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Hundreds of American citizens have left Iran using land routes over the past week, according to an internal State Department message seen by Reuters.
"Many" citizens faced "delays and harassment" as they tried to get out, it said.
With Iranian airspace closed, the department has urged Americans wishing to leave to use land routes through Azerbaijan, Armenia or Turkey.
"American citizens are at significant risk of interrogation, arrest, and detention in Iran," she said.
Washington is also considering ways to potentially evacuate its citizens from Israel.
As of Friday, more than 6,400 US citizens had filled out a form indicating they wanted assistance with their departure, a separate Interior Department email seen by Reuters said.
But the Trump administration has almost no way to help Americans inside Iran.
The two countries have not had diplomatic relations since the Iranian Revolution in 1979.
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