Will High Blood Pressure Effect My Chances Of Getting Pregnant
Women who improve their heart health before pregnancy can reduce their medical risks later. This proactive approach can lower the likelihood of pregnancy complications. If youre considering becoming pregnant, talk to your health care team about healthy changes you can make to help both you and your baby be healthier.
Doctors and researchers have found a link between birth control pills and an increase in blood pressure among some women. They say that it is more likely to occur in women who are overweight, have kidney disease or have a family history of high blood pressure.
Learn more about pregnancy and maternal health, including information on being healthy before, during and after a pregnancy.
Written by American Heart Association editorial staff and reviewed by science and medicine advisers. See our editorial policies and staff.
Last Reviewed: Jun 28, 2021
Get Regular Blood Pressure Checks
If your blood pressure is in the healthy range and you have no other risk factors for cardiovascular disease, and no personal or family history of high blood pressure, it is still important to have a check at least every two years. Your doctor can also check your blood pressure during routine visits.
If your blood pressure is highnormal , or if you have other risk factors for cardiovascular disease, such as a personal or family history of high blood pressure, stroke or heart attack, it is best to have it checked more frequently such as every 6 to 12 months or as directed by your doctor. Ask your doctor for advice.
Increasing Diet Quality For Women
Most Americans get too much sodium and not enough potassium, and that can be a blood pressure-raising combination. Shifting the balance can help lower blood pressure by a few points. These choices can help you change the balance to get more potassium and less sodium.
Good foods for women watching thei blood pressure:
- Consume more beans, vegetables, fruit, fish, and yogurt.
- Watch processed and prepared foods, such as canned foods, snack foods, processed meats, and frozen foods.
- Limit prepared foods, such as fast food and deli salads.
- Cut out salty foods, such as salty sauces and dressings, cheese, and pickles.
- Vitamin C: in vegetables and fruit.
- Vitamin D: in fortified milk and fatty fish.
- Fiber: in vegetables, beans, nuts, whole grains, and fruit.
- Calcium: in dairy products, dairy substitutes, and leafy greens.
Sodium and potassium may be the nutrients you hear about most often for blood pressure, but other nutrients can also help keep your numbers in check.
As you think about boosting good nutrients, you can also think about limiting the bad ones.
Try eating:
- Swap olive oil, avocados, and nut butters for butter, shortening, and lard.
- Take fruit instead of baked goods or ice cream for a sweet treat.
- Look for whole grain versions instead of opting for refined cereal and white bread, pasta, and rice.
It is higher than the average diet in vegetables, fruit, and dairy products. It is lower than the average diet in added sugars, refined starches, and red meat.
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How Do I Lower My Blood Pressure
The steps to lower your blood pressure aren’t as painful as you may be thinking. If you smoke, you’ll need to stop. Otherwise, lowering your blood pressure is as easy as the “more of this, less of that” approach you’re used to hearing about, including:
- Maintaining a healthy weight. If you’re overweight, a loss of as few as 10 pounds can lower your blood pressure.
- Consuming low levels of salt. Keep your salt intake under 1,500 mg/day.
- Getting plenty of exercise. Try to exercise for at least 90 minutes every week.
- Limiting alcohol. Keep your alcohol intake to one drink per day if you’re a woman, or two drinks per day if you’re a man.
- Eating healthy. Aim for a diet low in saturated and trans fats and rich in fruits, vegetables and whole grains.
“Not only may young people be tempted to brush off their elevated or high blood pressure,” says Dr. Nasir, “but they are less likely to be diagnosed by doctors during their office visits. Apart from taking steps now to reduce risk factors down the road, its important to discuss with your doctor if your blood pressure is consistently high.”
Next Steps:
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Why Is Blood Pressure Still High With Medication
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What Are The Signs And Symptoms Of Low Blood Pressure
The symptoms of low blood pressure may include:
- light-headedness
These symptoms can occur when doing nothing. They are more likely to occur when changing position, such as standing up or when straining on the toilet.
However, often there are no symptoms and low blood pressure is often only identified as a result of a routine medical examination or during the course of an investigation for some other condition or underling illness.
Low blood pressure may be more serious in elderly people who may have an underlying illness or who may be at risk of a fall.
Check your symptoms with healthdirects Symptom Checker to get advice on when to seek medical attention.
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High Blood Pressure And Menstruation
There is no evidence to suggest that menstruation causes high blood pressure. Your blood pressure may fluctuate slightly during various stages of your menstrual cycle, but not enough to result in hypertension on its own.
One study did find that women who began menstruating at an early age were more likely to develop high blood pressure later in life, but more research is needed to verify the findings. Another study conducted by researchers at the University of Massachusetts found an association between severe premenstrual syndrome symptoms and hypertension. However, the study didnt prove that PMS causes high blood pressure.
What To Take To Lower Blood Pressure Fast
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Normal Blood Pressure By Age Race And Gender
Previously, guidance for normal blood pressure for adults varied by gender and specific age, but new data states normal blood pressure for adults as a collective is less than 120/80 mmHgHigh Blood Pressure Symptoms and Causes. Centers for Disease Control and Prevention. Accessed 7/16/2021. .
When it comes to race and ethnicity, Dr. Desai says certain groups have a higher rate of hypertension. Non-Hispanic Black people have a significantly higher rate of hypertension compared to non-Hispanic white people, and Hispanics and non-Hispanic Asians have lower rates than the first two, he says.
The reason for this variance can range from substandard insurance coverage and poor access to healthcare to gaps in the use of medications to treat multiple conditions with reduced compliance in certain groups, he adds.
