Long-standing Hypertension Requests Contraception in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#550
SMLE Question #550
Obstetrics & Gynecology
General Gynecology
Last updated: February 2026
A 38-year-old multiparous woman with long-standing hypertension requests contraception. For 12 months, she has had very heavy menstrual bleeding with fatigue and exertional dyspnea. She wants a highly effective, reversible method that will not worsen bleeding or anemia. On examination, she appears pale. Which contraceptive method is most appropriate?
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