Women’s Health Care isn’t a mystery when you have the right guide.

Book a FREE 15-min Phone Consultation

Too often, women aren’t aware of the range of symptoms connected to perimenopause, menopause, and beyond  — or how many effective options exist to ease discomfort and help them feel their best through every stage.

Led by Dr. Shannon Cothran and Dulany Washington, Meno-Start offers you a clear path to optimal health. Meno-Start cuts through the noise of misinformation, unlicensed practitioners, and the latest fads hyped by internet influencers to provide you with clear, evidence-based, physician-led care tailored to your unique body chemistry and goals.

You can join Meno-Start in one of two ways:

  • Annual Women’s Health Care Membership

    Become a member and get your general medical care from Dr. Cothran directly, with hour-long appointments in person or virtually, direct access by text and email, and a structured first year of quarterly visits. Whether you're managing a specific concern, staying ahead of what's next, or simply want a physician who knows your history, this is care built around you.

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  • Personal Training Package

    Work with Coach Dulany, Meno-Start's fitness and wellness coach, in a flexible package of eight 1-hour sessions you can use entirely on your terms. Whether you're rebuilding strength, protecting your bone and metabolic health, or simply want a knowledgeable partner in your corner, these sessions meet you where you are.

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  • “Dr. Cothran is what I wish every doctor was like—warm, attentive, and knowledgeable.”

    - Stephanie A.

  • “Dulany is an inspirational and encouraging fitness trainer. He is very knowledgeable and works with the whole person to create fitness strategies to reach their goal.”

    - Mary S.

  • “Dr. Cothran is the most caring and thoughtful doctor I have ever had. She takes time to understand the whole person she is treating and moves forward with a plan that is right for you personally.”

    - Hannah M.

  • “My experiences with Dr. Cothran were great! She takes the time to listen and respond to all my questions and concerns.”

    - Sun H.

EXPLORE MENO-START

Start with a Consultation

Not quite ready for a membership? Begin with a one-on-one visit with Dr. Cothran to explore what’s possible.

Meet Dr. Cothran, share your story, and understand your options before purchasing a membership. This consultation offers a focused starting point — an opportunity to ask questions, receive expert guidance, and decide what comes next.

Initial Consult – $400

A 90-minute one-on-one appointment with Dr. Cothran to discuss your symptoms, history, and goals. This extended visit gives Dr. Cothran the time to truly listen, review your health in depth, and offer clear, evidence-based guidance tailored to where you are right now. You'll leave with a better understanding of your body, your options, and the path forward.

If you choose to join Meno-Start after your initial consult, the full $400 fee will be applied to your Annual Women's Health Care Membership.

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FAQs 

  • Meno-Start is a cash-pay, concierge-style medical program. Most insurance plans will allow you to use your benefits for prescriptions, lab orders, and bloodwork recommended for your medical care.

    We do not take insurance for our program, so we have full freedom to provide you with the medical care you need in the way you prefer. Traditional insurance does not allow physicians to have 1-hour consultations with their patients, or to provide certain wellness and fitness options as part of a preventative care plan. It also does not cover text/phone access to your doctor. At Meno-Start, our program is about helping you optimize your health during midlife. That requires us to have time with you and for you to have access to us in ways that are not funded by insurance.

  • Yes. We offer super bills and are a qualified HSA (Health Savings Account)/FSA (Flexible Spending Account) expense. If you have these benefit programs available to you, we encourage you to use them for Meno-Start and will assist you in doing so. 

  • Any woman experiencing perimenopause, menopause, or who is post menopause can benefit from our holistic, comprehensive care. Most of our clients range in age from 35–65. We are open to seeing any woman who has concerns about longevity and best practices for navigating midlife, menopause, and beyond. Schedule a free 15-minute phone consultation with Dr. Cothran to see if Meno-Start is the right fit for you.

Read Our FAQs

  • “Dr Cothran is personable and thorough. She worked with me to figure out what makes sense for me based on my health, lifestyle, and goals.”

    - Abigail W.

  • “Meno-Start has made such a difference for me. Having people support you, who actually understand and have had personal experience with menopause is a game changer.”

    - Rebecca D.

  • “Dr. Cothran and Coach D are knowledgeable, empathetic, and thoroughly professional. Dr Cothran offered empathy, advice, and practical solutions, which I appreciated. Coach D seems to know exactly how hard to push you, to encourage you to give your best every time. I can highly recommend Meno-Start for women experiencing perimenopause and menopause!”

    - Barbara H.

  • “It’s rare to find a doctor who genuinely listens and cares about your individual needs and concerns. I highly recommend Dr. Cothran.”

    - Janet