Can epilepsy affect pregnancy at 26 and cause birth defects?

Question

Hello doctor,

I am 26 and was recently diagnosed with epilepsy. I have always wanted children, but now I am scared. I have heard that seizure medications can cause birth defects or interfere with pregnancy. Plus, how do I handle seizures during my period? They seem worse around that time. I am not sure if I should even try for a baby. I want to live a full life, but I need help understanding what my options are as a woman with epilepsy.

Do I need to switch medications before planning a pregnancy?
Are there birth control methods that interact negatively with seizure medications?

Please advise.

Answer 1

Hello,

Welcome to icliniq.com

Epilepsy and pregnancy

Seizure medication and birth defects: Certain seizure medications can increase the risk of birth defects. Your healthcare provider can help determine the best medication regimen for pregnancy.
Seizure control: Well-controlled seizures are crucial for a healthy pregnancy. Your healthcare provider can work with you to adjust your medication regimen if needed. Hormonal changes during the menstrual cycle can affect seizure frequency. Your healthcare provider may recommend adjusting your medication regimen or exploring other treatment options.
Birth control and epilepsy: Certain seizure medications can interact with hormonal birth control methods, reducing their effectiveness. Your healthcare provider can help you choose a suitable birth control method. Meet with your healthcare provider or a specialist in epilepsy and pregnancy to discuss your options and develop a plan and follow-up.

Hope this answers your query.