As for gender, theres increasing evidence for risk of cardiovascular disease in women with blood pressures lower than what is considered normal, says Jennifer Wong, M.D., medical director of non-invasive cardiology at MemorialCare Heart and Vascular Institute at Orange Coast Medical Center in Fountain Valley, California.
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How Can I Control My Blood Pressure
You can often lower your blood pressure by changing your day-to-day habits and by taking medication if needed. Treatment, especially if you have other medical conditions such as diabetes, requires ongoing evaluation and discussions with your doctor.
Lifestyle changes you can make to help prevent and lower high blood pressure:
In addition to recommending lifestyle changes, your doctor will likely prescribe medication to lower your blood pressure to a safe level. Isolated systolic hypertension, the most common form of high blood pressure in older adults, is treated in the same way as regular high blood pressure but may require more than one type of blood pressure medication. You may try several kinds or combinations of medications before finding a plan that works best for you. Medication can control your blood pressure, but it can’t cure it. If your doctor starts you on medication for high blood pressure, you may need to take it long-term.
Preventing High Blood Pressure
To keep your blood pressure in the normal range, your daily habits are key. These things help:
Donât smoke. Among the many health problems that smoking causes, it raises your blood pressure.
Make physical activity a habit. Most experts recommend at least 30 minutes of moderate-intensity physical activity five or more times a week. Or you could do a harder activity for a shorter period of time per session.
Eat right. Read food labels to see how much sodium is in a serving. Check with your doctor to find out what your daily limit should be. Include a lot of vegetables and fruits, along with whatever else you choose to put on your plate.
Stick to a healthy weight. Extra pounds raise your blood pressure. If youâre not sure what a healthy weight would be for you, ask your doctor.
Get enough sleep. For most adults, thatâs 7-8 hours of sleep per night, on a regular basis.
If you drink alcohol, limit it to no more than one drink a day if youâre a woman and up to two drinks a day if youâre a man.
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Blood Pressure In The Elderly: How Low Is Too Low
A recent publication in a fine peer-reviewed medical journal of the SPRINT study proved that lowering our blood pressure to the old target of 120/80 or less led to fewer heart attacks, strokes, and kidney failure. There was no question on what to do with younger people but to lower their blood pressure more aggressively to these levels. Debates arose in the medical community about the ability to lower it that much and would we be able to add enough medication and convince the patients to take it religiously or not to meet these stringent recommendations?
There was less clarity in the baby boomer elderly growing population of men and women who were healthy and over 75 years of age. The thought was that maybe we need to keep their blood pressure a bit higher because we need to continue to perfuse the brain cells of these aging patients.
A study performed in the west coast of the United States using actual brain autopsy material hinted that with aggressive lowering of the blood pressure, patients were exhibiting signs and symptoms of dementia but their ultimate brain biopsies did not support that clinical diagnosis. In fact, the brain autopsies suggested that we were not getting enough oxygen and nutrient rich blood to the brain because of aggressive lowering of blood pressure. Maintain blood pressure higher we were told using a systolic BP of 150 or lower as a target.
Steven Reznick is an internal medicine physician and can be reached at Boca Raton Concierge Doctor.
What Is A Hypertensive Crisis
A hypertensive crisis occurs when blood pressure suddenly rises above 180 systolic and/or 120 diastolic. This prompt either a hypertensive urgency or hypertensive emergency.
A hypertensive urgency accounts for about 75% of hypertensive crises. In these cases, a person has high blood pressure, but without any serious accompanying symptoms. A hypertensive emergency requires immediate medical care, as high BP is accompanied by one or more serious symptoms, including:
- Acute pulmonary edema
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How To Take Blood Pressure
You can take your blood pressure at home using a wrist blood pressure monitor or an upper arm cuff blood pressure monitor. Experts typically recommend upper arm cuffs because they are the most accurate. Upper arm cuffs can come with either a manual or digital monitor. Both work well, but if youre measuring your blood pressure on your own regularly, a digital one will likely be easiest to use correctly.
To take your blood pressure accurately with a digital upper arm cuff, start by sitting quietly in an upright position for a few minutes, allowing your body a moment to relax. Be mindful to uncross your legs and ankles, as well as use comfortable support for your back.
With the monitor sitting on a table in front of you, place your arm next to itat approximately heart leveland place the cuff around your bare upper arm about one inch above your elbow. Secure the cuff so that you can only slide a fingertip under the top edge.
Next, simply turn on the monitor, press the start button, and take normal breaths as the cuff inflates and deflates, measuring your blood pressure and producing your reading on the screen.
Normal Blood Pressure Range
A normal blood pressure reading indicates that the heart and blood vessels are not working too hard pushing blood and that the blood is not exerting too much pressure on the walls of the vessels, says Aseem Desai, M.D., a cardiologist at Providence Mission Hospital in Southern California. Recent data from the American Heart Association suggests the optimal normal reading for adults over 20 is lower than 120/80 mmHgVirani S, et al. Heart disease and stroke statistics 2021 update . American Heart Association Journal. 2021 143:e254-e743. .
Dr. Desai notes blood pressure can vary depending on a persons age, gender, race and ethnicity, but it should still fall within the general normal range. While numbers lower than 120/80 are generally considered normal, Dr. Desai adds, The target blood pressure for treatment varies depending on age and associated co-morbidities .
Previously, guidance for normal blood pressure for adults varied by gender and specific age, but new data states normal blood pressure for adults as a collective is less than 120/80 mmHgHigh Blood Pressure Symptoms and Causes. Centers for Disease Control and Prevention. Accessed 7/16/2021. .
When it comes to race and ethnicity, Dr. Desai says certain groups have a higher rate of hypertension. Non-Hispanic Black people have a significantly higher rate of hypertension compared to non-Hispanic white people, and Hispanics and non-Hispanic Asians have lower rates than the first two, he says.
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