Our Services

    • All things periods, moods and bodAll things periods, moods and body changes

    • Irregular periods

    • Mood changes around cycles

    • Contraception

    • STD testing

    • Self care support (using pads, tampons, to soap or not to soap?y changes

    • Irregular periods

    • Mood changes around cycles

    • Contraception

    • STD testing

    • Self care support (using pads, tampons, to soap or not to soap?

  • Annual Gynecological Exam

    ·       Annual exams with a focus on wellness in regards to full mind & body health. This includes support with nutrition and lifestyle care to best support your body.

    ·       Contraception counseling and prescribing

    ·       Lab collection (pap smear or blood work as needed)

    ·       Referrals and orders for breast imagining and gyn care needs

    ·       Trauma-informed care for the vaginal exam/pap smear

    ·       Support with emotional health during times of family, personal or health transitions.

    ·       Collaboration with your Primary Care team

    Infertility support

    ·       Menstrual regulation for fertility, reading charts and your body’s symptoms

    ·       PCOS support – understand your unique fertility needs with diet and medication as needed

    Preconception:

    ·       Preparing for a healthy pregnancy in regards to self care. Will cover how and when to stop contraception, and how to support your physical and emotional body for pregnancy

    ·       Natural family planning to support pregnancy, including review of signs of fertility and how to time conception.

    Pregnancy:

    ·       Sneak Peak gender testing https://sneakpeektest.com – I am a registered collection site for this test

    ·       Individualized support with supplemental education on common symptoms and discomforts of pregnancy.

    ·       Trauma informed care in pregnancy and birth preparation

    ·       Prior birth trauma support in preparation for next delivery

    Postpartum

    ·       Exam and assessment for delayed healing. Support for vaginal tissue healing.

    ·       Contraception counseling and prescribing

    ·       Birth story processing

    ·       Postpartum anxiety – counseling, support and medications management

    ·       Postpartum depression – counseling, support and medication management

    ·       Postpartum adjustment support- adjusting your life into the demands of mothering is not as easy as we often anticipate. These appointments include counseling on self care, setting realistic expeditions and communication skills for setting boundaries with family, spouses, work and self.

  • At Hearts and Hands, we take a comprehensive and holistic approach to hot flashes, night sweats, vaginal dryness and mood swings and other symptoms of peri-menopause. This can include complementary alternative use of supplements and herbs as well as traditional pharmaceutical modalities.

    All care begins with an intake appointment, ideally in person, but virtual appointments can be made with approval by Sarah Bay.

    Care will be based on a shared plan with use of life style adjustments, counseling, supplements, referrals and pharmaceutical or compound prescriptions.

    Care includes:

    • Life style modification and referrals as needed for support

    • Supplement and diet recommendations

    • Hormone replacement therapy including FDA approved methods and collaboration with your local compound pharmacy as needed

    In office lab collection and interpretation

  • How it works: During pregnancy, cell-free fetal DNA is released by the placenta and can be found in mom’s bloodstream. Using a small sample of mom’s blood, SneakPeek tests for the presence of male DNA (Y-chromosomes). Y-chromosomes would only be present if mom is pregnant with a boy. If no Y-chromosomes are found, mom is carrying a girl. This method is known as noninvasive prenatal testing (NIPT) and is safe for both mom and baby. See the peer-reviewed published study that indicates this test is 99.6% accurate as early as 8 weeks into pregnancy in the Journal of Pregnancy and Child Health. (J Preg Child Health 4:358).

    When Can I take the Test? To take SneakPeek, you must be at least 8 weeks into pregnancy, which can be calculated using either the first day of your last menstrual period, or baby’s estimated due date. Use our Test-ready calculator to see if you’re eligible!

    How Accurate is the test? According to controlled laboratory testing, the SneakPeek Early Gender Test predicts a baby’s gender with over 99% accuracy (99.6% to be exact). If you want a little more background on the science behind that percentage, here it is: In controlled laboratory tests, SneakPeek Test accurately detected shared male fetal DNA (the presence of the Y-chromosome in the mother’s sample) in more than 99% of samples provided by women pregnant with a male fetus. (Note: all women in the study were 8 weeks or further along in their pregnancy.) Male fetal DNA was consistently not detected in samples from pregnant women carrying female fetuses. In a blind multi-center study performed in 2015 with samples collected at four clinics, SneakPeek showed an accuracy rate of 100% for fetal sex identification. The results of this study are available here. In at-home testing, a validation study presented at the American Society of Human Genetics (ASHG) Conference showed that SneakPeek Early Gender Test is highly accurate at determining baby gender as early as 9 weeks into pregnancy.

    To learn more click here

    You can book at either the Peterborough here, or contact me for home visits for an additional $50 if within a 30 min drive. 

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Your Questions, Answered

  • Yes, H&H is in network with many major insurances including Anthem, Aetna, Cigna, BCBS, United, Harvard Pilgrim and NH based Medicaid plans. As the ACA plans change annually I have struggled to keep active accounts with these, so please check your plan (as of 2026 for example, I am not in network with the Cigna ACA plans).

    For those using insurance, billing will be processed first, and co-pays will be mailed to your home for payment.

    H&H can not currently bill to Medicare. 

    For those who are self paying, timely payment at time of the appointment is given a discount of 25%

  • Payment methods accepted: cash, check, Venmo, PayPal, Credit card and HAS card.

    For those using insurance, billing will be processed first, and co-pays will be mailed to your home for payment.

    Timely payment at time of the appointment without insurance is given a discount of 25%

  • No, I can not be your primary care provider. Women’s health care is considered a specialty with a focus on care related to the unique health care needs of women. I enjoy working closely with your primary care provider and support care team when that is helpful. 

  • Most insurances will cover one annual exam appointment per year without a referral. Referrals and pre-auths may be required with some insurances for follow up and problem visit services.  Check with your insurance, or ask your PCP for a referral regardless just to make sure your insurance can be used.

  • We can either order labs that you have collected at your lab or choice, or we can collect most labs on site at the office. Hearts and Hands is currently in contract with Quest and LabCorp and can send orders to most hospital labs as needed. We can also co-manage lab collection if your PCP orders labs or if you want support with  specific blood test company on a person to person basis. 

  • Please fax prior medical care to: 603-924-4554