Women's issues in epilepsy. Menses, childbearing, and more

A variety of special issues arise in caring for women with epilepsy. Seizures related to the menstrual cycle (catamenial epilepsy) can be controlled by several treatment strategies. Oral contraceptives are not contraindicated, but higher-dose agents are needed if enzyme-inducing antiepileptic medications are given concomitantly. Sexual and reproductive dysfunctions are common but often go unrecognized. In the past, many people with epilepsy were wrongly advised against reproduction. With appropriate management, most women with epilepsy deliver healthy children. A better understanding of these concerns will allow physicians to improve the lives of women with epilepsy.