, you may need extra INR blood tests.
When it shouldn't be used
When it shouldn't be used
As a contraceptive or to prevent pregnancy
During known or suspected pregnancy
When undergoing treatment for a blood clot
With severe liver disease
When undergoing dialysis
When undergoing treatment for cancer
Clients Aged 60-64
Clients Aged 60-64
At Inner Balance, we’re honored to support women ages 60–64 who are considering hormone replacement therapy. Because health needs can become more individualized during this stage of life, some women in this age range may require additional monitoring to ensure treatment remains safe and appropriate.
HRT through Telehealth can be a great option for many women, but it isn’t the right fit for everyone. If you are new to hormone therapy and between the ages of 60–64, we encourage a thoughtful discussion with our clinical team to determine the best and safest approach for you