Talk to a certified menopause doctor specialized in sexual dysfunction.

Concierge Sexual Health & Dysfunction Programs

Meno-Start is a hyper-specialized, out-of-network menopause medical program based in McLean, VA. We proudly serve all women throughout their menopausal years experiencing sexual dysfunction, including low sex drive and pain during sexual intercourse.

Menopause Expertise

  • Get even more time to share your unique weight gain symptoms and menopause journey with Dr. Shannon Cothran, one of the few Menopause Society Certified Practitioners (MSCP) in the United States.

  • After 15 years in private practice, Dr. Cothran, a board-certified gynecologist, founded Meno-Start in 2024 to provide specialized, compassionate care for women navigating midlife menopause.

  • Dr. Cothran is an active member of the American College of Obstetricians and Gynecologists (ACOG), the leading organization for advancing women’s healthcare.

  • Dr. Cothran’s program includes a unique blend of ongoing and in-depth consultation, medicine, fitness, and nutrition that treats the whole woman—not just symptoms.

Symptom Management

  1. Decreased Libido

  2. Pain During Intercourse

  3. Difficulty with Arousal or Orgasm

  4. Vaginal Dryness

Choose Your Plan

  • If you are new to our concierge service, you may have questions. We are here to help. Schedule a FREE 15-minute phone call to see if Meno-Start is a fit for you.

  • Receive two consultations with Dr. Cothran for a personalized menopause plan designed to holistically treat your symptoms.

  • Dr. Cothran may prescribe therapy designed to offer a steady state of testosterone during the body's declining levels during menopause to boost sex drive.

  • Choose from access to medical care from licensed healthcare provider like Dr. Cothran who can prescribe vaginal estrogen therapy to target vaginal issues.

Schedule Your FREE Menopause Consultation Today!

We are here to help you navigate menopause together. Schedule a FREE 15-minute phone call to see if Meno-Start is a fit for you.

“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. She is also very knowledgeable and action oriented on new and emerging treatments and an incredible patient advocate."

— Hannah M.