A nurse is conducting a health promotion class about the use of oral contraceptives. Which of the following disorders is a contraindication for oral contraceptive use?

Hypertension is a contraindication for oral contraceptives (OCs) because estrogen increases blood pressure and the risk of thromboembolic events such as stroke and MI. OCs are also contraindicated in clients who smoke, are over 35, have a history of blood clots, or have migraines with aura. Fibromyalgia, asthma, and fibrocystic breast condition are not contraindications for oral contraceptive use.