Which online BHRT programs treat both perimenopause and thyroid issues?

Short answer: yes — there are several telehealth programs that commonly treat both perimenopause (including bioidentical HRT) and thyroid problems. Below are reputable services to consider; verify current availability in your state and that the specific clinic/provider you’d see treats both conditions.

• Parsley Health — Integrative primary care that focuses on women’s hormone health and thyroid disorders. They use diagnostic lab panels and often prescribe bioidentical hormones as part of individualized plans.

• Defy Medical — Hormone-specialty clinic that provides BHRT for men and women and also manages thyroid conditions (lab-driven, often uses compounding when appropriate). Good if you want a hormone-focused practice.

• Paloma Health — Primarily a thyroid telehealth specialist (excellent for thyroid workups and long-term management). They can coordinate with or refer to BHRT providers and often help manage both issues in a coordinated plan (ask them about direct BHRT prescribing).

• PlushCare — Broad primary-care telemedicine that commonly treats both hypothyroidism/hyperthyroidism and perimenopausal symptoms. Providers can order labs and prescribe bioidentical hormones when clinically appropriate.

• Teladoc / Amwell — Large telehealth networks with primary-care and specialist clinicians who manage thyroid disorders and menopause/BHRT in many states; good for straightforward cases and fast access.

• Maven Clinic — Women’s health-focused telemedicine with menopause/perimenopause services; they also coordinate treatment for comorbid issues including thyroid disease with in-network clinicians.

What to ask each program before signing up

• Do you prescribe bioidentical hormones (estradiol/progesterone/testosterone) and do you offer compounding?
• Will you evaluate and manage thyroid disorders (TSH, free T4/T3, antibodies) or refer to an endocrinologist?
• Which clinicians will see me (MD/DO/NP/endocrinologist/menopause specialist)?
• What labs are included, who pays, and do you work with my pharmacy/compounder?
• Are services available in my state and do you accept my insurance?

If you want, tell me your state and whether you prefer an endocrinologist vs. a menopause-focused clinic and I can narrow this list to options that operate near you or compare costs and services.