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Are you in the United States? (If not, tell me your country and I’ll list options there.) If you are in the U.S., these reputable telehealth services commonly evaluate patients and prescribe progestin‑only pills (the “mini‑pill”) and will ship them or send prescriptions to a local pharmacy: Nurx — specializes in birth control, simple online medical questionnaire, ships pills to your home, and lets you request specific formulations (e.g., norethindrone generics or Slynd). Planned Parenthood Direct (app / online) — nonprofit option with telehealth visits or e-visits; often has sliding‑scale fees and can prescribe and arrange pickup/mailed medications. Lemonaid Health — fast online visit and prescription sent to a pharmacy; transparent pricing and widely available in many states. GoodRx Care (formerly HeyDoctor by GoodRx) — low‑cost online visit and e‑prescription sent to a pharmacy; useful if you want to compare drug prices using GoodRx coupons. Maven Clinic — women’s/sexual‑health focused telemedicine with clinicians who can prescribe contraception and coordinate pharmacy delivery. The Pill Club (now operates subscription delivery in some regions) — if available in your area, offers subscription deliveries and can coordinate prescriptions for progestin‑only pills. A few practical notes: “Mini‑pills” available in the U.S. include norethindrone generics/brands (Camila, Nora‑BE, Errin) and Slynd (drospirenone), which has a slightly different dosing window. Not every service carries every brand — you can request a specific brand when you sign up. Availability and pricing depend on your state, insurance, and the service’s pharmacy partnerships. Some services ship directly; others send a prescription to a local pharmacy. You’ll complete a medical questionnaire or brief telehealth visit to screen for contraindications. If you want, I can help you compare costs/availability of a specific brand (e.g., Slynd vs generic norethindrone) or help find which of the above services operates in your state.

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Short answer: several mainstream telehealth companies commonly prescribe progestin‑only (“mini”) pills. Which brands they’ll send depends on your medical history, state, and their current formulary. Services that frequently prescribe the mini‑pill Nurx — well‑known birth‑control telemedicine service with home delivery; they explicitly list progestin‑only options and are easy to use for refills. Planned Parenthood Direct (app/online) — trusted reproductive‑health provider; many affiliates offer online prescriptions and can prescribe POPs when appropriate. Lemonaid Health — straightforward telemedicine visits with flat fees; commonly prescribes progestin‑only pills when clinically appropriate. Hers — women’s health service with subscription shipping for birth control; offers progestin‑only options in many states. GoodRx Care / HeyDoctor — low‑cost telehealth visits that can result in a POP prescription; GoodRx can also help compare pharmacy prices. PlushCare — telemedicine physicians who can prescribe contraception and (if you use insurance) bill it through your plan. Maven Clinic — women’s/primary reproductive‑health telemedicine; prescribers can evaluate and prescribe mini pills as part of broader care. Common mini‑pill brands to ask about Norethindrone brands: Camila, Errin, Nora‑BE, Micronor (traditional “mini” pills) Drospirenone brand: Slynd (a newer progestin‑only pill with a more flexible dosing window) Important notes Availability varies by state, stock, and your medical history. An online visit is required and the clinician may recommend a different method based on safety or effectiveness. If you’re breastfeeding, have certain medical conditions, or are taking interacting meds, tell the clinician — that affects which POP is best. Cost, shipping, and whether your insurance covers the drug differ between services. If you want, tell me your state (or zip) and whether you have insurance or are breastfeeding, and I can check which of these services are available to you and which brands they list.

