High Blood Pressure (Hormonal Causes)
Most high blood pressure has no single identifiable cause. However, a meaningful proportion of cases - particularly those that are difficult to control, occur at a young age, or come with specific symptoms - are caused by an underlying hormonal condition. Identifying this secondary cause matters because treating it directly can significantly improve or even cure the blood pressure problem.
When to consider hormonal causes
- high blood pressure resistant to three or more medications
- high blood pressure diagnosed under the age of 40
- high blood pressure with low potassium or episodic symptoms like sweating and palpitations
What we offer
- a thorough review of your blood pressure history and medication response
- the correct targeted blood and urine tests depending on what is suspected
- a clear plan for further investigation or referral
Who may benefit from endocrine testing
Hormonal causes are considered particularly with resistant or early-onset hypertension, low potassium, an adrenal mass, episodic headache and palpitations, or features of cortisol excess. Testing is selected from the history rather than using an indiscriminate hormone panel.
Accurate testing and treatment
Medicines, potassium, posture, salt intake, illness and stress can materially affect aldosterone, renin, cortisol and metanephrine results. Preparation is therefore important. Treatment depends on the cause and may involve targeted medication, adrenal surgery or coordinated cardiovascular care.
UK-wide video consultations
History, home blood-pressure records and results can usually be reviewed securely by video. Correctly prepared tests and imaging are arranged locally. Severe blood pressure elevation with chest pain, breathlessness, neurological symptoms or confusion requires emergency assessment.