Launching Lotus Gynecology, Dr. Jehangir brings 21 years of surgical and hormonal expertise to a zero-equity membership model designed to give midlife women and their doctors more time for care
AUSTIN, Texas, Sept. 2, 2026 /PRNewswire/ — Lotus Gynecology launches today in Austin, Texas, led by board-certified OB/GYN and surgeon Dr. Saima Jehangir, MD, in partnership with Monarch, a premier platform dedicated to transforming women’s healthcare. Lotus Gynecology introduces the Monarch membership-based model to Central Texas, offering unhurried, trauma-informed midlife care for women navigating perimenopause, menopause, and complex hormonal shifts.
With roughly 6,000 U.S. women entering menopause every day, navigating this multifaceted transition often requires deep, nuanced conversations. Conventional practice time constraints can make it difficult for OB/GYNs–nearly 75 percent of whom experience burnout–to spend as much uninterrupted time with patients as they would like. Monarch offers a viable alternative. By offering a supportive framework that provides physicians with upfront capital, operational infrastructure, and design support, all while preserving 100 percent practice ownership and taking zero equity, providers gain freedom to structure their schedules without the need for hurried patient care. In fact, Monarch patient visits average 45 minutes or more – 300 percent more face time to address each patient’s full health picture.
Dr. Jehangir has specialized in midlife care and menopause management for more than two decades in Austin, long before it became a national conversation. Lotus Gynecology is built around direct access and comprehensive care, spanning bioidentical hormone therapy, specialized gynecology, weight management, and preventative health. Members will have access to gynecologic care backed by same-week scheduling and after-hours virtual urgent care.
“Passionate and skilled women’s health physicians, like Dr. Jehangir, deserve the ability to deliver the level of personalized care to their patients that they have been so dedicated to providing throughout their entire careers,” said Anna Lohrfink, CEO and Co-Founder of Monarch. “Having served Texas medicine for 21 years, Dr. Jehangir is an invaluable addition to the Monarch network as we expand into Texas.”
Membership benefits and clinical offerings for patients at Lotus Gynecology include:
- Comprehensive Care & Advanced Diagnostics: Annual wellness exams, emotional and sexual health screenings, SECA body composition screening, up to three annual in-office ultrasounds, and genetic testing for inherited cancers, pharmacogenomics, and nutrigenomics.
- Menopause, Hormones & Sexual Wellness: Personalized perimenopause and menopause management, ongoing hormone therapy oversight, at-cost pellet insertions, and up to three annual vaginal rejuvenation treatments (diVa® or Vitalia®).
- Integrative Wellness & Weight Management: Evidence-based weight management programs, trauma-informed care, nutrition guidance, and 10 percent off aesthetic services at co-located practice Alchemy Wellness ATX.
- Direct Access for Timely Appointments: Up to eight follow-up visits per year (in-person or telehealth), same-week scheduling, after-hours virtual urgent care support, prescription refills, and referral coordination.
“Midlife can feel overwhelming when your body changes in unexpected ways, yet too often women are brushed off and told their symptoms are just something to tolerate due to lack of time for personalized care,” said Dr. Saima Jehangir, founder of Lotus Gynecology. “I built Lotus so women don’t have to settle for impersonal care. Partnering with Monarch allows me to sit across from my patients, truly listen, and help them maintain their energy, clarity, and confidence through this transition.”
Dr. Jehangir joins Monarch’s expanding national collective of physicians who have launched independent concierge practices, including recently announced Dr. Kate White of Recalibrate Health in Charleston, South Carolina, alongside Dr. Jessica Ritch in Aventura, Florida, Dr. Karyn Eilber in Beverly Hills, California, Dr. Carrie Leff in Farmington Hills, Michigan, and Dr. Jeffrey Kotzen in Palm Beach Gardens, Florida, among others.
“Bringing a physician of Dr. Jehangir’s background and two-decade track record into the Monarch ecosystem strengthens our collective clinical expertise,” said Dr. Suzanne Gilberg, Chief Clinical Officer and Co-Founder of Monarch. “When seasoned doctors are given the operational freedom to spend real time with their patients, it fundamentally elevates the standard of care across midlife medicine – a higher standard which women undoubtedly deserve.”
For enrollment details or to learn more about Lotus Gynecology, visit lotusgynecology.com.
About Monarch
Monarch empowers exceptional women’s health physicians to break free from traditional insurance-driven constraints and build thriving, membership-based concierge practices. Monarch provides upfront capital, operational infrastructure, and staff support to women’s health physicians transitioning away from high-volume, rushed medicine where patients are treated like insurance codes and doctors are unable to invest the time they truly want into each patient. Once joining Monarch, physicians spend 300 percent more time in each appointment while maintaining 100 percent clinical autonomy and practice ownership. Learn more at monarchmd.com.
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