Tiffani Hughson is a certified nurse midwife at Maiden Lane Medical, a large multi-specialty practice in lower Manhattan. Her practice profile lists her as a telemedicine provider, so visits with her are virtual for patients in New York. She trained in full-scope obstetrics and gynecology and now focuses on perimenopause, menopause and women's sexual health. She manages hormone therapy alongside routine gynecologic care. The practice offers oral and transdermal hormone therapy, vaginal estrogen and DHEA, and non-hormonal medicines. Visits are booked online through the practice's 24/7 telemedicine scheduler.
Mulberry OBGYN is a solo practice on Centre Street in Lower Manhattan, started by Dr. Nyein so that patients see the same physician at every visit. Perimenopause and menopause are the center of the practice, alongside sexual health, surgical gynecology and a concierge pregnancy program. He begins with a long history of cycles and symptoms rather than a single blood test, and uses labs and imaging only where they add something. For hormones he favors regulated FDA-approved preparations and advises against compounded protocols and pellets, and he will consider testosterone only for diagnosed low desire. Because he is also a minimally invasive and robotic surgeon, he can work up abnormal bleeding in his own office with ultrasound, endometrial sampling or hysteroscopy. He is an osteopathic physician who offers hands-on osteopathic manipulative treatment to some patients, and he is the next generation of a family that has cared for women in New York for more than fifty years.
