www.innerbalance.com

Been having hot hot flashes for a year. A friend suggested HRT and I found Inner Balance. My script works great for me. I sleep and feel better than the past year.

The product is great and works well for me. But my billing info isn’t working and I’ve been trying to reach someone - it’s impossible. Which is sad because I want to continue to use the product.

I’m on my first month. I feel better mentally which is what I was hoping for. Looking forward to seeing even more progress regarding improvements of better mood & increased energy. I appreciate the support & great customer service!

I'm a 41-year-old woman. I have stage 4 endometriosis, fibroids, cysts, prolapses, severe adhesions, and other comorbidities. My journey with HRT has not been simple, because my body has never been a simple case. After surgical menopause, my first hormone replacement was oral estradiol. At first I was hopeful, but after a few months I developed serious side effects. My liver began struggling, and I experienced severe anxiety, constant adrenaline surges, intense headaches, nightmares, and vision changes—symptoms I had never dealt with before. I was also carrying significant PTSD from surgical complications, so the experience was overwhelming. My doctor then switched me to the Vivelle patch. That was a much better fit for me. Many of those symptoms improved, and my liver recovered. It helped significantly, but I still had frequent breakthrough menopause symptoms. Then I moved, and everything changed. Finding doctors willing or able to continue managing my HRT became incredibly difficult. Because of the medical trauma I had already endured, I eventually stopped fighting for myself in appointments. I was exhausted, discouraged, and felt many providers were not equipped to handle a medically complex patient like me. So I gave up. That decision cost me three years of severe surgical menopause symptoms. My hot flashes became extreme. They were so intense that they triggered my MCAS flares, causing my face to become painfully red and inflamed in a constant cycle. My joints and muscles hurt so badly that exercise became difficult. I gained weight, lost mobility, lost strength, and eventually dislocated my hip and tore my labrum, which led to months of physical therapy. I also live with Ehlers-Danlos Syndrome, so recovery and joint stability are ongoing challenges. Sleep became another battle. I would wake repeatedly from severe hot flashes and struggle to get restorative rest. My intimacy with my husband also changed dramatically. Vaginal atrophy and severe dryness made intimacy painful. This was especially hard because I had previously endured decades of painful stage 4 endometriosis and still valued that closeness in our marriage. My libido had completely disappeared after surgery. I accepted that maybe this was just my new normal. I also watched my body age rapidly in ways that felt shocking. My skin became thinner, drier, and more fragile. I developed deeper wrinkling in a short period of time, and old injuries became more visible as tissue volume changed. Even my chest skin no longer felt like my own, and I found myself choosing clothing that covered more because I no longer felt confident. I already manage ichthyosis vulgaris, so the worsening dryness added even more maintenance to daily life. Then I found Inner Balance Oestra. After so many discouraging medical experiences, I was skeptical. The evaluation process felt almost too easy compared with years of having to fight for basic care. But when I was approved and my prescription arrived, I cried with relief. The improvements started quickly. My hot flashes began easing right away. Over the next couple of weeks, the constant facial inflammation started calming down. For the first time in a long time, my face was not in constant pain. The vaginal dryness improved almost immediately. I didn’t realize how severe it had become until it was no longer painful just to use the bathroom. That alone was life-changing. My libido returned within the first week. Truly returned. I felt desire again without forcing it or wondering what was wrong with me. That meant more than I can explain. I finally felt more like my pre-surgery self again. What surprised me most was how much my motivation came back. I hadn’t even realized how much of it I had lost. I felt interested in moving again, exercising again, doing yoga again, and participating in life instead of just enduring it. My overall pain level also dropped significantly. I would estimate around a 50% improvement in my daily pain since starting Oestra. That gave me hope I had not felt in years. And perhaps most importantly, I was finally able to sleep through the night more often without being woken constantly by hot flashes. That kind of rest changes everything. No treatment is perfect, and I want to be honest about that too. I did have issues with the dispenser becoming unreliable, which made dosing less consistent and created concern about waste. I was still able to use the product, but I believe the delivery system could be improved. I also have mobility limitations and vaginal tightness, which can make it difficult to apply the cream high enough to prevent leakage before getting into bed. That added another layer of challenge to the application process and is something I believe is important to consider for accessibility and ease of use. I also noticed after about a month that the dose seemed a bit high for me, because breast sensitivity became uncomfortably painful. When I lowered the daily amount, that improved significantly. My experience with Oestra has been meaningful because it helped restore parts of my life I thought I had permanently lost. Energy, comfort, motivation, intimacy, sleep, and hope all began to return. For someone who had given up after years of struggling, that meant everything. After years of struggle, I am deeply grateful for the ease of the process and the opportunity to have access to HRT again. Thank you for helping give me back a sense of normal life again. If you’d like to share my testimonial publicly, I would prefer that it be used in its full form rather than reduced to selective excerpts, as the full context best reflects an authentic and trustworthy representation of my experience. If edits are needed for length or formatting, I’d appreciate the opportunity to review and approve them first.

