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Re: HRT and blood pressure
From: jwang,MD (anonymous@obgyn.net)
Mon, 31 Jul 2000 07:37:00 -0500 (CDT)
While it can be a side effect of HRT, elevated BP can also be caused
form a number of different causes. Your increased BP shouldn't be so
quickly blamed on the HRT. As you have shown, it appears that certain
situations cause you to have an elevated BP. Often, several BP's are
taken AT the office to see if it goes down. Also, there should be some
testing done (blood tests, cardiogram) before you are statred on
anything for your BP. If you are seeing your primary care doc, you may
want to see a gyn. If you are seing your gyn, you may want to see your
primary care. If you do have "white coat" syndrome, there shouldn't be
any reason you can't go back on HRT.
At Mon, 31 Jul 2000, Joan wrote:
>
>Hi, I was on HRT for 2 years with no side effects. I went to my doctor
>one day and she took my blood pressure. It was 150 over 80 which is
>pretty high for me. Nortmally my blood pressure is around 110 over 65.
>I was alarmed. She said this was a side effect of the HRT and that my
>blood pressure was to be monitored. I instantly took myself off the HRT
>and bought a blood pressure machine. When taking my own blood pressure
>at home it was usualy the same around 110 over 70, and in to morning
>around 100 over 60. I tested the machine on other people just to make
>sure it was working properly.
>
>I went to the nurse about 3 weeks after coming off HRT and my blood
>pressure was 170 over 80. Again on taking my blood pressure at home I
>found it was low. I returned to my doctor and she again took my blood
>pressure and it was 150 over 90. She said I would probably have to go
>on medication to reduce it. I do not want to go on medication to reduce
>my blood pressure and I don't believe it is high. By the way, I used to
>be a nurse and I do know how to take a blood pressure reading. I am 48.
>I take my blood pressure readings on a regular basis and the highest it
>has been is about 130 over 80 after exercise.
>
>I am very confused, off HRT and feeling miserable.
>
>Is it normal for HRT to cause high blood pressure after taking it for
>two years? Can I be so terrified of my doctor that my blood pressure
>rises so high when I visit her? I would be very grateful for some help.
>Joan
--
J Wang, M.D
Assitant Clinical Prof.
Tufts University School of Medicine
>**Note: Opinions expressed here are for educational purposes only
>and, as such, do not constitute a physician-patient relationship.
>This information is not intended to supplant the need for you to
>consult with your physician prior to choosing therapeutic options
>and/or interventions.>
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