Sheila V. Garnica
Physician · OB-GYN
15+ years of experience
Menopause Society Certified Practitioner
About Muddilotus
Dr. Garnica runs a small online practice that treats only menopause, with virtual visits for women who live in Virginia or Georgia. Care starts with a package made up of a 60 minute first visit and two 30 minute follow ups, and patients can message her through the platform chat between visits. She prescribes hormone therapy or other options through shared decision making, and orders labs or imaging only when needed. She works alongside your regular doctor, so you need your own primary care provider to be seen. She is fluent in Spanish and sees patients in either language without an interpreter. She says her interest comes from watching her mother go through an early and difficult menopause, and she opens each visit with a minute of focused breathing with a bell.
Care
Treats
- Perimenopause
- Menopause
- Hot flashes
- Sleep problems
- Mood & anxiety
- Brain fog
- Vaginal dryness
- Low libido
- Irregular periods
Prescribes
- Hormone therapy
- Lab testing
Cost and insurance
Insurance
Doesn’t accept insurance
Ask whether they provide receipts for out-of-network reimbursement.
Self-pay
- Initial Consultation Package (60 min visit plus two 30 min visits)
- $385
- Follow up consultation, 60 min
- $300 per visit
- Follow up consultation, 30 min
- $150 per visit
- Established returning patient package (three 30 min visits)
- $200
- Free consultation
- HSA and FSA accepted
Verified September 2026.
Qualifications
MD, FACOG, MSCP
