Personalized Women’s Hormone Care Across New England

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Evidence-informed naturopathic care for women seeking answers to hormone imbalance, PCOS, perimenopause, menopause, thyroid concerns, fatigue, brain fog, and more.

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In-person visits in Dover, NH and Newington, NH

Virtual across NH, ME, CT, MA

Root-cause approach

Why Aya?

At Aya Naturopathic Medicine, we believe hormone symptoms are signals—not simply problems to suppress. Our goal is to understand why you’re experiencing symptoms and create a personalized plan that supports your body’s natural ability to heal.

Unlike a one-size-fits-all approach, we take time to understand your health history, lifestyle, nutrition, stress, sleep, and lab work so your treatment plan is tailored specifically to you.

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Is This You?

You deserve answers – not just symptom management

Irregular or painful periods

Heavy menstrual bleeding

PMS or PMDD

Fatigue

Weight gain despite healthy habits

Hot flashes

Brain fog

Night sweats

Mood swings

Low libido

Anxiety

Hair loss

Acne

PCOS / PMOS

Perimenopause

Menopause

Our Root-Cause Approach

We look for why your symptoms are happening

Hormones

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Gut Health

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Nutrition

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Stress

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Sleep

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Inflammation

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Lifestyle

At Aya, we don’t simply treat hormone levels. We evaluate the interconnected systems that influence hormonal health—including nutrition, metabolism, gut health, stress, sleep, thyroid function, and inflammation—to create a personalized treatment plan that addresses the root causes of your symptoms.

Your care may include:

Comprehensive blood work
Functional testing when appropriate
Nutrition counseling
Lifestyle optimization
Botanical medicine
Nutritional supplementation
Bioidentical hormone therapy (when appropriate)
Ongoing coaching and support

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Conditions We Commonly Support

Perimenopause

Hormonal changes during perimenopause can lead to irregular cycles, mood changes, sleep disturbances, hot flashes, and brain fog. We work to identify contributing factors and create a personalized plan to help you navigate this transition.

Menopause

Menopause can bring symptoms that affect your quality of life, including hot flashes, night sweats, vaginal dryness, fatigue, and changes in mood or metabolism. Our goal is to help you feel your best with evidence-informed, individualized care.

PCOS / Polyendocrine Metabolic Ovarian Syndrome (PMOS)

PCOS, also known as Polyendocrine Metabolic Ovarian Syndrome (PMOS), is a complex hormonal and metabolic condition that can contribute to irregular periods, acne, unwanted hair growth, weight changes, insulin resistance, and fertility concerns. We take a root-cause, evidence-informed approach to improve hormone balance, metabolic health, and long-term wellness through personalized care.

Hormone Imbalance

If you’ve been told your hormones are “normal” but you still don’t feel like yourself, you’re not alone. We evaluate the many factors that influence hormone health to help uncover the root cause of your symptoms.

Painful or Heavy Periods

Painful, heavy, or prolonged periods are common but should not be ignored. We investigate possible underlying contributors and develop personalized treatment plans to support healthier, more comfortable menstrual cycles.

PMS & PMDD

Mood changes, irritability, anxiety, cravings, fatigue, and other symptoms before your period can significantly impact daily life. We take a whole-body approach to help reduce symptom severity and improve cycle health.

Hormonal Acne & Hair Changes

Hormonal imbalances can contribute to persistent acne, hair thinning, or unwanted facial and body hair. We work to identify the underlying hormonal and metabolic factors contributing to these changes.

Thyroid-Related Symptoms

Fatigue, weight changes, constipation, hair loss, feeling cold, and brain fog can sometimes be related to thyroid dysfunction. We evaluate thyroid health within the context of your overall hormonal picture.

Fertility Optimization

Whether you’re preparing for pregnancy or simply want to optimize your reproductive health, we help support healthy hormone function, nutrition, and lifestyle factors that influence fertility.

Postpartum Hormonal Changes

The months after childbirth can bring significant physical and emotional changes. We support women experiencing fatigue, mood changes, nutrient depletion, and other hormonal shifts during the postpartum period.

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Education & Training

Licensed Naturopathic Doctor

Bastyr University California (San Diego)

Bastyr University Clinic Residency (San Diego)

Co-Founder of Aya Naturopathic Medicine

Dr. Luciana Silva, ND

Dr. Luciana Silva is a licensed naturopathic doctor with advanced training in women’s hormone health, functional medicine, and root-cause care. She works with women experiencing concerns such as PCOS/PMOS, PMS, perimenopause, menopause, thyroid-related symptoms, fatigue, and other hormone-related conditions. Her approach combines evidence-informed medicine with personalized nutrition, lifestyle strategies, targeted supplementation, and prescription therapies when appropriate to help women achieve lasting health.

