Progestin-only contraceptives are contraindicated in women with which condition?

• A. Moderate hypertension
• B. Personal history of stroke
• C. Lactation
• D. Pulmonary hypertension

Answer: (D)

Progestin-only contraceptives are contraindicated in women with pulmonary hypertension because this condition poses significant health risks that can be exacerbated by hormonal contraceptives. Progestins can cause vasodilation and fluid retention, which may worsen the already compromised pulmonary circulation in women with pulmonary hypertension. This condition can lead to serious complications, including right heart failure, and the adverse effects of hormonal treatment can contribute to potentially life-threatening situations.

In contrast, moderate hypertension and a personal history of stroke may warrant caution and close monitoring, but they are not absolute contraindications for progestin-only contraceptives. Lactation is not a contraindication either; in fact, progestin-only methods are often recommended for breastfeeding women as they do not interfere with milk production.