[Contraception and neurological diseases]

CONTRACEPTION AND NEUROLOGICAL DISEASES. Among the neurological pathologies affecting women of childbearing age, epilepsy or multiple sclerosis or cerebral meningioma requires particular attention. The initiation or continuation of contraception in patients with epilepsy must consider potential drug interactions with some enzyme-inducing drugs used as background treatment. There is no specific contraindication for one contraceptive method versus another for the women with multiple sclerosis. Nevertheless, the use of a long-acting reversible method (LARC) should be encouraged to reduce the rate of unplanned pregnancy in these women. Finally, a meningioma contraindicates the use or continuation of all hormonal contraception.