Verbatim response from Claude
Online Birth Control Consult with High Blood Pressure
It depends, but you should proceed with caution. High blood pressure is an important medical consideration because some hormonal contraceptives (especially estrogen-containing methods) can raise blood pressure further and increase stroke/clot risk.
Services That May Work Well For You:
Nurx and Wisp both screen for blood pressure during their online consultations and can often still help by recommending:
- Progestin-only pills ("mini-pill") which are generally safer with high blood pressure
- Non-hormonal options like copper IUDs
Planned Parenthood Direct (available in select states) also handles complex health histories thoughtfully.
Important Caveats:
- Most online services will ask for your blood pressure reading - have it ready
- If your BP is severely elevated (typically 160/100+), they will likely refer you to an in-person provider first
- Combined estrogen/progestin pills are generally not recommended if you have uncontrolled high blood pressure
My Recommendation:
Nurx is a good starting point - they have licensed clinicians who are experienced with these nuances and will either find a safe option for you or clearly explain when an in-person visit is necessary.
Always be honest about your blood pressure readings during the consultation for your safety.