Hypertension: Clients with hypertension typically can use DMPA (U.S. MEC 2), except for people with intense hypertension (systolic tension of ≥a hundred and sixty mmHg or diastolic strain of ≥a hundred mm Hg) or vascular disease who commonly shouldn't use DMPA (U.S. MEC three).[1] Screening for hypertension in advance of initiation of DMPA will