Making Birth Control Easy

  A Q&A with Sophia Yen, MD, MPH, Co-Founder and CEO of Pandia Health


Birth control pills aren't only about preventing pregnancies. In addition to health benefits such as lowering the risk of endometrial and ovarian cancers, studies have also shown that having control over pregnancy improves the economic status of women. Access to birth control pills is so important and this is where Pandia Health comes in. As the only doctor-led and women-founded birth control delivery company, Pandia Health was co-founded by Dr. Sophia Yen to make access to birth control easier by providing virtual access to expert birth control doctors if needed and automatic prescription refills with free shipping.

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Sophia Yen, MD MPHHow did the idea for Pandia Health come about?
I was giving a talk to doctors on “why women don’t take their birth control.” One of the top reasons was they didn’t have it on hand. My friend Perla Ni and I thought, "we can solve this." Our idea was to just ship birth control to them and keep shipping it until they say "stop." We’ll make it delightful (freebies and via your phone) and with automatic refills. Then we ran ads for “free birth control delivery” and 60% of those that responded didn’t have a prescription. I’m a doctor, I can write prescriptions, and thus Pandia Health was born - the end-to-end solution from an asynchronous doctor’s visit to medications delivered by mail. Free delivery, automatic refills; set it and forget it. Let Pandia Health worry, so you don’t have to. 

What are some misconceptions people have about birth control? 
It causes you to gain weight, which it doesn’t. Research has shown that if you put 50 women on the pill and 50 women not on the birth control pill, the women NOT on the pill weigh 1lb more, because the women not on the pill bloat up and down. Those on the pill stay smooth - no ups and downs.

Another misconception is that it gives you acne. Actually, if your acne is worse because of your periods/hormonal fluctuations, any birth control pill, patch, ring should make your acne better.

Finally, there is a misconception of "brand birth control pills.” Ninety-five percent of birth control pills are generic. Generic is as good as brand in most cases.

With anti-abortion laws going into effect in numerous states, how much more important does that make access to birth control? 
Roe v. Wade could be overturned in March 2022. This means you need to get your birth control under control. Know your options.

Pandia HealthThe price of birth control pills can range from $0 with insurance up to $50 without insurance. Add the price of a doctor’s visit and it can be quite a financial burden. What are some ways to lower costs? How does the Pandia Birth Control Fund address this?
Most generic birth control pills are $15-$20 per pack. Ninety percent of people are on generic birth control pills. Generic birth control pills are generally as good as name-brand. You can use Pandia Health’s expert birth control doctors for just $20 once a year. So, for less than one-month's health insurance, you have your birth control ($195 + $20 for the doctor’s visit) covered. $15 per pack equals less than 50 cents a day.

However, if you can’t afford $20 per month, then there is the Pandia Health Birth Control Fund - just apply and we give out free birth control pills (generic) and doctor’s visits (if needed) depending on how much money we have in the fund and who is in the most need. If you have anything to spare, please donate to the fund: https://www.pandiahealth.com/social-good/ 

For many, it’s still uncomfortable or embarrassing to discuss women’s reproductive health issues with their doctors. What are some ways to make it less awkward to bring up issues you may be having?
You can email your doctor or write down your questions. Know that your doctors have seen a lot of uteri-bearing people and heard all sorts of stories and answered all kinds of questions. You are not alone. You will not be the first to ask your question.

Pandia Health is an asynchronous telemedicine. You don’t have to see or have anyone hear you as you answer the questions, and you can live chat with our patient care advisors in a secure chat. You can also text, although this method is not HIPAA compliant. We also host Facebook and Youtube live streams the first Tuesday of every month at 5pm PT en español or 5:30pm PT in English where you can hop on and get your questions answered live. 

Are there any specific women’s reproductive health issues that affect Asian American women more?
Vietnamese women are known to have lower rates of HPV screening and thus higher cervical cancer.
  1. Get your HPV vaccine if you haven’t already    
  2. Get your pap or HPV screening starting at age 21 (or soon to change to 25 years old, because the vaccine and HPV screening is that good!)
Know that most of medicine was centered around Caucasians, so for birth control, I’ve found that desogestrel is a better progesterone than norgestimate, but each uterine-bearing person is different.

Turning to the internet for information and self-diagnosing happens all the time. What should we keep in mind and how can we ensure that the information is accurate? 
Don’t do it. Go to a doctor you trust. You didn’t go to medical school and you don’t know which websites to trust, although, in general, a .edu website from a trusted university hospital should be okay. 

For reproductive health I like: Bedsider.org
And of course, Pandia Health’s blogs, FAQs, and youtube for anything related to the birth control pill, patch, ring: https://www.pandiahealth.com/polycystic-ovary-syndrome-what-is-it-and-how-do-you-treat-pcos/

Not only are you a doctor and an entrepreneur, but you’ve also co-founded The Trust Women Silver Ribbon Campaign, SheHeroes.org and the #FFFL (Female Founded, Female Led) movement. How did you become involved in these organizations?
For SheHeroes.org, my sorority sister brought me as an adolescent medicine expert to talk about how if young women are inspired, they will avoid getting pregnant, doing drugs etc. SheHeroes.org provides free online videos targeting third-eighth graders to show them those with uteri can be whatever we want to be, as long as we work hard. They also offer free online video profiles of women in jobs where we are under-represented. 


For The Trust Women Silver Ribbon Campaign, I saw the red ribbon for AIDS and said we needed something similar for abortion. Abortion affects 51% of the population, yet we don’t get the same support as the prevent AIDS movement. So, those that Trust Women to make decisions about their bodies should wear a Silver Ribbon to symbolize that they do so. The silver ribbon has also been used for Mental Health awareness/support and both are great causes.

#FFFL I started it to bring awareness to Female Founded, Female Led companies. We only receive 3% of VC funding and that number most recently went down. So, all things equal, choose Female Founded, Female Led. Ask who is the founder? who is the owner? who is the CEO? 

What would be your motto? 
If you don’t ask, you don’t get. Don’t be afraid to ask: for help, money, advice, etc. Always Be closing. Pay it forward. Do unto others as you would have done unto you.

I would also love to share for anyone with a uterus, bleeding once a month, to check out Periods Optional: How to decrease cancer, improve productivity, decrease landfill and see my TEDxBerkeley talk on the science and safety of skipping periods using medication.


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