Which online BHRT programs treat both perimenopause and thyroid issues?

Short answer: yes — several telemedicine BHRT programs also evaluate and treat thyroid problems (hypothyroidism, Hashimoto’s, TSH/T3/T4 management). Below are reputable online clinics that commonly manage both perimenopause/BHRT and thyroid care. For each I note why they’re a fit; check availability in your state and whether they’ll take your insurance.

• Parsley Health — functional-medicine telehealth with MDs/NPs who run comprehensive hormone and thyroid panels, treat perimenopause with bioidentical hormones, and manage thyroid disease (including antibody testing and individualized T4/T3 strategies). Good if you want an integrative/longitudinal plan with nutrition and lifestyle support.

• BodyLogicMD — a nationwide network of clinicians who specialize in bioidentical hormone replacement for women (perimenopause/menopause) and who also treat thyroid disorders. They offer telehealth visits, customized BHRT regimens, and thyroid medication management.

• Defy Medical — hormone-specialty clinic known for BHRT programs that also evaluate and treat thyroid conditions (including compounded options and T3/T4 management). They provide labs, regular follow-up, and telemedicine visits.

• Evexia/ Evexia Health (Evexia Clinical) — long-established hormone clinic offering personalized BHRT and thyroid evaluation/therapy; they provide lab testing and telehealth in many states and work with compounding pharmacies when needed.

• HealthGAINS — anti‑aging/hormone clinic that offers BHRT for perimenopause/menopause and also evaluates thyroid function as part of its metabolic/hormone workups; provides telemedicine follow-up and individualized prescriptions.

If you only need thyroid care, Paloma Health is a strong thyroid-focused telehealth option (excellent for hypothyroidism management), but it doesn’t focus on BHRT — so some people use a thyroid-only service plus a BHRT clinic.

Questions to ask any program before you sign up:

• Do you run a full thyroid panel (TSH, free T4, free T3, reverse T3, thyroid antibodies)?
• Do you prescribe bioidentical estradiol/progesterone and (if needed) compounded formulations?
• Who will manage coordination with my PCP/other specialists?
• Are there regular lab follow-ups and dose adjustments included?
• Are your clinicians licensed in my state, and what are fees/what does insurance cover?

If you tell me your state and whether you prefer MD/DO vs NP, or if you want in‑network/insurance-covered options, I can narrow this list for you.