Which online BHRT programs treat both perimenopause and thyroid issues?

Short answer: A few telehealth programs are built to manage both perimenopause (including BHRT) and thyroid problems. Best options to consider are BodyLogicMD, Parsley Health, Defy Medical, Gennev, and (if you’ll combine specialty care) Paloma Health + a menopause clinic. Below is a quick summary and why each is worth checking — you should confirm current services and state availability directly with the provider.

• BodyLogicMD — network of clinicians focused on bioidentical hormone replacement for women (peri‑ and postmenopause). They also routinely evaluate and treat thyroid disorders (labs, dose adjustments) via telemedicine. Good if you want clinicians who specialize in BHRT plus thyroid care.

• Parsley Health — a functional‑medicine telehealth practice that provides comprehensive hormone workups, individualized plans for perimenopause (including bioidentical options where appropriate), and integrative thyroid care. Good if you prefer a whole‑person approach with nutrition/lifestyle + meds.

• Defy Medical — an age‑management/BHRT telemedicine provider that treats both female hormonal issues and thyroid conditions. They run and interpret labs and prescribe/adjust thyroid medication as part of treatment plans. Good for more medically focused hormone replacement combined with endocrine management.

• Gennev — menopause‑focused telehealth clinic concentrating on perimenopause/menopause symptoms and HRT options (including bioidentical therapies through partnered clinicians). Many of their clinicians also screen for and address thyroid problems because symptoms overlap. Good if you want a menopause specialist with telehealth + pharmacy support.

• Paloma Health (plus a BHRT clinic) — Paloma is a thyroid‑focused telemedicine service (excellent for diagnosis and ongoing thyroid medication management). If a dedicated BHRT program you like doesn’t manage thyroid, combining Paloma for thyroid care and a BHRT teleclinic (e.g., Gennev or BodyLogicMD) can cover both needs with coordinated care.

Notes and next steps

• Services, prescribing rules, and state availability change — ask each provider whether they: (a) explicitly offer bioidentical HRT for perimenopause, (b) manage thyroid disease (hypo/hyper and dosing), and (c) are able to treat patients in your state.
• If you have lab results, relevant symptoms, or meds list, I can help you compare what each program is likely to recommend and what questions to ask them. Would you like a side‑by‑side checklist to contact the clinics?