I am 30 years old, female, moderately overweight at 160 pounds. Since age 19 I've been under treatment for a hypertensive disorder and a linked anxiety disorder. BP soars to life-threatening levels when in pain or under extreme stress, regardless of medication. Phenochromocytoma and renal stenosis have already been ruled out as well as coarctation of the aorta. Hypertension has been reclassified as essential and treatment continues. Medication only reduces to 140/90 with periodic adjustments required to keep it even that low. Hypertension has been unaffected by lifestyle changes: I reduced salt intake, quit smoking years ago, changed my diet, and have lost 20 pounds in the past year. I have been hospitalized once and in the office countless times; I've been seen by a nephrologist, vascular surgeon and endocrinologist. Husband and I want to have a baby; doctors say go ahead, hypertension is essential and managed by medication. I want to be sure before I get pregnant. Any advice?