Hypertension: Clients with hypertension frequently can use DMPA (U.S. MEC two), except for individuals with severe hypertension (systolic pressure of ?one hundred sixty mmHg or diastolic strain of ?one hundred mm Hg) or vascular illness who typically mustn't use DMPA (U.S. MEC three).[one] Screening for hypertension prior to initiation of DMPA is j