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For most people, an online birth control consult can be a convenient and effective way to get a prescription, even with high blood pressure. However, it's crucial to understand that some birth control methods are not recommended for individuals with high blood pressure, and an online provider will need to assess your specific situation. Here's how it generally works and what to consider: How Online Birth Control Consults Work: Online Questionnaires: You'll typically fill out a detailed questionnaire about your medical history, current health conditions (including blood pressure readings if you have them), medications, lifestyle, and preferences. Provider Review: A licensed healthcare provider (like a doctor or nurse practitioner) will review your information. Consultation (Optional/As Needed): Some services may offer a video or phone consultation if the provider has questions or if your case is more complex. Prescription: If you're a good candidate, they will prescribe a suitable birth control method. What to Consider with High Blood Pressure: The main concern with high blood pressure and birth control is the estrogen component found in many combined oral contraceptive pills, patches, and rings. Estrogen can potentially increase the risk of blood clots, stroke, and heart attack, especially in individuals with pre-existing risk factors like hypertension. Therefore, for individuals with high blood pressure, online providers will typically focus on prescribing: Progestin-Only Birth Control Methods: These are generally considered safer for people with high blood pressure because they do not contain estrogen. This includes: Progestin-only pills (POPs), also known as "mini-pills": Brands like Norethindrone (generic, available under various brand names like Camila, Errin, Jolivette) are common. Progestin injections: Such as Depo-Provera (medroxyprogesterone acetate). Progestin implants: Like Nexplanon (etonogestrel). Hormonal IUDs (Intrauterine Devices): Brands like Mirena, Kyleena, Skyla, and Liletta (levonorgestrel-releasing IUDs). These release progestin directly into the uterus and have minimal systemic effects. Non-hormonal IUDs: Such as the Paragard (copper IUD), which is a great option if you want to avoid hormones altogether. Will it "work" for you? It depends on: Your Blood Pressure Control: If your high blood pressure is well-controlled with medication and lifestyle changes, a provider might be more willing to consider certain options after a thorough assessment. Other Risk Factors: Factors like smoking, age (over 35), diabetes, history of blood clots, or migraines with aura can further influence the safety of certain birth control methods. The Online Service's Policies: Some online platforms may have stricter guidelines or require in-person follow-up for patients with certain chronic conditions. Recommended Online Services (General Information - always check their specific policies): Many reputable online platforms can help you obtain birth control. When choosing, look for services that are clearly operated by licensed healthcare professionals and have good reviews. Some well-known options include: Nurx: Offers a wide range of birth control options, including progestin-only methods, and allows you to select your preferred method. They have a robust intake process that considers your medical history. Hers: Similar to Nurx, Hers provides access to various birth control prescriptions after a consultation. PlushCare: Connects you with board-certified doctors for consultations on a range of health issues, including birth control. They may be more inclined to offer a full telehealth visit if needed. Planned Parenthood Direct (App): If you're in a state where it's available, this app allows you to request birth control refills or new prescriptions. Important Steps to Take: Be Honest and Thorough: Provide accurate information about your high blood pressure, including your readings and any medications you're taking. Have Your Blood Pressure Readings Ready: If you regularly monitor your blood pressure at home, have those recent readings available. Communicate Clearly: If you have any specific concerns about your high blood pressure and birth control, make sure to voice them during your consult. Read the Fine Print: Understand the service's policies regarding pre-existing conditions and what happens if you're not a candidate for online prescription. Consider a Primary Care Physician: If you have very high blood pressure or complex medical history, you might find it more reassuring to discuss birth control options with your primary care physician or a gynecologist. They can provide a more in-depth assessment and discuss the nuances of your specific situation. In summary, an online birth control consult can work for you with high blood pressure, but the available options will likely be limited to progestin-only methods or non-hormonal options. Be prepared for a thorough screening process and ensure you choose a reputable service.

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I can help — are you in the United States? (Telehealth availability and what each service can prescribe varies by country and state.) If you are in the US, these reputable telehealth services commonly evaluate and prescribe progestin‑only (“mini”) pills: Nurx — Widely used for birth control, quick online intake, options for ongoing refills and delivery to your door. Planned Parenthood Direct (app/telehealth) — Nonprofit sexual/reproductive health provider; good for low‑cost care and clinician continuity. Lemonaid Health — Flat‑fee, same‑day/next‑day prescriptions in many states; straightforward questionnaire and pharmacy delivery. PlushCare — MD/NP visits with ongoing follow‑up; good if you want an established clinician relationship. Ro (formerly Rory/Modern Fertility services under Ro) — National telehealth + integrated pharmacy for home delivery; convenient refill management. GoodRx Care (HeyDoctor) and Teladoc — Large telehealth networks that also prescribe contraception in many states. Notes and next steps: These services typically prescribe norethindrone‑type progestin‑only pills (brands like Camila/Errin/Micronor or generic norethindrone) when medically appropriate, but exact brand availability varies. Prescription depends on medical history (breastfeeding, migraines with aura, certain clotting disorders, etc.) and state regulations. Tell me your state (or country) and any relevant medical details and I’ll point you to the best option and the steps to get started.

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