Hypertension: Clients with hypertension generally can use DMPA (U.S. MEC two), with the exception of people with extreme hypertension (systolic strain of ?one hundred sixty mmHg or diastolic strain of ?a hundred mm Hg) or vascular condition who normally must not use DMPA (U.S. MEC 3).[one] Screening for hypertension just before initiation of DMPA w