The body changes, so does its treatment: how epilepsy accompanies women over the years

Learn how hormonal cycles influence epileptic seizures and how to adapt treatment to live a better life

Epilepsy is a neurological condition that affects millions of people worldwide, but when we talk about women's health, there are particularities that require special attention. Hormonal variations, contraceptive methods, pregnancy and the climacteric can influence the control of epileptic seizures and require adjustments to treatment over the years.

From adolescence to the reproductive phase

During adolescence, hormonal changes can interfere with the frequency and intensity of epileptic seizures. In addition, studies indicate that adolescents with epilepsy have higher rates of unplanned pregnancy, which makes medical advice essential to ensure safety and autonomy for these young women.

With the onset of sexual life, a new question arises: the choice of contraceptive. Some antiepileptic drugs can reduce the effectiveness of combined hormonal contraceptives, which makes methods such as the intrauterine device (IUD) a more stable alternative, depending on the case. The neurologist and gynecologist should be consulted to assess the best option for each woman.

Another important point is catamenial epilepsyThis is a condition in which attacks increase before and during the menstrual period, affecting around 40% of women. Recording episodes in a diary can help identify patterns and allow for adjustments in treatment.

Epilepsy in pregnancy

If you have epilepsy and want to get pregnant, it's best to plan your pregnancy with medical supervision. Some medications may need to be adjusted to reduce the risk to the baby. In addition, the use of folic acid is highly recommended for women of childbearing age who are undergoing ongoing treatment for epilepsy.

During pregnancy, hormonal and weight variations may require adjustments to the dosage of the medication. Breastfeeding is encouraged, but must be monitored by the neurologist to ensure safety for both mother and baby.

Menopause and climacteric

Over the years, the focus of epilepsy treatment changes. During the menopause, attention turns to the long-term effects of medication, including the impact on bone health and cardiovascular risks. This is why regular medical monitoring remains essential to ensure quality of life during this phase.

Medical follow-up: the key to controlling epilepsy

To guarantee a full and safe lifeFor women with epilepsy, follow-up with a neurologist is essential at every stage of life. Here are some important points:

• Choosing the right contraceptive;
• Pregnancy planning;
• Continuous monitoring;
• Regular medical appointments.

With information and proper care, women with epilepsy can live a quality life at every stage of their lives!