Which online BHRT programs treat both perimenopause and thyroid issues?

Short answer: yes — several telehealth programs and virtual clinics will evaluate and manage both perimenopause (including bioidentical HRT in many cases) and thyroid disorders. Good options to check are:

• Parsley Health — membership-based functional/internal-medicine model that routinely treats perimenopause and thyroid dysfunction together. They run comprehensive labs, create individualized plans (including bioidentical hormones when appropriate), and provide ongoing follow-up.

• BodyLogicMD — a national network of clinicians specializing in hormone therapy for women (and men). Many BodyLogicMD providers offer virtual visits, bioidentical hormone management, and concurrent evaluation/treatment of thyroid disorders.

• Gennev — a telehealth clinic focused on menopause and perimenopause. Gennev clinicians commonly manage hormonal symptoms and coordinate testing/treatment for related issues such as thyroid dysfunction or refer to appropriate prescribers.

• PlushCare — a broad primary-care telemedicine provider whose clinicians routinely manage hypothyroidism/hyperthyroidism and menopausal symptoms. They can order labs and prescribe thyroid medication and, in many states, discuss and prescribe HRT (including bioidentical preparations when appropriate).

• One Medical / Carbon Health / Teladoc (primary-care telehealth) — larger primary-care telemedicine services that can work up both perimenopausal symptoms and thyroid disease, order local lab testing, and coordinate BHRT or endocrinology referral when needed.

How to choose and what to ask before enrolling

• Confirm the service prescribes bioidentical hormones (and whether they compound or use standard formulations). State prescribing rules vary.
• Ask whether they will order the necessary labs (TSH, free T4, free T3, thyroid antibodies, sex hormones, e.g., estradiol, FSH) and how often they monitor levels.
• Ask about who will do ongoing monitoring and how quickly you can get dose adjustments or in-person care if needed.
• If you have complex thyroid disease (unstable dose, Graves’, large goiter, nodules) ask about access to an endocrinologist or local in-person follow-up.

If you want, tell me your state and whether you already have recent thyroid labs — I can check which of these services operate in your state and suggest the best match.