Why Patients Choose Dr. Luciana

Extended appointment times so you feel heard
Personalized, evidence-informed treatment plans
Functional laboratory testing when appropriate
Collaborative care with your PCP or OB/GYN
Virtual appointments across NH, ME, MA, CT, and CA
In-person care in Dover and Newington, NH

Meet Dr. Luciana

Why Women Choose Aya

Longer appointments

Personalized care

Comprehensive testing

Root-cause medicine

Virtual throughout New England and California

Collaborative care

What Your First Visit Looks Like

STEP 1

Free Discovery Call

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STEP 2

90-minute Comprehensive Evaluation

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STEP 3

Personalized Treatment Plan

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STEP 4

45-minute Follow-Up Visits, secure messaging, and ongoing support

Patient Success Stories

“This is my first experience working with a naturopath and this practice has helped me so much. When the traditional medical model didn’t want to address my menopause symptoms or provide me with hormone therapy despite the research, I turned to Aya. I have never felt better. They have a practical approach and won’t make crazy recommendations that don’t fit with your lifestyle.”

– Jen

“This is my first experience working with a naturopath and this practice has helped me so much. When the traditional medical model didn’t want to address my menopause symptoms or provide me with hormone therapy despite the research, I turned to Aya. I have never felt better. They have a practical approach and won’t make crazy recommendations that don’t fit with your lifestyle.”– Jen

“I am so grateful to have come across AYA and Dr. Silva. I had done everything I could and seen every specialist I could see to try and solve my menstrual migraines. Dr. Silva has taken a total deep dive into my hormones and has been the best route I’ve taken so far in my many year journey to get to the bottom of this extreme discomfort. Not only does my body feel better, my stress and frustration of doctors visits is at ease! Going through Dr. Silva and AYA has been a wonderful thing and game changer!”

– Abby

“I am so grateful to have come across AYA and Dr. Silva. I had done everything I could and seen every specialist I could see to try and solve my menstrual migraines. Dr. Silva has taken a total deep dive into my hormones and has been the best route I’ve taken so far in my many year journey to get to the bottom of this extreme discomfort. Not only does my body feel better, my stress and frustration of doctors visits is at ease! Going through Dr. Silva and AYA has been a wonderful thing and game changer!”– Abby

“I finally feel listened to — I was SO gaslit by my PCP that my symptoms were just “perimenopause” when in fact there were actual issues going on. I cannot recommend AYA (and Dr. Silva specifically) enough.”

– Amanda

“I finally feel listened to — I was SO gaslit by my PCP that my symptoms were just “perimenopause” when in fact there were actual issues going on. I cannot recommend AYA (and Dr. Silva specifically) enough.”– Amanda

Frequently Asked Questions

Do you prescribe bioidentical hormones?

Yes. We prescribe bioidentical hormone replacement therapy (BHRT) for patients in New Hampshire, Maine, and California when clinically appropriate. For patients in Massachusetts and Connecticut, we collaborate closely with your primary care provider or OB-GYN to coordinate your hormone care.

Do you work alongside my OB-GYN or primary care provider?

Absolutely. We believe the best care is collaborative and are happy to communicate with your healthcare team to ensure your treatment plan is coordinated and comprehensive.

Can I see you virtually?

Yes! We offer secure telemedicine appointments for patients who are physically located in New Hampshire, Maine, Massachusetts, Connecticut, or California at the time of their visit.

Do you treat PCOS / PMOS?

Yes. Supporting women with PCOS (also known as Polyendocrine Metabolic Ovarian Syndrome, or PMOS) is one of our clinical focuses. We take a root-cause approach that addresses hormone balance, metabolic health, nutrition, and lifestyle to create a personalized treatment plan.

Do you order lab testing?

Yes. We can order conventional laboratory testing through Labcorp and Quest and, when possible, use your insurance benefits. For HMO plans, we often coordinate recommended testing through your primary care provider. We also utilize advanced functional and specialty testing when it will provide meaningful information to guide your care.

How long does treatment usually take?

Every woman is different. Some patients begin noticing improvements within a few months, while others require longer-term support depending on their health history, goals, and the complexity of their condition. We will create a personalized plan and adjust it as your health improves.

Do you accept insurance?

Aya Naturopathic Medicine is an out-of-network practice, so we do not bill insurance for visits. However, we strive to use insurance for laboratory testing whenever possible. We also accept HSA and FSA cards.

How much does the first visit cost?

Our New Patient Package is $900 and includes a 90-minute comprehensive evaluation plus two 45-minute follow-up visits. We offer a discounted rate of $800 when paid in full upfront, or a payment plan consisting of a $150 deposit followed by five monthly payments of $150. Individual 90-minute consultations are also available for $450.

Can you help if I've already tried hormone therapy?

Yes. Many of our patients come to us after trying hormone therapy without achieving the results they hoped for. We evaluate whether additional factors—such as nutrition, gut health, thyroid function, stress, sleep, inflammation, or metabolic health—may be contributing to persistent symptoms and develop a more comprehensive treatment plan.

Ready to Feel Like Yourself Again?

Let’s uncover the root cause of your symptoms

Schedule Your Free Discovery Call