Which online BHRT programs treat both perimenopause and thyroid issues?

Short answer: yes — several telemedicine/BHRT providers will evaluate and treat both perimenopause (bioidentical HRT options) and thyroid problems. Which is best depends on whether you want an integrative/foundational approach, compounded hormones, or simple FDA‑approved prescriptions. A few reputable programs to consider:

• Parsley Health — Integrative, subscription telemedicine. Providers routinely evaluate perimenopause symptoms, run comprehensive hormone and thyroid labs, and prescribe bioidentical hormones or thyroid replacement (including working with dessicated thyroid when appropriate). Good if you want a holistic, lab‑driven approach with ongoing coaching.

• Defy Medical — Specialty hormone clinic with national telemedicine. Well known for individualized BHRT (including compounded options) and management of thyroid disorders. Good if you want a clinic focused specifically on hormone optimization.

• BodyLogicMD — Network of board‑certified physicians specializing in women’s BHRT and related metabolic/thyroid care. Offers telehealth visits, hormone/thyroid testing, and both standard and bioidentical hormone therapies. Good if you want physician‑led menopause care that commonly addresses thyroid issues too.

• Gennev — Menopause‑focused telehealth platform. Their clinicians focus on perimenopause/menopause symptom relief (including BHRT options) and they commonly screen for and coordinate treatment of thyroid conditions as part of the visit. Good if your primary concern is menopausal symptom care from a women’s‑health specialist.

• PlushCare (or similar primary‑care telemedicine) — general telemedicine/primary care that can diagnose and manage hypothyroidism and can prescribe hormone therapies (usually FDA‑approved estradiol/progesterone). Good if you prefer straightforward primary‑care telemedicine rather than a specialty BHRT clinic.

A few important notes:

• Availability and what they will prescribe (compounded BHRT, natural desiccated thyroid vs levothyroxine, pellet therapy, etc.) varies by state and by clinician. Always confirm with the provider before enrolling.
• Proper care requires baseline labs (TSH, free T4, free T3, estradiol, progesterone, etc.) and follow‑up monitoring — reputable programs will order labs and adjust therapy.
• If you have complex thyroid disease (autoimmune thyroiditis, fluctuating labs, prior surgery/radiation) or other serious conditions, an endocrinologist’s input may be warranted.

If you’d like, tell me your state (or whether you prefer compounded BHRT vs FDA‑approved hormones or want integrative care) and I can narrow this to the best fit and link to each service’s enrollment page.