For some women with epilepsy, the occurrence of seizures correlates to their menstruation and ovulation cycles. This is called catamenial epilepsy. Progesterone dominates the hormonal cycle for women, except during ovulation and menstruation when estrogen is higher. Estrogen tends to excite the brain, whereas progesterone calms the brain. To treat catamenial epilepsy, we may consider increasing seizure medications around the time of ovulation and menstruation to help control the seizures. This video may be of help to you: https://www.youtube.com/watch?v=SOt8SqX4spA.

At least half of all people newly diagnosed with epilepsy will become seizure-free with their first medication. If anti-epileptic medications don't provide satisfactory results, your doctor may suggest surgery or other therapies. You'll have regular follow-up appointments with your doctor to evaluate your condition and medications. Learn more about surgery and other therapies: http://www.mayoclinic.org/diseases-conditions/epilepsy/diagnosis-treatment/treatment/txc-20117241.