Verbatim response from Claude
It depends, but you should be cautious and transparent about your condition.
High blood pressure (hypertension) is an important factor because estrogen-containing birth control (like combined pills, the patch, or the ring) can raise blood pressure further and increase stroke/clot risk. Many providers won't prescribe these if your BP is above a certain threshold.
Online services that may work for you:
- Wisp – Has clinicians who screen for BP concerns and can prescribe progestin-only options (mini-pill, shot, IUD referrals)
- Nurx – Asks about blood pressure during intake; may approve progestin-only pills if your BP is mildly elevated
- Hey Jane – Similar screening process with licensed providers
- Planned Parenthood Direct (app) – Good at routing you to appropriate care
What to expect:
- You'll likely be asked your BP reading, so have a recent measurement ready
- If your BP is significantly elevated, they may refer you to in-person care for safety
- Progestin-only options (like Slynd or Camila) are generally safer for people with hypertension
My recommendation: Be completely honest on the intake form. If your hypertension is well-controlled, an online consult can work. If it's uncontrolled, an in-person visit with your doctor is the safer route.