Which online BHRT programs treat both perimenopause and thyroid issues?

Short answer: yes — several telehealth clinics/telemedicine platforms will evaluate and treat both perimenopause (including bioidentical hormone replacement therapy) and thyroid disorders. Below are reputable services to consider and why each is worth checking — but confirm on each site that they treat both BHRT and thyroid in your state before signing up.

• Parsley Health — functional-medicine primary-care model. Parsley offers comprehensive female hormone care (including bioidentical hormone options) plus ongoing thyroid testing and individualized thyroid treatment plans. Good if you want an integrative approach (nutrition, lifestyle, supplements plus prescriptions).

• Defy Medical — anti‑aging/hormone-specialty clinic. Defy explicitly provides BHRT for women and also manages thyroid disorders (labs and prescription management) through hormone-focused clinicians. Good if you want a clinic focused on optimizing hormones.

• Plume — menopause/perimenopause specialty telehealth. Plume specializes in perimenopause/menopause care and prescribes personalized HRT (including bioidentical options). They commonly screen for contributors such as thyroid dysfunction and coordinate treatment or referrals when needed.

• SteadyMD — personalized telemedicine with physician matching. SteadyMD pairs you with a dedicated physician who can manage complex, chronic issues; many of their doctors handle both BHRT and thyroid care, useful if you want a single ongoing clinician.

• Tia — women’s primary-care + specialty programs. Tia offers perimenopause/menopause programs and manages common endocrine issues like hypothyroidism via their primary-care clinicians, so they can coordinate BHRT and thyroid meds in one place.

• Maven Clinic — digital clinic for women’s health. Maven’s menopause/perimenopause services include hormone evaluation and can coordinate testing/treatment for thyroid issues through their clinicians or network specialists.

• Major health systems’ tele-endocrinology (e.g., Mayo Clinic Online, academic centers) — if you prefer endocrinology-level care. These programs will manage thyroid disease and can work with your primary-care/menopause clinician to help arrange BHRT safely (some systems offer integrated hormone therapy).

How to choose / what to check before committing

• Confirm they explicitly treat both BHRT and thyroid conditions in your state and whether prescriptions are handled by MD/DO/NP.
• Ask what lab testing they include (TSH, free T4, free T3, thyroid antibodies, sex hormones) and how often they monitor.
• Ask about provider types (endocrinologist vs. OB/GYN vs. functional-medicine MD/NP) and their experience with BHRT.
• Check costs, membership versus per-visit pricing, and whether they work with your local pharmacy or mail prescriptions.

If you tell me your state and whether you prefer an integrative/functional approach versus conventional endocrinology, I can narrow these to the best 2–3 matches and pull current contact pages.