Gynecologic Care of Patients with Seizure Disorders

American College of Obstetricians and Gynecologists details best practices for managing seizure disorders in teens and young women, including those taking antiepileptic drugs.

Sponsoring Organization: American College of Obstetricians and Gynecologists (ACOG)

Background

Women's health clinicians frequently encounter adolescents and young women with seizure disorders who are taking antiepileptic drugs (AEDs); hence, ACOG has developed the following guidance.

Key Points

Seizures may present — or increase in frequency — at menarche. Both seizure disorders and AEDs affect reproductive health as well as choice and efficacy of contraceptives.
Clinicians should regularly provide counsel about pregnancy implications and the most appropriate contraceptives, recognizing that AED choices, contraceptive needs, and pregnancy intentions can all evolve.
Because many AEDs are teratogens (i.e., valproic acid, topiramate, phenobarbital,…

Reviewing Author

Andrew M. Kaunitz, MD

Disclosures

RoyaltiesUpToDate

Grant/Research SupportMerck, Mithra, Medicines360

Editorial BoardsContraception; Menopause; Contraceptive Technology Update; OBG Management; Medscape OB/GYN & Women’s Health