Gynecological Care

Annual Exams

Annuals typically consist of a pelvic exam, a pap test and/or a breast exam.

Routine Pap Testing

Recommended for anyone with a cervix. It involves taking a sample of cells from the cervix and checking if the cells show any signs of cancer – or of a precancerous condition called dysplasia.

Clinical Breast Exams

Assess your breast health, examine any changes, and include a manual and visual exam of your breasts. Breast Self-Exam (BSE) and mammograms will also be discussed during your visit.

Breast & Cervical Cancer Program

BCCP stands for the Breast and Cervical Cancer Program offered by the NH Dept. of Health and Human Services, for which we proudly serve as a screening site.

You are eligible for these FREE services if:

You are 21-64 years old and you have breasts and/or a cervix.
You don’t have health insurance or have insurance that covers less than 100% of the cost of screening or diagnostic tests.
You have family income at or below 250% of the Federal Poverty Level.

‍BCCP offers eligible participants access to breast exams, mammography, pap tests, pelvic exams and diagnostic services, should follow up be needed.

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Breast & Cervical Cancer Program

BCCP stands for the Breast and Cervical Cancer Program offered by the NH Dept. of Health and Human Services, for which we proudly serve as a screening site.

You are eligible for these FREE services if:

You are 21-64 years old and you have breasts and/or a cervix.
You don’t have health insurance or have insurance that covers less than 100% of the cost of screening or diagnostic tests.
You have family income at or below 250% of the Federal Poverty Level.

‍BCCP offers eligible participants access to breast exams, mammography, pap tests, pelvic exams and diagnostic services, should follow up be needed.

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STI Special

This screening has a set fee and does not include a physical exam with the provider. It is available to anyone who is currently uninsured or chooses not to use their current health insurance for testing. It includes:

Rapid HIV

Blood draw, results available in 20 minutes.

Chlamydia

Urine test, results usually available in 5 to 7 business days.

Gonorrhea

Urine test, results usually available in 5 to 7 business days.

Syphilis

Blood draw, results usually available in 5 to 7 business days.

Schedule

Additional Screening Tests Available

Hepatitis C

Blood draw, results usually in 5 to 7 business days.

Chlamydia

Rectal and oral test, results usually in 5 to 7 days.

Gonorrhea

Rectal and oral test, results usually in 5 to 7 days.

Pap and/or HPV

For this you need to schedule a physical exam & office visit with the provider.

Emergency Contraception

IUDs (Liletta, Mirena, Copper nonhormonal)

Plan B (for free!)

Ella

Birth Control & Family Planning

Selecting a method of birth control that is right for you requires accurate information, professional advice, and thoughtful consideration of your birth control goals and options.

Some important considerations when choosing a birth control method:

Which one is safe for you
Which one you will be able to use effectively and consistently
Which one you and your partner(s) will be comfortable using
Which one is affordable and easy for you to access

We’re birth control experts at Equality Health. We offer:

Progestin IUD (Skyla, Liletta)
Birth control pills
Hormone-free Paragard IUD
Diaphragm
Nexplanon arm implant
Birth control patch
Depo-Provera injection
Condoms (for free!)
Birth control ring
Natural planning / fertility awareness

Emergency Contraception:

IUDs (Liletta, Mirena, Copper nonhormonal)
Plan B (for free!)
Ella

First step

The first step is a pelvic exam, where the provider feels the size and position of your uterus, like what you would experience during a routine GYN exam.

Second step

In the second step, the provider will numb the surface of your cervix by injecting a local anesthetic (at the opening to the uterus).

Third step

The third step is a gradual stretching of the opening of your cervix, called dilation. The provider will open your cervix just enough to insert a sterile tube through the cervix, into the uterus.

Final step

The final step is vacuum aspiration. The sterile tube is connected to an aspiration device, which creates suction and removes the pregnancy.

After the aspiration, you will rest for 20-30 minutes in our recovery room, where our team cares for you and gives aftercare instructions and medications.

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What method is best for me?

Procedural Abortion

Medication Abortion

Success rate

~ 99% success rate

~ 95-98% success rate

Invasiveness

Instruments inserted into the uterus

Usually avoids procedural procedure

Visits

Can be done in one visit. An outpatient procedure, the appointment will take about 4-5 hours.

Requires two visits: first in-office appointment 2hrs; second is Telehealth 15 minutes.

Duration

Procedure is completed in 10-15 minutes

The abortion can take up to 6-8 hours to complete after taking the second medication

When to do

May be used early in pregnancy (from 6-15.6 weeks)

May be used early in pregnancy (from 6-11 weeks)

Medication

Local anesthesia, oral pain medication, and anti-anxiety medication is available

Oral pain medication is advised for discomfort

Location

Procedure is done in a medical office

At home

Providers

MD or APRN provides the procedure

APRN and RN available via phone

Miscarriage Management

We offer care and medical supervision for people experiencing an early pregnancy loss/miscarriage. If you are pregnant and bleeding, there is a possibility that you may be having a miscarriage.

