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Epilepsy and Your Changing Hormones

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Epilepsy and Life Changes

As you've already learned, many people develop their first seizures when they enter puberty. This happens to both men and women. Doctors think this is because before puberty we don't have many sex hormones circulating in our body. After puberty there are many more hormones in the body. Hormones have a direct effect on the cells of the brain.

Does that mean that a woman's seizures might go away when she reaches menopause? Sometimes, but not always. In some women, seizures do seem to just disappear. This usually happens in women who have catamenial epilepsy. For other women, menopause doesn't seem to make a difference in their seizures. And still other women have worse seizures during menopause.

Most of the time, though, doctors say that seizures become easier to control as you get older. They are not sure if that's because the seizures themselves are decreasing, or because newer medications are now available that control epilepsy better than in the past.

Keep in mind that some types of anti-seizure medications can cause bone loss when taken over a long period of time. Since osteoporosis is a particular problem for women who have reached menopause, this would be a good time to talk with your doctor about your medication and what you can do to help prevent osteoporosis. On the whole, it's best to build strong bones early in life -- in your 20s and 30s -- and not wait till you're close to menopause when some of your bone strength may have already been lost.

WebMD Medical Reference

Reviewed by Neil Lava, MD on July 20, 2014
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