Hi songbird, I have high blood pressure and I am on hrt estrogel and ovestin, i had high blood pressure before starting it, my gp didn't seem to be concerned at all, but I was stage 1 hypertensive so didn't require blood pressure meds, they moniter me every year on hrt review and I have a annual check on my birthday, as I have high cholesterol and blood sugar too but none have been enough to require meds, lifestyle changes is what they suggested which I've done but it's failed to change anything, I'm now moving into hypertension stage two which is likely to require meds, but still my gp said with monitoring I am fine to use hrt, she did say I definitely would never be able to use hrt pills with high blood pressure and mainly due to migraines with aura I get, but patches, sprays and gels are generally safer, I can't speak for your own personal situation, I think it would depend on age, and how high blood pressure is as to weather your gp would prescribe, I'm 48 and right now my blood pressure is around 145/98, my high blood pressure is mostly caused by constant anxiety which is proving difficult to control, but I believe on the whole, hrt can be given if you have high blood pressure, if the blood pressure is controlled either by bringing it down with lifestyle changes or with meds, if it's dangerously high I doubt you would be given it, this is only from my own personal experience, your gp may have a different view to mine.