
Radically personalized
midlife care
Board-certified medicine, women-centered care.

Board-certified medicine, women-centered care.
Midlife involves many changes: your hormones, your sleep, your energy, your focus. The changes are real, and they deserve real attention. Too often, though, women are told their symptoms are "normal" without being truly heard.
I built Lotus to be a different kind of practice: one with longer visits, real follow-through, and a doctor who listens, knows your full history, and works with you to help you feel your best. This is what midlife care should look like.
Let’s connect. Schedule a discovery call to learn more.

I'm Dr. Saima Jehangir, a board-certified OB/GYN and gynecologic surgeon. For 21 years, I've cared for women in Austin through perimenopause, menopause, hormonal change, and the full scope of midlife gynecologic health.
I've learned that the care women in midlife need is not complicated, yet it’s shockingly hard to find. Midlife care is longer visits, real continuity, a doctor who knows you, knows your history, and has time to think through your symptoms instead of reacting on the spot. None of this is radical, it's what medicine is supposed to look like.
Lotus is built around this simple idea. You see me for every visit. Appointments are unrushed. Your care is followed across the year, not handed off between providers. I can care for you across all your midlife health needs such as support through perimenopause and menopause, hormone health, sexual wellness, weight management, and preventive care. These pieces of your health are connected, and they belong in one place, managed by one provider who has the time to truly care for you.
I know how much it matters to have a doctor who listens and takes your concerns seriously because I'm a physician who is in midlife herself. I built this practice to care for us, just as we deserve.

Dr. Saima Jehangir
Membership benefits
A modern healthcare membership designed for women.
In my new membership-based practice, patients pay a fee to access a range of healthcare services that go beyond typical insurance-covered care.
Your membership includes:
In-person and virtual visits with Dr. Jehangir
The same attentive, personalized care, available both in-person and on telehealth, giving you real continuity and access.
- Direct access to me. You won't have to go through a nurse practitioner, physician assistant, or another doctor.
- Up to 8 follow-up visits per year in addition to your annual wellness exam
- Unrushed, in-person and telehealth appointments
- Typically same-week scheduling
- Minimal appointment wait times
Comprehensive intake & annual wellness exam
A thorough, unrushed visit designed to get a full picture of your health: your history, your symptoms, your goals. Together, we’ll build a plan that’s just right for you.
- Unrushed, in-person annual wellness exam with me, Dr. Jehangir
- Annual pap screening*
- Pelvic and breast exam
- Sexual wellness screening
- Emotional and psychological health check
- Perimenopause and menopause screening
- Evaluation and management of gynecological issues
- Body composition screening (SECA)
- Ultrasounds in-office
- Lab draws*
Hormone & perimenopause care
Thoughtful, individualized care for every stage of the perimenopause and menopause transition.
- Perimenopause and menopause screening as part of your annual comprehensive wellness exam
- Hormone care, including pellets provided at cost
- Ongoing follow-up as your hormones, symptoms, and priorities evolve
Weight management
Evidence-based support for your metabolic health, tailored to your body and your life.
- Comprehensive weight management program
Aesthetics & wellness
Lotus is co-located with my aesthetics and wellness practice, Alchemy Wellness ATX. Now your gynecologic care and wellness services can live under one roof, with one team that knows you. As a Lotus Gynecology member, you receive:
- up to 3 diVa or 3 Vitalia sessions per year (you choice of one modality)
- 10% off aesthetic and wellness services from Alchemy Wellness
Family access
Care for the women in your life, on the terms that work for your family.
- I'm happy to care for your daughter (age 26 or younger) on a cash fee-for-service basis without a separate membership
Convenience & Coordination
Streamlined scheduling, reliable communication, and follow-through, so your care never falls between the cracks.
- Prescription refills
- Assistance scheduling diagnostic tests and arranging expert consultations
- Reminders for overdue testing
- After-hours virtual urgent care access
*The following are excluded from the membership fee, and the patient (or patient’s insurance, as applicable) is responsible for these costs:
- Supplies and other consumables associated with covered services
- Surgical procedures
- Lab tests, including fees associated with pap screening and other annual wellness exam tests
- Radiology tests and procedures provided by third-party facilities
- Hospital and facility charges
- Other third-party fees and expenses

