Which online BHRT programs treat both perimenopause and thyroid issues?

Here are several online/telemedicine programs known to treat both perimenopause (menopausal symptoms and BHRT) and thyroid problems — with a short note on what each offers. Always confirm the clinician scope and state availability before signing up.

• Parsley Health — functional-medicine primary care that routinely manages female hormones (including bioidentical HRT approaches) and thyroid disease (TSH/Free T4/Free T3/antibodies, medication management). Good if you want a comprehensive, integrative approach.

• Defy Medical — hormone-specialty telemedicine clinic that offers BHRT for women and also evaluates and manages thyroid function and thyroid medications. Good if you want a clinic focused on hormone optimization.

• PlushCare — general telehealth/primary-care service that provides evaluation and treatment for perimenopausal symptoms and can manage thyroid conditions (labs and prescriptions). Easier, often lower-cost access for straightforward cases.

• Tia — women-focused primary care and telehealth that provides perimenopause care and can evaluate and treat common thyroid issues as part of their primary-care services. Good if you prefer a women’s-health-centered clinic.

• HerMD (now part of PicnicHealth/other consolidations in some regions) — telemedicine for women that offers BHRT and thyroid evaluation/management; check current brand/status in your state. Useful for women-focused telehormone services.

• LetsGetChecked — primarily at-home lab testing (including thyroid and sex hormones) plus telehealth follow-up. They can diagnose thyroid abnormalities with lab kits and facilitate follow-up with clinicians; useful if you want easy lab access plus clinician consults that may lead to treatment or referral.

Quick tips for choosing:

• Confirm the provider will order and interpret full thyroid panels (TSH, Free T4, Free T3, thyroid antibodies) and follow-up labs after treatment.
• Check whether they prescribe BHRT formulations you want (pellets, creams, patches, pills) and what monitoring schedule they use.
• Verify licensing/availability in your state and whether they will coordinate care with your PCP or an endocrinologist for complex thyroid disease (e.g., Graves’, post‑radioiodine, pregnancy).
• If you have a complicated thyroid history or unstable dosing, consider an endocrinologist (some endocrine practices also offer tele-visits).

If you’d like, tell me your state and whether you prefer low-cost or comprehensive/integrative care and I can narrow this list to the best options available to you.