Which birth control pill is safe for females with epilepsy?

Question

Hello Doctor,

My 25-year-old daughter has had two seizures recently, both of which happened around the time of her ovulation. She is currently taking birth control pills to help regulate her periods. However, we have heard that estrogen can affect seizures, and that some seizure medications can make birth control pills less effective. She is engaged and planning to start a family soon, so we are also concerned about the risks of using certain medications during pregnancy. Could her birth control pills be affecting her seizures, and should she consider switching to a different method? Also, which epilepsy medications are considered safest if she decides to become pregnant?

Kindly help.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern.

It is possible that your daughter’s birth control pills, especially those containing estrogen, may be affecting her seizures. Hormonal changes around ovulation can sometimes trigger seizures, a condition known as catamenial epilepsy. In such cases, switching to a progesterone-only contraceptive, such as the mini-pill or an intrauterine device, may be a safer option and is often recommended for women with epilepsy.

If she is planning to become pregnant, careful planning is very important. Lamotrigine and Levetiracetam are generally considered among the safest anti-seizure medications to use during pregnancy. However, she must see a neurologist who specializes in epilepsy as soon as possible. The neurologist can confirm the type of seizures she is having, adjust her medications safely, and help manage the balance between seizure control and pregnancy safety. It is important not to delay this medical consultation.

I hope you are satisfied with my answer. For further queries, you can consult me at iCliniq.

Thank you.