Photo of Michaela Varys

Michaela Varys

Physician · Family medicine

Menopause Society Certified Practitioner

About Carytown Direct Primary Care

Dr. Varys is a family and lifestyle medicine doctor at Carytown Direct Primary Care, a membership practice in Richmond that she opened with her husband, who is also a family physician. She names women's health and menopause care, weight loss medicine and pediatrics as her main interests, and she sees patients of all ages. The practice treats low estrogen in women with hormone therapy and also prescribes weight loss medication. Members get unlimited visits and can call or text their doctor directly, with same or next day appointments. IUD insertions and a few other procedures are done in the office. She went to medical school in Prague and says she opened the practice because care should be a real conversation rather than a rushed appointment.

Care

Treats

  • Perimenopause
  • Menopause
  • Hot flashes
  • Sleep problems
  • Mood & anxiety
  • Brain fog
  • Vaginal dryness
  • Low libido
  • Irregular periods

Prescribes

  • Hormone therapy
  • Weight medication
  • Gyn procedures
  • Lab testing

Particular focus

  • Weight & metabolism

Cost and insurance

Care is by membership, and visits aren’t billed to insurance.

Insurance

Doesn’t accept insurance

Ask whether they provide receipts for out-of-network reimbursement.

Self-pay

Adult membership (age 27 and up)
$129 per month
  • Free consultation

Direct primary care membership covering visits, calls and texts, with labs and imaging at negotiated cash-pay rates.

Verified September 2026.

Qualifications

MD, DipABLM, MSCP