I'm female so that presents its own difficulties as we get older. I never got diagnosed until I was 43, even though I can look back and see things I did that were most defo bp related. They weren't bad enough to get me in real trouble or to go to the hosp but I can defo tell now that it was there all along. So for me, hormones are probably partly to blame for the worsening.
I"m interested as well in what others have to say on this subject.