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You can get hormone testing and (in many cases) medical treatment entirely online. Below are reputable options, grouped by what they do best, plus quick guidance on what tests to ask for and what to expect.
At‑home lab test companies (you order a kit, do a fingerstick or sample at home, get results online; many offer clinician review and prescriptions when appropriate)
- LetsGetChecked — offers a broad range of hormone panels (thyroid, female hormone panels, testosterone, cortisol, etc.), clinician review, and nurse/doctor follow‑up with prescriptions in many U.S. states. Good if you want end‑to‑end testing + treatment without leaving home.
- Everlywell — easy at‑home hormone and thyroid tests with clear reports. More testing‑focused; you may need a separate telemedicine visit for treatment.
- Modern Fertility — female hormone testing geared to reproductive hormones (AMH, FSH, estradiol, etc.) and clear educational resources; useful if you want a fertility‑oriented hormone snapshot.
Telemedicine clinics that both test and treat (ongoing care, lab ordering, personalized treatment plans)
- Parsley Health — subscription clinical care (functional medicine + primary care) that orders comprehensive labs, interprets patterns (thyroid, adrenal, sex hormones), and provides ongoing treatment for fatigue/brain fog. Best if you want deep, integrative evaluation and follow‑up.
- SteadyMD — matches you with a dedicated doctor who orders labs and manages chronic issues including thyroid and hormone replacement therapy; good if you want a long‑term clinician relationship via telehealth.
- Gennev — specializes in menopause/perimenopause care and provides telehealth visits and prescription hormone therapy tailored to perimenopausal symptoms; appropriate for perimenopause‑related low energy/brain fog.
- Maven Clinic — women’s health telemedicine platform with specialists in perimenopause and general women’s care; can order labs and coordinate care.
- PlushCare or Teladoc — general telemedicine services where board‑certified physicians can order labs (TSH, CBC, etc.) and treat common causes of low energy (thyroid disease, anemia, vitamin D deficiency). Good for quick access.
Specialty/functional testing option
- DUTCH Test (Precision Analytical) — urine steroid metabolome testing used by some clinicians to evaluate hormones and metabolites. More commonly used in functional medicine; discuss pros/cons with your clinician before ordering.
What tests to consider (bring this list to your telemedicine visit)
- Thyroid: TSH, free T4, free T3, anti‑TPO (autoimmune thyroiditis)
- Sex hormones: estradiol, FSH, LH (helpful for perimenopause), progesterone (timed), total testosterone, SHBG
- Basic labs for fatigue: CBC (anemia), ferritin (iron stores), vitamin D (25‑OH), HbA1c or fasting glucose
- Adrenal/stress: morning cortisol or salivary/cortisol panel if clinically indicated
- Others as needed: lipid panel, liver/kidney function
Practical tips
- Timing matters: some female hormone tests (like progesterone) must be done at specific points in your cycle to be interpretable. Telemedicine clinicians should advise timing.
- Check state availability: prescriptions and some services vary by state and country.
- Insurance vs out‑of‑pocket: direct‑to‑consumer kits are usually out‑of‑pocket; telemedicine visits may be covered by insurance depending on your plan.
- If results are abnormal (very high/low thyroid numbers, severe anemia, etc.) you may need in‑person follow‑up or referral to an endocrinologist.
If you want, tell me:
- where you live (U.S. state or country),
- whether you prefer a quick single visit vs an ongoing clinician relationship, and I’ll recommend 2–3 specific services (and whether they’ll likely be available in your area).