Verbatim response from Claude
It depends, but here's what you should know:
It May Still Work, With Caveats
High blood pressure (hypertension) is a key factor providers screen for, because estrogen-containing birth control (like combined pills, the patch, or the ring) can raise blood pressure further and increase stroke/clot risk.
Good Online Options to Try
Nurx - Their providers specifically screen for blood pressure history and can prescribe progestin-only options (mini-pill, IUD referrals) that are generally safer with hypertension.
Wisp - Also handles complex cases and will ask detailed health history questions.
The Pill Club - Good for straightforward cases, though may refer you out if hypertension is significant.
Planned Parenthood Direct (app) - Reputable and thorough with health screening.
What to Expect
- You'll likely be asked your actual BP numbers
- If well-controlled, some combined options may still be approved
- If uncontrolled, you'll probably be steered toward progestin-only methods
- Some platforms may require a recent BP reading or refer you to an in-person provider
My Recommendation
Nurx or Wisp are your best bets since they handle more complex medical histories and have licensed providers who can navigate this nuance.
Would you like more detail on progestin-only options?