Long-standing Hypertension Attends Contraception in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#11917

SMLE Question #11917

Obstetrics & Gynecology General Gynecology

Objective: OBJ-ETH-STERIL

Last updated: February 2026
A 34-year-old multiparous woman with long-standing hypertension attends contraception counseling. Her blood pressure remains poorly controlled despite treatment. For 12 months, she has had very heavy menstrual bleeding and was recently found to have iron-deficiency anemia. She does not want pregnancy for the next few years and is unsure about permanent sterilization. Which contraceptive method is most appropriate for her?

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