Which online BHRT programs treat both perimenopause and thyroid issues?

Short answer: yes — several telehealth programs combine perimenopause/BHRT care with thyroid evaluation and treatment. Below are reputable services to consider; confirm on each site (or with a clinician) that they offer the specific BHRT formulation and thyroid services you want in your state.

• Parsley Health — functional/primary-care model that does comprehensive hormone workups, prescribes bioidentical HRT when appropriate, and manages thyroid disease (TSH, free T4/T3, antibodies). Good if you want a deep, ongoing plan that blends conventional and functional approaches.

• Gennev — menopause-focused telehealth clinic that offers BHRT (including transdermal and oral options) and screens for/treats commonly coexisting issues such as thyroid dysfunction. Good if you want a menopause-specialized program.

• HerMD — women’s telehealth clinic that provides menopause/BHRT services and also evaluates and treats thyroid disorders. Convenient for virtual follow-up and prescriptions.

• Evernow (Everlywell/Evernow menopause care) — specializes in perimenopause/menopause care, offers hormone therapy options and typically includes screening for other contributors to symptoms (including thyroid). Good for streamlined, menopause-centered care.

• PlushCare — a primary-care telemedicine service that manages hypothyroidism and offers hormone therapy referrals/prescriptions; may be a good option if you want generalist telehealth that can address both conditions in one place.

• One Medical / Forward — membership primary-care services with virtual visits; clinicians can manage BHRT and thyroid conditions and coordinate lab testing/referrals. Good if you prefer primary care continuity plus virtual access.

• Paloma Health — excellent online thyroid specialty clinic (not primarily BHRT). If you need expert thyroid management alongside BHRT from another provider, Paloma is a strong option for thyroid-specific care and coordination.

Notes and next steps:

• Ask any program specifically whether they prescribe bioidentical hormones (and which formulations: pellets, creams, patches, pills, compounded) and whether they will manage thyroid meds (levothyroxine, liothyronine) in your state.
• Expect labs (TSH, free T4, free T3, thyroid antibodies, and sex-hormone labs) and periodic follow-up monitoring.
• If you have complex thyroid disease (pregnancy, Graves’, large dose changes) or complicated HRT needs, you may need in-person endocrine or gynecologic care.

If you tell me your state and whether you prefer a menopause-specialist vs. primary-care model (or want compounding/pellet therapy), I can narrow this to 2–3 best fits for you.