Which online BHRT programs treat both perimenopause and thyroid issues?

Here are online programs and telehealth services known to treat perimenopause/menopause and also manage thyroid problems (short notes on why each may fit your needs). Before enrolling, confirm the program treats both conditions in your state and ask about lab testing, prescribing authority, and follow‑up.

• Defy Medical — Anti‑aging / hormone clinic with telemedicine visits. Widely used for BHRT (bioidentical estradiol/progesterone and testosterone) and they routinely evaluate and treat thyroid disorders; they order labs and provide follow‑up treatment plans.

• BodyLogicMD — Network of clinicians who specialize in women’s hormone replacement and age‑management medicine. Many BodyLogicMD providers manage menopause/perimenopause plus thyroid dysfunction and offer telehealth visits and personalized BHRT plans.

• Parsley Health — Functional‑medicine primary care by telehealth. They do in‑depth hormone and thyroid testing, take an integrative approach, and will prescribe bioidentical hormones when clinically indicated while also treating thyroid conditions.

• SteadyMD — Matches you to a dedicated primary care physician who provides ongoing telemedicine care. Many SteadyMD doctors manage both menopause/BHRT and thyroid disease, which can be useful if you want a single clinician handling both issues long‑term.

• Balance (Balance Menopause) — Digital menopause clinic focused on evidence‑based HRT and symptom management via telemedicine. They commonly screen for thyroid causes of symptoms and will coordinate or manage thyroid issues in many cases—confirm directly whether they’ll treat active thyroid disease where you live.

• Paloma Health — Telehealth thyroid specialist (focus is thyroid). If your primary need is integrated care, Paloma is excellent for thyroid diagnosis/management and will coordinate with or refer to BHRT clinics if needed.

What to ask any program before signing up

• Do you prescribe bioidentical hormones (estradiol/progesterone) and do you compounding or use standard pharmacy formulations?
• Will you evaluate and manage thyroid disorders (hypo/hyper/autoimmune) directly, or only screen and refer?
• Which labs are included, how often are they repeated, and who interprets them?
• Are your prescribers MD/DO, and are they licensed in my state?
• Cost, insurance coverage, and follow‑up/monitoring schedule.

If you want, tell me your state and whether you prefer a functional‑medicine or conventional endocrinology approach and I’ll narrow these to the best fit.