HT elevated blood pressure

User

Posted 16 Jun 2025 at 22:45

Here’s one for those of us on HT.
I‘ve been on Prostap (12 week jabs) for 2 years. I was at the docs yesterday having blood tests and BP check. BP was 141/89, so I have been tasked with doing daily home readings for a week. Just as a throwaway comment I asked whether being on Prostap could be a contributor to the high BP. The nurse was going to google it so I let it go as I can google myself 😬.

But then as I walked home, I began to think about it and of course the answer must be yes, because:

(1) Being over weight contributes to high BP. Prostap has caused me to gain over 10kg (riddiculous, I look as if I’ve been drinking 10 pints a night for the last 20 years).

(2) Having regular interrupted sleep pattern contributes to high BP. Prostap causes me to have hot sweats every 2 hours waking me up each time, so I haven’t had a full night’s quality sleep for 2 years.

(3) Exercise is key to keeping BP low. Prostap has weakened my muscles and combined with the associated fatigue has made it really difficult to exercise properly.

(4) Every Prostap induced hot sweat must cause the heart to work overtime, who knows what impact that is having on my BP.

Thoughts anyone?

Anyone else on HT pondering on elevated BP?

thanks

Spongebob

User

Posted 17 Jun 2025 at 07:30

Ey up Spongebob.

Research has shown you are 1.7 times more likely to have cardiac problems and 2.19 more likely to have type 2 diabetes on hormone treatment. There's even evidence suggesting the you're also more risk of getting Alzheimers.

I could pass links to the research but it would only spoil your breakfast, mate.

Your reasoning to why HT can lead to blood pressure problems seems logical. I'd add on:

(5) general stress of coping with PCa

and most importantly:

(6) Not getting your leg over as much as you used to.

I would think that your hard graft at the allotment will off set the risks. Especially if you're eating your home grown produce.

I have quite serious cardiac problems. I take comfort from it, knowing it significantly decreases the likelihood of me dying from prostate cancer. 😁

Edited by member 17 Jun 2025 at 07:58 | Reason: Spelling

User

Posted 17 Jun 2025 at 11:57

Raised blood pressure, raised cholesterol and of course lowered bone density are all possible, maybe likely.

I had some signs of all three though since I've got the ADT out of my system things have pretty much returned to normal. My GP suggested to me that raised cholesterol can lead to dementia. I hadn't heard that one before but maybe that's something to consider.

I don't know if it's a direct consequence of not having testosterone in our systems, or how it might be related to some of the effects of HT.

Jules

User

Posted 17 Jun 2025 at 21:55

Spongebob, all I can contribute is my own experience of getting high blood pressure at the time of having ADT. And that was after having been complimented on my excellent blood pressure at my first urology assessment a few years before (the ADT was for salvage treatment).

The bad news is that my blood pressure didn't reduce after coming off ADT. My GP put me on blood pressure medication (amlodipine) but even with that the readings haven't dropped below the high 130s.

Jules, at the same time my GP put me on atorvastatin to lower cholesterol though he was honest enough to say the apparent risk was actually influenced more by may age at that point than the cholesterol reading. I went with it for the reason you allude to, cholesterol reducing drugs also reduce the risk of getting dementia.

User

Posted 17 Jun 2025 at 22:41

Originally Posted by: Online Community Member

my GP put me on atorvastatin to lower cholesterol though he was honest enough to say the apparent risk was actually influenced more by may age at that point than the cholesterol reading

Interesting point J-B. An ABC [Australian equiv. of the BBC] science program some years back suggested that while statins might lower cholesterol, they really don't change the chances of cardio-vascular problems significantly. Their figures looked good but the pharmaceutical company that made the drugs was not happy and managed to force the program off the air.

Atorvastin is cheap here in Aus. and doesn't seem to have any side effects, so I use the stuff too. I believe it costs something like $60 per pill in the US! At that price I certainly wouldn't bother.

Reading through your profile S-B, I felt much the same through all of the HT process but after getting off HT at 18 months some things improved gradually over 12 months and the rate of improvement increased when my testosterone came back at about 1 years. The fact that it didn't all happen instantly wasn't a big deal. It was just such a relief to have any sort of gradual return to normal after the HT.

Oh, and I share your views on visiting Japan. Extraordinary place, great food and a culture that puts such a high value on respect.

Jules

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