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Am i able to conceive with epilepsy disorder?

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Posted on Sat, 26 Jul 2014
Question: Hi my name is XXXXXXX I'm 25 years old and I'm am an epileptic.My question is with my epilepsy disorder and the medications I take which are lamictal.eitol,clonzempam,in the future will I still beable to have children seeing how my epilepsy has been under control for quiet some years now
doctor
Answered by Dr. Rovena Murati (3 hours later)
Brief Answer:
It might be more difficult but not impossible.

Detailed Answer:
Hello!
I read carefully your query and understand your concern!

Of course you will be able to have children in future.
It's possible that having epilepsy may make it more difficult for you to get pregnant ( irregular menstrual cycles, anovulatory cycles,hormone abnormalities, are more likely in women with epilepsy).
But this doesn't mean you necessary have one of these problems.Your fertility might be normal and you can get pregnant if you want to.
The fact that your epilepsy has been under control for some years is a good sign and increases the possibilities for you to get pregnant.

The drugs you are taking( Lamictol,Clonazepam ) have been assigned respectively to pregnancy category C and D by the FDA ,what means that if these drugs are used during pregnancy,there is a high risk of congenital malformations.

However, epilepsy itself may be associated with an increased risk of congenital malformations.

It is very important that before you try to conceive, you should talk to your neurologist and your obstetrician. Most doctors recommend that women with epilepsy be cared for by a high-risk obstetrician during their pregnancy.
It is important that your Neurologist and Obstetrician monitor you closely during your pregnancy.
They'll evaluate how well you're managing your epilepsy and consider any treatment changes you might need to make before pregnancy begins..

There are increased risks, but these risks can be minimized by working carefully with your doctor.
If you really want to have children, don't let these risks keep you from having a family.
If you are thinking of having a baby,you should talk with your Neurologist and Obstetrician as soon as possible so they can take some measures to make sure everything will go well.

Hope my answer has helped.
Let me know if you have any further question or doubt to clarify,I will be happy to help.
Wish you all the best.

Dr.Rovena Murati
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Rovena Murati (39 minutes later)
thank you that information really did help me,I have one more question is there any advice you can give me to help boost my pregnancy chances
doctor
Answered by Dr. Rovena Murati (2 hours later)
Brief Answer:
Keep a healthy lifestyle/Consult your Neuro & Obst

Detailed Answer:
Hello again Dear!
I am glad that my answer was useful to you.

To increase your pregnancy chances it is important to keep a healthy lifestyle,including:
-Eat a healthy diet.
-Include physical activity in your daily routine.
-Get enough sleep.
-Limit the amount of caffeine in your diet.

I insist that If you are thinking of getting pregnant you should consult with your Neurologist and an Obstetrician familiar with epileptic women,as soon as possible.

They will take some measures to increase your chances of getting pregnant and to avoid complications during pregnancy including:
- Attempt to decrease pharmacotherapy to monotherapy (the use of only one drug to treat epilepsy)
-If you have not had a seizure for 2-5 years,they may attempt complete withdrawal of pharmacotherapy.
-Taper dosages of anti-epileptic drugs to the lowest possible dose.
-Establish the level of total and free anti-epileptic drugs necessary for achieving good clinical control
-Supplement the diet with folic acid .

If you have any further question,please feel free to ask.
Take care!

Dr.Rovena Murati
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Rovena Murati (24 minutes later)
if the problem is with my significant other and not me what kind of specialist does he need to see,and on top of that he also has seizures also and takes depakote but he also takes vitamin e everyday is there any information u can give me on that
doctor
Answered by Dr. Rovena Murati (10 hours later)
Brief Answer:
He should consult a Infertility specialist.

Detailed Answer:
Hello again!

Since your partner has epilepsy too and he is taking anti-epileptic drugs,chances for pregnancy are lower.

Men with epilepsy may not be as fertile as men who don’t have epilepsy. This can make it more difficult to make a baby.
Epilepsy may affect fertility in men in two ways:
- epilepsy itself has an adverse effect on reproductive function and fertility.Epilepsy can lower his Testosteron level.
-Anti-epileptic drugs are associated with reproductive dysfunction ,which affects fertility. Valproate (Depakote) is linked to sperm tail abnormalities and reduced testicular volume.

If you are trying to have a baby for more than one year, you should both consult a Infertility Specialist and get examined.
Your partner should get done a Semen Analysis and probably a hormone profile.
You should get some tests done including:-Ovulation evaluation,-Hormone tests, -Ultasound,-Hysterosalpingogram (HSG) etc.

If a man has a normal semen analysis (normal concentration of sperm, normal amount moving and normal shapes of the sperm), it is unlikely that his anti-seizure medication will affect his fertility.

If the Infertility Specialist thinks that your epilepsy or epilepsy medicines are the cause, he'll usually refer you to an epilepsy specialist. The specialist may make changes to your epilepsy medicine, to see if that helps.

Hope it helps.
Feel free to ask if you have additional question.

Wish you good luck!

Dr.Rovena Murati
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Rovena Murati (6 hours later)
thank you
doctor
Answered by Dr. Rovena Murati (24 minutes later)
Brief Answer:
You are welcome!

Detailed Answer:
Hello!

I hope my answers helped you.
Wish you all the best!

Take care!

Dr.Rovena Murati
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Rovena Murati (21 minutes later)
they did I am just a lil down about the chances being.less with my significant other
doctor
Answered by Dr. Rovena Murati (20 minutes later)
Brief Answer:
Just be patient!

Detailed Answer:
Hello Dear!

Don't be pessimistic!
You should know that feeling optimistic and with positive energy is very important to get pregnant.
If you really want to have a baby ,you will have no matter of what is takes.

You just need to consult a specialist to know what is the problem in order to fix it.
If you or your partner have a problem and you can't get pregnant ,remember that there are many medical options for you to get pregnant.

So don't feel sad,I am sure you will have your child and you will be a great mom!
Just have faith and be patient.

Yours Sincerely!

Dr.Rovena
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Rovena Murati

General & Family Physician

Practicing since :2013

Answered : 1243 Questions

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Am i able to conceive with epilepsy disorder?

Brief Answer: It might be more difficult but not impossible. Detailed Answer: Hello! I read carefully your query and understand your concern! Of course you will be able to have children in future. It's possible that having epilepsy may make it more difficult for you to get pregnant ( irregular menstrual cycles, anovulatory cycles,hormone abnormalities, are more likely in women with epilepsy). But this doesn't mean you necessary have one of these problems.Your fertility might be normal and you can get pregnant if you want to. The fact that your epilepsy has been under control for some years is a good sign and increases the possibilities for you to get pregnant. The drugs you are taking( Lamictol,Clonazepam ) have been assigned respectively to pregnancy category C and D by the FDA ,what means that if these drugs are used during pregnancy,there is a high risk of congenital malformations. However, epilepsy itself may be associated with an increased risk of congenital malformations. It is very important that before you try to conceive, you should talk to your neurologist and your obstetrician. Most doctors recommend that women with epilepsy be cared for by a high-risk obstetrician during their pregnancy. It is important that your Neurologist and Obstetrician monitor you closely during your pregnancy. They'll evaluate how well you're managing your epilepsy and consider any treatment changes you might need to make before pregnancy begins.. There are increased risks, but these risks can be minimized by working carefully with your doctor. If you really want to have children, don't let these risks keep you from having a family. If you are thinking of having a baby,you should talk with your Neurologist and Obstetrician as soon as possible so they can take some measures to make sure everything will go well. Hope my answer has helped. Let me know if you have any further question or doubt to clarify,I will be happy to help. Wish you all the best. Dr.Rovena Murati