A client visits the family planning clinic to request a prescription for birth control pills. Which factor would indicate that a method with estrogen would be contraindicated in this client?

Rationale: A. Irregular menstrual cycles are not a contraindication to estrogen-containing contraceptives. B. Being 35 years old alone is not a contraindication unless accompanied by other risk factors. C. History of menstrual migraines may require caution but is not an absolute contraindication unless migraines have aura. D. A history of stroke is a contraindication to estrogen-containing contraceptives due to increased risk of thromboembolism and recurrent stroke.