Personal Feedback on Inner Balance Oestra Prescription Experience: I am a 41-year-old woman. I underwent medically necessary surgery for stage 4 endometriosis and have been in surgical menopause for six years. I have previously used low-dose estradiol tablets, which caused liver-related side effects, and later switched to the Vivelle-Dot patch, which worked well for me, although I still experienced some breakthrough menopause symptoms. However, since moving, I have had difficulty finding reliable local HRT care and have been without HRT for the past three years, which has had a significant negative impact on my quality of life. I especially appreciated how fast and easy the initial evaluation process was. After struggling to find reliable local HRT care, having accessible treatment options felt like a relief. I also really valued the informative follow-up emails, which were helpful and easy to understand. I began using Inner Balance Oestra vaginal cream and, for the first three weeks, I felt significantly better. However, I later began experiencing symptoms that suggested the dose may be too strong for my individual sensitivity. I have since reduced the amount used, which has lessened breast sensitivity while still keeping my surgical menopause symptoms manageable. BENEFITS I Personally Experienced Quickly • Hot flushes greatly reduced • Joint and muscle pain reduced • Sleep improved • Energy and motivation improved • Overall mood improved • Libido returned after being absent since surgical menopause • Breast tissue appeared fuller again • Vaginal tissue and overall tissue health improved • Vaginal atrophy began improving The medication itself appears effective and promising. However, the packaging, delivery system, and application method created significant usability problems that affected consistency, convenience, and product waste. MAIN ISSUES: 1. Pump Dispenser Inconsistency The pump worked well during the first week only. After that, it stopped dispensing reliably unless I opened the container and manually moved or mixed the product toward the pump each night. This made dosing inconsistent and frustrating. 2. Difficulty Measuring Accurate Doses Because the pump became unreliable, it was difficult to know whether I was using the intended amount each time. 3. Applicator Design Problems I purchased separate vaginal applicator devices to improve dosing and the application process, but they also performed poorly. They were difficult to load, messy to use, and lacked an effective seal around the plunger. Instead of delivering the cream efficiently, the product was pushed around or left inside the device, causing waste. While these devices were third-party products and not an Inner Balance Oestra product issue specifically, I am including this feedback to highlight the limited and inadequate application options currently available on the market. 4. Hand/Finger Application Is Impractical Using hands or fingers for application can be inconvenient and messy. It requires washing hands before and after each use, which adds extra steps at bedtime. It is especially difficult for patients who prefer longer fingernails. At the recommended pearl-sized dose, there is also too much cream to apply comfortably by finger before body heat softens/melts it and causes leakage while getting ready for bed. Bedtime appears to be the optimal time for application because the body is horizontal, which helps reduce gravity-related leakage. In addition, if vaginal tissue is tight, tender, or atrophic, it may be difficult to apply the cream far enough internally to reduce leakage, which can result in wasted medication. This method is also inconvenient for travel or for patients who need discretion. In addition, some patients may need a small supplemental daytime dose if menopause symptoms return, but hand application is not practical for daytime use due to mess and leakage. 5. Product Waste and Cost Burden Because this prescription was paid out of pocket, wasted cream was especially frustrating and financially significant. 6. Real-Life Usability Concerns Application should be easier, cleaner, and more reliable for everyday use—especially for patients dealing with fatigue, pain, mobility issues, or limited energy. SUGGESTIONS FOR IMPROVEMENT • Improve pump reliability so product dispenses consistently until empty • Use packaging or a dispenser device that prevents separation or product getting stuck away from the pump • Offer a better-designed applicator with a proper plunger seal and minimal waste, similar to measured oral syringe-style plunger devices but designed for vaginal comfort • Provide cleaner, easier application options that do not require messy hand application • Provide clear dosing guidance for smaller adjustments when side effects occur • Include dose-reduction guidance for hormone-sensitive patients (for example: breast tenderness, swelling, soreness, or other estrogen-related symptoms) OVERALL The HRT medication itself appears beneficial and effective, but the delivery system and dosing guidance need improvement. Better applicator design and more flexible dosing instructions would greatly improve patient experience, reduce waste, and increase confidence in treatment. THANK YOU for offering access to HRT care. My hope is that this feedback helps improve an already promising treatment option for future patients.