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Female doctor smiling and explaining in a nice house
female doctor with stethoscope facing front smiling with arms crossed
Girl on her laptop, smiling, sitting cross-legged with black duffel beside her on the ground
female patient talking to female doctor across a desk in a white room
female doctor smiling sitting on couching a uterus pillow in left hand and poster of cartoon uterus in right hand


What is Emergency Contraception and How Does it Work?

70% of people with uteri between the ages of 15 and 44 are at risk of unintended pregnancy. Because the average childbearing person only has two children in their life, she will have to spend almost 30 years of her life preventing pregnancy. When you have difficulties taking or accessing birth control (e.g. you miss […]

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Breastfeeding and Birthcontrol

Is it Safe to Use Birth Control While Breastfeeding? TLDR: Yes, it is safe to use birth control while breastfeeding. However, depending on which method, it may decrease your milk supply. Getting pregnant soon after giving birth can be incredibly difficult on a woman’s body and emotions. The World Health Organization recommends at least 24 […]

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Natural Family Planning

What Is Natural Family Planning or Fertility Awareness Method? The average American woman only wants to have two children in her lifetime. Children are a significant time, money, and emotional investment. Despite the massive strides women have made to obtain equality, they still provide the majority of childcare. Also, only women can get pregnant, give […]

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Birth Control And Pregnancy

What You Need to Know About Birth Control and Pregnancy The average woman in the U.S. wants to have two children. To accomplish this goal, she spends only about 3 years of her life: pregnant, in the postpartum period, or attempting to conceive. However that the average woman will spend almost 30 years of her […]

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Family Planning: When to Stop Birth Control

97% of women of reproductive age in the U.S. will use a form of birth control at some point in their lives. While hormonal contraceptives offer numerous health benefits for women, hormonal birth control is incredibly useful for preventing unwanted pregnancy. According to the Guttmacher Institute, the vast majority of U.S. women only want to […]

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Obamacare, Medicare and Birth Control

What You Need to Know About the Affordable Care Act (aka Obamacare), Birth Control/Contraceptive Coverage Before Congress passed the Affordable Care Act (ACA), health insurance providers were not required to cover any form of birth control under U.S. law. At the time, insurance coverage for contraceptives varied significantly from one insurance plan to the other. […]

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Any birth control pill is good for acne. However, some may be better than others. At Pandia Health, ‪the ONLY #WomenFounded #WomenLed #DoctorLed birth control delivery company‬, we suggest desogestrel, drosperinone (if you can drink 8 glasses of water a day), or norgestimate are best for acne. We’ve found that levonorgestrel and norethindrone are not as good for acne.

Progesterone ONLY  methods such as the IUD with hormone, implant, shot, and Progesterone Only Pills are safe. copper IUD and condoms are safe.

For combined contraceptives such as the combined oral contraceptive pill cOCPs or the birth control patch (Xulane), the birth control ring (NuvaRing elyrng) if it is MILD pulmonary Stenosis, it is safe per this paper

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TLDR: Yes. we can get you dienogest via the birth control pill Natazia in the US.

Dienogest is the progestin in Qlaira (NOT available in the US) and Natazia (yes, we have this in the US).

Unfortunately, Qlaira is NOT available in the US. However, there is Natazia which is the same.
It is VERY expensive though. $245-$285 if you don’t have insurance. And unlikely that most insurance will cover it.
Also, it has so many phases and our team prefers monophasic. Watch this video

  • 2 dark yellow tablets each containing 3 mg estradiol valerate
  • 5 medium red tablets each containing 2 mg estradiol valerate and 2 mg dienogest
  • 17 light yellow tablets each containing 2 mg estradiol valerate and 3 mg dienogest
  • 2 dark red tablets each containing 1 mg estradiol valerate
  • 2 white tablets



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It depends on your risk of getting pregnant if you are not on the pill. If you can use a condom or abstain from vaginal intercourse for 4 to 6 weeks before the surgery, then please do STOP the birth control pill, birth control patch, birth control ring 4 to 6 weeks before a surgery.

A paper from 1988 shows: that research from the 1970s (when women were on HIGHER doses of estrogen) that 0.19% of women on the pill versus 0.035% NOT on the pill got a deep vein thrombosis after surgery. Other studies showed: 4.6% of patients who underwent gynecological operations for benign disease, 0 of 99 patients who underwent various abdominal operations, and 20% in 33 patients who had emergency appendectomies had a thrombosis.

From the American College of Obstetrics and Gynecology in 2018: “No trials exist to demonstrate a reduction in postsurgical VTE with preoperative discontinuation of hormone therapy, and this practice should not be routinely recommended. In women using combined oral contraception, prothrombotic clotting factor changes persist 4–6 weeks after discontinuation, and risks associated with stopping oral contraception a month or more before major surgery should be balanced with the very real risk of unintended pregnancy. It is not considered necessary to discontinue combination oral contraceptives before laparoscopic tubal sterilization or other brief surgical procedures. In current users of oral contraceptives who have additional risk factors for VTE having major surgical procedures, heparin prophylaxis should be considered.”

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short answer: No.

long answer: anything is possible and some people have long periods. But 14 days would be unusually long.

If it happens again, then time to see your doctor for a work up, you might have Von Willebrand’s disease which is “the most common bleeding disorder” found in 1/100 people according to the CDC. Learn more here


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There are 40 different formulations out there of the birth control pill. There are usually 3 different levels of estrogen (10 mcg, 20mcg, 30mcg, we do NOT recommend less than 30mcg for anyone under 30 years old. Too low of estrogen is NOT good for your bone health/density. See our youtube video ) and 8 different progesterones. So NOTE which progesterone and what level estrogen and find a doctor willing to try different ones and work with you.

Pandia Health has birth control expert doctors. If you are in California, Texas, Florida (and soon other US states), we’d be happy to help.

Otherwise, many people do well on norgestimate, desogestrel, drosperinone as the progestin. So perhaps cycle through those with your doctor.


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Seasonale, Seasonique, Loseasonique all contain the SAME active ingredients = levonorgestrel and ethinyl estradiol.
Seasonale and Seasonique each have 84 days of 0.15 mg/30 mcg levonorgestrel/ethinyl estradiol.
However, Seasonique then goes into 7 days with 10 mcg of ethinyl estradiol vs. Seasonale which has 7 days of sugar/placebo/bleeding pills.

Loseasonique is the same as seasonique except that it only has lower hormones = levonorgestrel/ethinyl estradiol 0.1 mg/20 mcg for 84 pills.

Loseasonique, Amethia Lo, Camreselo, Lojaimiess are all the SAME active ingredients, SAME dosage.
Seasonique, Amethia, Camrese, Daysee, Simpesse, Ashlyna, Jaimiess are all the SAME active ingredients, SAME dosage.
Seasonale, Introvale, Jolessa, Quasense are all the SAME active ingredients, SAME dosage.


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