Hello. I m sorry you ve been having problems. While it s fairly clear that reproductive hormones play a role in triggering seizures in epileptic women (estrogens tend to increase susceptibility to seizures, while progesterone generally has the opposite effect), it isn t clear what role birth control pills play in triggering seizures in otherwise healthy women. In women who suffer from a certain form of epilepsy called catamenial epilepsy (meaning their seizures occur at certain times in their menstrual cycles), taking birth control pills has been linked to an increased frequency of seizures. Your situation presents one of those chicken-or-egg dilemmas: it s possible you would have started having seizures whether you were on birth control pills or not. It s also quite conceivable your birth control pills played a role. Unfortunately, at this point it isn t possible to say whether you d continue to have seizures if you DIDN T take birth control pills. Given time, you and your neurologist may be able to explore this issue further. For now, though, it s important to see how things go for several cycles while you re taking the Keppra. I hope that answers your question, and good luck!