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Menopause Matters magazine ISSUE 81 out now. (Autumn issue, September 2025)

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Author Topic: Hrt and blood pressure  (Read 1224 times)

Diamonds and pearls 53

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Hrt and blood pressure
« on: May 04, 2025, 12:07:57 PM »

I  have been on tablet hrt for many years ( am now 71) and l wonder if anyone has been asked  by their GP to come off hrt as their blood pressure was a little high? Mine showed an elevated  reading at the Doctors surgery so l agreed to take my hrt every other day and at the GP's request monitored my B. P at home for a month. 
The average was good so l was alowed to continue but l read in my GP's notes she would prefer me to stop hrt completly. I don't want to stop as have found it so beneficial over the years but l don't want to put my health at risk. I am only on low dose Femostsn conti, at present still every other day.
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bagsbysyl

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Re: Hrt and blood pressure
« Reply #1 on: May 23, 2025, 02:08:39 PM »

my BP actually went down when I started HRT.
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sheila99

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Re: Hrt and blood pressure
« Reply #2 on: May 23, 2025, 03:22:52 PM »

The risks are lower with transdermal hrt so perhaps you could change to a patch?
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bombsh3ll

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Re: Hrt and blood pressure
« Reply #3 on: May 23, 2025, 03:32:56 PM »

The risk to women's health from having hormone therapy arbitrarily and unilaterally withdrawn far exceeds that of continuing it and treating the blood pressure if needed.

It is extremely likely that your blood pressure is lower not because of cutting down your HRT but because you are checking it at home, not stressed at the GP surgery, particularly if you are in the situation where access to much needed treatment is contingent on obtaining a particular number. That in itself pushes it up.

I would be very firm in advocating for yourself and not agreeing to have your treatment withdrawn.

I would consider putting in writing to your GP at the same time as handing in your BP diary exactly what benefits the HRT brings to you, for example being able to sleep and exercise, as well as your quality of life, and list any risk factors you have for osteoporosis, and include a link to the relevant section of the NICE guidelines recommending against arbitrary time or age limits being placed on treatment duration.

As a last resort you do have another card to play in terms of agreeing to transdermal, but I personally wouldn't give up oral without a fight as patches/gel are unreliable and don't stick well.
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