‍The first step is to determine whether this is the reason for the bleeding. This may include a physical exam, an ultrasound, and blood tests. If you appear to be miscarrying your pregnancy, we will go over your options, explain their safety and effectiveness, and support you in managing the miscarriage. Options include medication to help your body expel the pregnancy tissue; a procedure to remove the tissue from your uterus; or watching and waiting.

Unfortunately, miscarriage can affect anyone and there is no treatment that can stop a miscarriage. Approximately 15-25% of all pregnancies end in miscarriage. We understand how frightening this may be, and we are here to support you emotionally and physically.

Contact

1-855-502-3858 (Toll free)

1-603-225-2739 (Local calls)

Testosterone

Testosterone is the sex hormone that makes certain features appear typically masculine. It builds muscle and causes the development of facial hair and a deeper voice.

Contact

1-855-502-3858 (Toll free)

1-603-225-2739 (Local calls)

Learn more about Abortion

Abortion FAQs

Abortion Safety

Abortion is one of the most common medical procedures performed in the United States each year. More than 25% of all women will end a pregnancy by abortion at some time in their reproductive lives. There is a lot of misinformation about the safety of abortion, but in fact there are fewer medical risks associated with abortion than with a full-term pregnancy and delivery.

Abortion Facts

Our providers have been performing Procedural Abortions at Equality Health Center since 1974, and Medication Abortions since 2000. Less than 1% of abortions result in complications. Most complications are minor and do not have adverse long-term effects on health or fertility. There is no greater risk with two or more abortions than there is with one abortion.

Abortion Myths

Anti-abortion activists claim that having an abortion increases the risk of developing breast cancer and endangers future childbearing. They claim that people who have abortions without complications will have difficulty conceiving or carrying future pregnancies, will develop ectopic (outside of the uterus) pregnancies, will deliver stillborn babies, or will become sterile. None of these claims are supported by medical research.

Under 18 and need an abortion?

Parental Notification Law

The New Hampshire Law requires that one parent or legal guardian, chosen by you, be notified that you are choosing to have an abortion. They do not have to agree with your decision, but they must be notified of your intent. If you don’t think you can tell them, you have the option to ask a judge to excuse you from this requirement. The procedure is called a “judicial bypass.”

If your parent or guardian is coming with you to the appointment, they can sign a statement at Equality Health Center indicating that they were notified.

If your parent or guardian cannot come with you to the clinic you still have several choices:

If your parent/guardian knows about your appointment, they must fill out and sign a Parental Notification form in front of a Notary Public. This form is available from our office, by mail, fax, e-mail or may be downloaded here. No matter how you obtain the form, you must bring the original signed and notarized form with you, on the day you come for your appointment.
We can send a notification letter to the parent/guardian of your choice by the U.S. postal service certified mail, return receipt requested with restricted delivery, to the address of your chosen parent/legal guardian. This notice must be sent at least 48 hours before your appointment. Before we can send the notification, we must have a Minor Consent Release form signed by you giving us permission to send it. This form is available from our office, by mail, fax, e-mail or may be downloaded here.
If you feel that you cannot tell your parent/guardian that you are pregnant and that you believe an abortion is the best option for you, you can get a waiver of notification or judicial bypass. We can connect you with an attorney at no cost to you, to represent you during the court proceedings. You are not alone. The court proceeding will take place within 48 hours of your attorney filling the request for the waiver. If the judge decides you are capable of understanding and giving an informed consent for the abortion, or if the judge decides that not involving a parent/guardian is in your best interest, they will grant you the waiver.

An unintended pregnancy can feel overwhelming. If you are not sure about your options, call us. We will give you accurate, unbiased information so that you can make an informed choice about what is best for you.

Quick scroll

Annual Exams

Routine Pap Testing

Clinical Breast Exams

Breast & Cervical Cancer Program

Breast & Cervical Cancer Program

Infection Testing & Treatment

STI Special

Additional Screening Tests Available

Emergency Contraception

Birth Control & Family Planning

First step

Second step

Third step

Final step

What method is best for me?

Miscarriage Management

Testosterone

Learn more about Abortion

Abortion Safety

Abortion Facts

Abortion Myths

Under 18 and need an abortion?

Cycle Therapy

Hormone Replacement Therapy (HRT)
‍‍for Peri & Menopause

Menstrual & Cycle Care

Gynecological Care

Quick scroll

Annual Exams

Routine Pap Testing

Clinical Breast Exams

Breast & Cervical Cancer Program

Breast & Cervical Cancer Program

Infection Testing & Treatment

STI Special

Additional Screening Tests Available

Emergency Contraception

Birth Control & Family Planning

First step

Second step

Third step

Final step

What method is best for me?

Miscarriage Management

Testosterone

Learn more about Abortion

Abortion Safety

Abortion Facts

Abortion Myths

Under 18 and need an abortion?

Cycle Therapy

Hormone Replacement Therapy (HRT)‍‍for Peri & Menopause

Menstrual & Cycle Care

Hormone Replacement Therapy (HRT)
‍‍for Peri & Menopause