MENO-START PROGRAMS

A Six-Month Experience Designed for You 

Menopause isn’t a mystery when you have the right guide.

Too often, women aren’t aware of the range of symptoms connected to this season of change and transition — or the powerful options available to relieve discomfort and support feeling their best. 

Meno-Start's six-month program delivers solutions, results, and insights to ensure your best years are yet to come. 

Led by Dr. Shannon Cothran and Dulany Washington, Meno-Start offers you a clear path to optimal health during a challenging season. 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.

  • “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 always calls me by my name, takes the time to listen and respond to all my questions and concerns.”

    - Sun H.

What’s Included in Your Membership

Your journey is personal, but every path through Meno‑Start is built on three pillars: 

  • Expert Medical Care

    1:1 visits with Dr. Shannon Cothran, a Menopause Society Certified Practitioner 

    •

    Prescription management and orders for lab work as needed

    •

    Direct text/phone access for questions between visits 

  • Personalized Guidance

    Customized menopause care plan tailored to your unique needs 

    •

    Practical tools to help you build long-term routines that work for you 

  • Fitness & Wellness Learning

    Unlimited sessions at our McLean, VA studio for fitness, nutrition, and emotional wellness 

    •

    Guidance on sleep issues, stress management, sexual health, and more 

How it Works 

  • Month 1: Build your baseline with a medical assessment, wellness and fitness consultation, and menopause care plan 

  • Months 2–6: Stay supported with follow-up visits, unlimited wellness sessions, and direct text/phone access to your doctor 

  • Beyond: Transition to our Ongoing Care Program for continued medical support and community engagement 

Meno-Start Program Pricing 

Your Journey to Confidence & Longevity

Meno‑Start is a six‑month, physician‑led program designed to give you the clarity, care, and tools you need to feel your best, now and for years to come.

  • Your first month is designed as a no-obligation baseline so you can experience the Meno-Start difference before committing further. 

    Includes: 

    • 1-hour initial consultation with Dr. Cothran

    • Any prescriptions and orders for labs/bloodwork as needed

    • Your personalized menopause care plan 

    • 1-hour wellness & fitness consultation with Dulany Washington 

    • Direct text/phone access to Dr. Cothran 

    • Unlimited Wellness & Fitness Studio sessions for knowledge, movement, and support 

    If you decide not to continue after Month 1, you can step away — no additional cost, no pressure.

  • The next five months build on your foundation with deeper care, ongoing connection, and a wellness routine that fits your life. 

    Includes: 

    • Two additional consultations with Dr. Cothran (in-office or virtual) 

    • Prescription renewals as needed 

    • Direct text/phone access to Dr. Cothran 

    • Unlimited Wellness & Fitness Studio access 

    • Connection to the Meno-Start community for shared learning 

    • A strong foundation of education, strategies, and tools to navigate menopause with confidence 

  • Many women choose to stay with us beyond their initial program for continued gynecological care and menopause support. 

    Includes: 

    • Annual gynecological exam plus one additional visit for menopause or other concerns 

    • Prescription renewals as needed

    • Direct text/phone access to Dr. Cothran year-round 

    • Continued engagement with the Meno-Start community 

    Current members can purchase the Ongoing Care package from the Members Hub or by getting in touch with the Meno-Start team.

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 menopause. 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 35–60. 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.

  • “Dr Cothran is personable and thorough. 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