I think hormones affect BP very, very badly. I managed until I had surgery to remove a uterine fibroid that was rubbing up against an ovary. At the same time I was also diagnosed with adenomyosis, which is similar to endometriosis. Shortly after that I became suicidal and totally spiraled. My hormones were definitely out of whack. Between the adenomyosis, fibromyalgia and my mental illnesses I feel like I'm being run over by a truck for a week out of every month.