Dr. Kimberly Middleton
OB/GYN
Clinically Studied. Doctor Recommended.
Try the award-winning probiotic clinically shown to support estrogen levels in 12 weeks. Designed to help women in their 40s and 50s experiencing mood, sleep or weight changes due to hormonal shifts.
Vegan
Gluten-Free
Non-GMO
No Added Hormones
Clinically-Backed
Third-Party Tested
Research has shown that the gut microbiome plays an essential role in women's hormonal health. Oval's Estrogen Support Probiotic boosts your body's natural hormone recycling power with clinically studied strains.
Research has shown that the gut microbiome plays an essential role in women's hormonal health. Oval's Estrogen Support Probiotic boosts your body's natural hormone recycling power with clinically studied strains.

Our mission is to help women navigate the hormonal changes of midlife with confidence and clarity.
Estrogen influences so much of how you feel—from your energy, mood, and focus to your sleep, skin, hair, libido, and weight. Yet when estrogen begins to decline, many women are left without clear guidance or reliable support.
That’s why we created the Estrogen Support Probiotic—a science-backed supplement designed to ease the physical and emotional ups and downs of perimenopause and menopause by supporting estrogen naturally.
We’re committed to products that are grounded in clinical research, transparent in how they work, and focused on real physiological benefits, not vague promises or trends.
What matters most to us is helping you feel more confident, more in control, and more like you every day.
Oval is a daily probiotic designed to support your body’s own estrogen balance during perimenopause and menopause. Rather than adding hormones, it works through the gut microbiome to help your body maintain natural hormonal stability—supporting mood, metabolism, skin, hair, sex, sleep, and long-term health.
Oval supports steady estrogen levels. Benefits of maintaining estrogen as you age include:
Clearer Mind & Steadier Mood: Supports memory, focus, and emotional balance
Healthier Weight: Supports a leaner, more comfortable body and helps prevent midsection weight gain
Glowing Skin: Promotes firmer, smoother, more radiant skin
Thicker, Shinier Hair: Supports fuller, healthier-looking hair
Restful Sleep: Supports deeper sleep and stable nighttime temperature
Sexual Wellness: Increases comfort, natural lubrication, and sex drive
Stronger Bones & Heart: Supports long-term bone and cardiovascular health
Oval is for women navigating hormonal changes in their 30s, 40s, and 50s+ who want to feel more like themselves again. It supports key areas commonly affected by estrogen changes, including mood, focus, metabolism, sleep, skin, hair, and libido. It may also be a good option for women who are not using hormone therapy.
No. Oval’s Estrogen Support Probiotic is completely non-hormonal. It doesn’t contain estrogen or alter your hormone production—it supports your body’s natural ability to recycle and balance its own estrogen.
Yes. Oval is safe to take alongside HRT/MHT and can complement it. Many women use Oval before, during, or after hormone therapy to support gut health and healthy estrogen metabolism.
Yes. Oval’s probiotic strains are clinically studied, well-tolerated, and safe for long-term daily use. Because it’s non-hormonal and microbiome-based, it supports both hormonal and digestive health naturally.
Hormone-related changes don’t happen overnight. Clinical studies showed results after 12 weeks of daily use, which is why we recommend giving your body a full three months to respond and settle into a new rhythm.
Oval supports a part of the gut microbiome called the estrobolome, the community of bacteria that help regulate and recycle estrogen. By restoring this natural process, Oval helps maintain steadier estrogen levels and smoother hormonal transitions while also supporting digestion, metabolism, and overall well-being.
The estrobolome (pronounced ESS-tro-bo-lome) is the group of gut bacteria that help regulate how estrogen is processed in the body. These bacteria produce enzymes that reactivate estrogen so it can be reabsorbed and reused instead of being lost. When the estrobolome becomes less active, as often happens during perimenopause and menopause, more estrogen is excreted, contributing to symptoms like hot flashes, mood changes, and fatigue. Supporting a healthy estrobolome helps your body maintain a more balanced hormonal environment naturally.
Beta-glucuronidase (pronounced BAY-tuh gloo-kyoor-ON-ih-dase) is an enzyme made by certain gut bacteria that helps reactivate estrogen in the body. When estrogen is processed by the liver, it is often bound for excretion; beta-glucuronidase releases that bound estrogen, allowing it to be reabsorbed and recirculated naturally. This recycling process is one of the estrobolome’s key roles in maintaining hormonal balance.
Yes. The probiotic strains in Oval’s formula have been evaluated in two randomized, double-blind, placebo-controlled clinical trials with more than 300 women. Women taking the probiotic blend maintained healthier estrogen levels and experienced improvements in hot flashes, sleep, fatigue, and mood after 12 weeks of daily use.
Yes, indirectly. Researchers measure how efficiently the body recycles estrogen by looking at changes in circulating hormone levels, especially estradiol (E2), after interventions that influence the gut microbiome. In clinical studies, women taking Oval’s probiotic blend maintained 62% higher estradiol levels compared with placebo after 12 weeks, suggesting measurable support for natural estrogen recycling.
Every woman’s body is different, but many begin noticing changes, like better sleep, improved mood, or increased comfort, within 6 to 8 weeks. In clinical studies, measurable benefits were seen after 12 weeks of consistent use.
Take one capsule daily with food or as part of your morning routine. The key is consistency—it works best when you take it every day.
Each Capsule contains:
Oval Estrobolome Complex™ – a proprietary blend of three clinically studied probiotic strains (Lactiplantibacillus plantarum KABP051, Levilactobacillus brevis KABP052, and Pediococcus acidilactici KABP021) shown to support natural estrogen recycling and counter the symptoms of estrogen decline
Lactobacillus rhamnosus GG – a well-researched probiotic strain for women's health that reinforces gut-barrier integrity, reduces inflammation, and supports vaginal microbiome balance
Organic Acacia Fiber – a gentle prebiotic that nourishes beneficial gut bacteria and helps maintain microbiome stability
All ingredients are non-GMO, gluten-free, and suitable for daily use.
Most menopause supplements focus on symptom relief using herbs or plant estrogens. Oval is rooted in microbiome science—it helps your body support its own estrogen naturally through the gut–hormone connection. It’s a smarter, more effective, and sustainable way to promote balance from within.
You can, but it’s usually not needed. Oval’s formulation is comprehensive and specifically designed to target both gut and hormonal health at once.