Treatment of Women With Epilepsy

Alison M. Pack, MD, Martha J. Morrell, MD

Disclosures

Semin Neurol. 2002;22(3) 

In This Article

Conclusion

Best management of the woman with epilepsy considers seizure control as well as overall well-being. The health care provider aware of hormone effects on seizures is in the best position to respond to changes in seizures at puberty, over the menstrual cycle, and at menopause. Similarly, care is enhanced when the provider recognizes the potential for some AEDs to interfere with hormone-based oral contraception, is alert to signs and symptoms of reproductive health dysfunction, is proactive about maintaining bone health, and is able to provide accurate preconceptional counseling and close monitoring during pregnancy. Ultimately, best care of women with epilepsy will improve as new data emerge regarding epilepsy and AED effects on endocrine and metabolic physiology and as information emerges from pregnancy registries and ongoing studies of fetal outcome. Some day, women with seizures will be offered not only seizure control but also a life otherwise unaffected by epilepsy.

CME Information

The print version of this article was originally certified for CME credit. For accreditation details, contact Division of Continuing Medical Education, Indiana University School of Medicine, 714 N. Senate Avenue, EF 200, Indianapolis, IN 46202 (317) 274-4220, (800) 622-4989.

Comments

3090D553-9492-4563-8681-AD288FA52ACE
Comments on Medscape are moderated and should be professional in tone and on topic. You must declare any conflicts of interest related to your comments and responses. Please see our Commenting Guide for further information. We reserve the right to remove posts at our sole discretion.
Post as:

processing....