I have high blood pressure for the pass 15 yrs, I'm now 39, try very hard to have baby. I request the doc in polyclinic to switch my medicine to the type that suitable to have baby. But my pressure is always on the high side after the switch, the reading is always 150/110. I'm feeling very depress. What should I do? Please advise.

Dr. Hanish GuptaEndocrinologist14yrs exp

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Dear lybate user you are a young hypertensive patient and you have asked about difficulty in conceiving. Conception is not directly in any way hindered by high blood pressure. However for a lady bp can prove to be problematic during pregnancy after conception. You are stressed too much due to your current inability to have a baby that your stress in itself contributes immensely to your uncontrolled blood pressure. You first require help to bring down your stress levels- that will control your bp and also help you to have cordial relations conducive for bringing a child in your life. Regards. 

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Ms. Samiksha JainPsychologist9yrs exp

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Hello, I understand that having a baby is very important for you and somewhere in your mind, probably your time clock is ticking away saying that you are getting older now and may not have a baby. And you are so keen to have a baby of your own? this thought alone might be a cause for more anxiety, sense of loss, sadness and anger with yourself. However, I would like to bring to your notice that overthinking about this or anything else will only bring emotional imbalance leading to more bp fluctuations. Our mind and body are connected and any mental and emotional imbalance causes an imbalance in the body. 1. Please exercise everyday within your capacity to burn off the excess calories and fat intake. Exercising will also help in uplifting your mood and improve your self image and give you a sense of control over your body. 2. Eat only healthy food limiting oil, sugars, processed and refined foods to the bare minimum. Raw and whole food diet having more of fruits, vegetables, whole grains is known to control and reduce rising bp. Add a source of good fats like walnuts, nuts and oil seeds to improve your heart functioning. Cut out meats and unhealthy cooking styles and choose steaming, stir frying over boiling and frying. 3. Yoga, meditation etc to control your anxiety and calm down the mind to help become emotionally stable and peaceful. This will also keep your bp stable. Bhramri and anulom vilom are especially 2 pranayamas very helpful in bringing emotional balance. 4. Counselling to help you learn tips and techniques to manage stressful events without losing your mental and emotional equilibrium. You will be able to cope with stress and learn to manage stress and tension with ease. 5. Only when you are healthy, will your baby be healthy. It will need a lot of attention and care when it arrives. What kind of life do you want to give your child? please consider the chances of you not feeling fit enough to take care of the baby keeping your health in mind. 6. Consider other options of having a child: would you rather consider adopting a baby over putting your body through this stress. Or would you like to volunteer your time in a childrens playhome or shelters where abandoned children are taken care of? there are number of ways that you can still meet your need to bring up a child and feel worthwhile and fulfilled. Please consider your options and their pros and cons before rushing in to any decision. Take care. 

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