Epilepsy And Women
Our bodies experience many physical changes throughout our lifetime, and there's no evidence to suggest that epilepsy interferes with this process. Epilepsy has specific implications for women in respect of their gynaecological health and child bearing.
(also see Drugs and Pregnancy on Medical Management)
FEMALE BIOLOGICAL CHANGES
Menstruation:- There is no evidence to suggest that women with epilepsy experience any major differences in their menstrual patterns. Some women may find a change in seizure pattern, with an increase in seizures either during their period or at the time of ovulation.
Menopause:- The menopause usually occurs between your mid 40's to mid-50's and may have unpleasant symptoms such as hot flushes and night sweats. Hormone Replacement Therapy (HRT) may be prescribed to relieve these symptoms. There is no medical proof to indicate an association between epilepsy and menopausal changes, or that HRT influences seizure control or the absorption of anti-epileptic drugs. If you suffer from osteoporosis and if seizures are a problem, this could be a problem.
YOU AND YOUR PARTNER
Relationships:- It is understandable that women with epilepsy may be anxious about establishing intimate relationships but many do form satisfying, stable relationships. To do this it is important that both of you are open with each other and discuss your epilepsy and its implications for your life together.
Sex drive:- In a small number of people, epilepsy and anti-epileptic drugs may cause a slightly lower sex drive. For most people this is not a problem and they are able to enjoy sexual intercourse.
Fertility:- Research has shown that a limited number of women may have a lower fertility rate due to epilepsy, but there is no reason to believe that anti-epileptic drugs will reduce your fertility.
Contraception:- Women with epilepsy can choose from all the contraceptive methods available. Your doctor will be able to advise which is the most suitable for you. It’s important to note that the effectiveness of some forms of the Pill can be reduced by anti-epileptic drugs and higher doses may be necessary to provide adequate contraception.
Heredity:- The chance of passing epilepsy on to your children will depend on the type of epilepsy you have and other factors. If you’ve had it since birth there’s about a 6% chance that your child will have it too.