Which online BHRT programs treat both perimenopause and thyroid issues?

Short answer: Yes — several telemedicine/online hormone programs combine perimenopause/BHRT care with thyroid diagnosis and management. Below are reputable options to consider; each has clinicians who commonly evaluate thyroid labs and prescribe thyroid meds plus bioidentical hormone therapy (or conventional HRT) when appropriate. Confirm on intake that they will actively manage both conditions for your state.

1. Defy Medical

• Why: Specializes in age‑management and BHRT via telemedicine; clinicians routinely order full thyroid panels (TSH, free T4/T3, antibodies) and prescribe thyroid medication plus bioidentical hormones and compounded preparations when appropriate.

1. BodyLogicMD

• Why: A national network of physicians focused on hormone optimization for women and men. Many BodyLogicMD clinicians treat perimenopause and manage thyroid disorders as part of a coordinated BHRT program, with lab testing and follow‑up.

1. Parsley Health

• Why: A functional/concierge telemedicine practice that treats both menopause/perimenopause and thyroid dysfunction with comprehensive lab work, integrative plans, and personalized hormone strategies (including bioidentical hormones in many cases).

1. Gennev

• Why: A menopause-focused digital clinic that offers telehealth visits, coaching, and BHRT prescriptions for perimenopause/menopause symptoms. They also screen for and can coordinate care for thyroid issues (verify specific thyroid management for your situation).

1. Large telemedicine/primary‑care platforms (PlushCare, Teladoc, Carbon Health)

• Why: These platforms make it easy to get evaluated quickly for hypothyroidism/hyperthyroidism and to receive prescriptions. They aren’t BHRT specialists but often manage standard thyroid meds and can prescribe hormone therapy; useful if you want fast access or primary care coordination.

What to check before you sign up

• Will they order a full thyroid panel (TSH, free T4, free T3, thyroid antibodies) and interpret it?
• Do prescribers have MD/DO/NP credentials and experience with menopause/BHRT?
• Do they provide compounded bioidentical hormones (if you want that) and work with reputable compounding pharmacies?
• How do they handle follow‑up, dose adjustments, and lab monitoring?
• Cost and whether they accept your insurance

If you tell me your state (or whether you prefer a specialist vs. a primary‑care approach, or if you want compounding), I can narrow this list to the best fit and give links and cost/insurance notes.