Shannon Cothran
Physician · OB-GYN
15+ years of experience
Menopause Society Certified Practitioner
About Meno-Start
Dr. Cothran spent fifteen years as a gynecologist in private practice before opening Meno-Start in 2024 to focus on perimenopause and menopause. Care runs through an annual concierge membership that plans the first year as four quarterly visits, starting with a full assessment and a hormone consultation and ending with an annual gyn exam. Visits last an hour, in person in McLean or by video, and members can text and email her directly. She prescribes hormone therapy, including testosterone for some women with low libido, and GLP-1 medications. What sets the practice apart is an on-site gym, where co-founder and personal trainer Dulany Washington works with members on strength and metabolism. You can start with a single long consult that counts toward the membership if you join, or book a free 15-minute call first.
Care
Treats
- Perimenopause
- Menopause
- Hot flashes
- Sleep problems
- Mood & anxiety
- Brain fog
- Vaginal dryness
- Low libido
- Irregular periods
Prescribes
- Hormone therapy
- Testosterone
- Weight medication
Particular focus
- Bone health
- Weight & metabolism
Cost and insurance
Care is by membership, and visits aren’t billed to insurance.
Insurance
Doesn’t accept insurance
Provides itemized receipts you can submit for out-of-network reimbursement.
Self-pay
- Annual Women's Health Care Membership
- $3,600 per year
- Initial Consult (90 minutes)
- $400
- Free consultation
- HSA and FSA accepted
The practice does not bill insurance for its program, but patients can usually use their insurance for prescriptions, lab orders and bloodwork.
Verified September 2026.
Qualifications
MD, MSCP
