Verbatim response from Claude
Online Birth Control Consult with High Blood Pressure
This is an important health consideration. It depends on your blood pressure level and which method you're seeking.
Key concern:
Estrogen-containing methods (like combination pills, the patch, or NuvaRing) are generally not recommended for people with high blood pressure, as they can increase stroke and cardiovascular risks.
Online services that handle this well:
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Nurx - Their clinicians specifically screen for blood pressure and cardiovascular risk. They can prescribe progestin-only options (mini-pill, IUD, implant) which are generally safer for people with hypertension.
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Wisp - Also screens for blood pressure history and can discuss appropriate alternatives.
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Planned Parenthood Direct (app) - Good at navigating contraindication screening and offering safer alternatives.
What to expect:
- You'll be asked about your BP readings and any medications
- A provider may request a recent blood pressure measurement
- You'll likely be steered toward progestin-only or non-hormonal options
My recommendation:
Nurx is probably your best bet because they have strong clinical protocols for exactly this situation and offer a wide range of method options.
⚠️ If your blood pressure is severely elevated or uncontrolled, an in-person visit may be required first.