The Menopause Midwife

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Missy Miculka

03 April 2026

55m 4s

Is Your HRT Working? Troubleshooting Bioidentical Hormones | Dr. Sarah Daccarett

00:00

55:04

This week, we are welcoming back a favorite guest to dive deeper into the "hormone puzzles" that many face during menopause and perimenopause. Dr. Sarah Daccarett, hormone specialist and founder of Inner Balance, returns to the show to help us troubleshoot the most common frustrations with HRT and bioidentical hormone therapy.

Dr. Sarah clears up the massive confusion surrounding "progesterone intolerance," and we break down the science of how the liver metabolizes oral hormones and why switching to a vaginal delivery system, like her flagship product Oestra, can be a total game-changer for reducing side effects.

We also get into the nitty-gritty of navigating HRT while using an IUD for birth control and why "chasing labs" often misses the mark when it comes to your actual well-being. Sit down for an insightful conversation as we discuss everything from early signs of hormone loss in your 30s to the latest in hormonal skincare.

It is time to stop settling for "barely scratching the surface" and start finding the sweet spot that helps you feel like yourself again.

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Timestamps

00:00 Intro

01:59 Explaining Progesterone Intolerance

04:22 Exploring Oestra

06:34 The Best Way to Do HRT

11:29 To Track or Not to Track Your Symptoms?

17:31 The Holy Trinity of Hormones

19:14 Oestra Half-Life

23:08 Using Oestra with the IUD

31:11 Using Oestra with the Patch

36:29 Breast Cancer, Stroke & HRT

45:04 Cycling Your HRT

49:04 Skipping Periods on HRT

51:02 What's New at Inner Balance?

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