Epilepsy in Woman and Inborn

Some issues with epilepsy are specific to woman. Woman with epileptic seizures have close link between hormones and epileptic seizures. Hormones may increase the risk of seizures in woman with epilepsy. Women with epilepsy also have lower fertility rates and are more likely to have anovulatory menstrual cycles, polycystic ovaries, and sexual dysfunction. Irregular menstrual cycles, hirsutism, acne, and obesity should prompt an evaluation for reproductive dysfunction. This risk is reduced by using a single antiepileptic drug at the lowest effective dose and by providing preconceptional folic acid supplementation. Breastfeeding is generally thought to be safe for women using antiepileptic medications.

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