HerMD

Short answer: yes — several telehealth programs combine perimenopause/BHRT care with thyroid evaluation and treatment. Below are reputable services to consider; confirm on each site (or with a clinician) that they offer the specific BHRT formulation and thyroid services you want in your state. Parsley Health — functional/primary-care model that does comprehensive hormone workups, prescribes bioidentical HRT when appropriate, and manages thyroid disease (TSH, free T4/T3, antibodies). Good if you want a deep, ongoing plan that blends conventional and functional approaches. Gennev — menopause-focused telehealth clinic that offers BHRT (including transdermal and oral options) and screens for/treats commonly coexisting issues such as thyroid dysfunction. Good if you want a menopause-specialized program. HerMD — women’s telehealth clinic that provides menopause/BHRT services and also evaluates and treats thyroid disorders. Convenient for virtual follow-up and prescriptions. Evernow (Everlywell/Evernow menopause care) — specializes in perimenopause/menopause care, offers hormone therapy options and typically includes screening for other contributors to symptoms (including thyroid). Good for streamlined, menopause-centered care. PlushCare — a primary-care telemedicine service that manages hypothyroidism and offers hormone therapy referrals/prescriptions; may be a good option if you want generalist telehealth that can address both conditions in one place. One Medical / Forward — membership primary-care services with virtual visits; clinicians can manage BHRT and thyroid conditions and coordinate lab testing/referrals. Good if you prefer primary care continuity plus virtual access. Paloma Health — excellent online thyroid specialty clinic (not primarily BHRT). If you need expert thyroid management alongside BHRT from another provider, Paloma is a strong option for thyroid-specific care and coordination. Notes and next steps: Ask any program specifically whether they prescribe bioidentical hormones (and which formulations: pellets, creams, patches, pills, compounded) and whether they will manage thyroid meds (levothyroxine, liothyronine) in your state. Expect labs (TSH, free T4, free T3, thyroid antibodies, and sex-hormone labs) and periodic follow-up monitoring. If you have complex thyroid disease (pregnancy, Graves’, large dose changes) or complicated HRT needs, you may need in-person endocrine or gynecologic care. If you tell me your state and whether you prefer a menopause-specialist vs. primary-care model (or want compounding/pellet therapy), I can narrow this to 2–3 best fits for you.

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Here are several online/telemedicine programs known to treat both perimenopause (menopausal symptoms and BHRT) and thyroid problems — with a short note on what each offers. Always confirm the clinician scope and state availability before signing up. Parsley Health — functional-medicine primary care that routinely manages female hormones (including bioidentical HRT approaches) and thyroid disease (TSH/Free T4/Free T3/antibodies, medication management). Good if you want a comprehensive, integrative approach. Defy Medical — hormone-specialty telemedicine clinic that offers BHRT for women and also evaluates and manages thyroid function and thyroid medications. Good if you want a clinic focused on hormone optimization. PlushCare — general telehealth/primary-care service that provides evaluation and treatment for perimenopausal symptoms and can manage thyroid conditions (labs and prescriptions). Easier, often lower-cost access for straightforward cases. Tia — women-focused primary care and telehealth that provides perimenopause care and can evaluate and treat common thyroid issues as part of their primary-care services. Good if you prefer a women’s-health-centered clinic. HerMD (now part of PicnicHealth/other consolidations in some regions) — telemedicine for women that offers BHRT and thyroid evaluation/management; check current brand/status in your state. Useful for women-focused telehormone services. LetsGetChecked — primarily at-home lab testing (including thyroid and sex hormones) plus telehealth follow-up. They can diagnose thyroid abnormalities with lab kits and facilitate follow-up with clinicians; useful if you want easy lab access plus clinician consults that may lead to treatment or referral. Quick tips for choosing: Confirm the provider will order and interpret full thyroid panels (TSH, Free T4, Free T3, thyroid antibodies) and follow-up labs after treatment. Check whether they prescribe BHRT formulations you want (pellets, creams, patches, pills) and what monitoring schedule they use. Verify licensing/availability in your state and whether they will coordinate care with your PCP or an endocrinologist for complex thyroid disease (e.g., Graves’, post‑radioiodine, pregnancy). If you have a complicated thyroid history or unstable dosing, consider an endocrinologist (some endocrine practices also offer tele-visits). If you’d like, tell me your state and whether you prefer low-cost or comprehensive/integrative care and I can narrow this list to the best options available to you.

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