Catamenial Epilepsy and Progesterone Therapy

Hi there,

I was diagnosed with TLE back in May 2018 and have been on Lamictal 100mg/2x daily since then. My seizures have always been focal aware--basically just deja vu or a brain "scramble" building to a surge of tingles/adrenaline--the whole thing lasting about 20 seconds. The Lamictal has reduced the frequency (I used to get them after having alcohol but that has stopped.) However, I still get them every 14 days, immediately preceding ovulation and menstruation. This leads me to believe I have catamenial epilepsy.

I got on birth control (Junel) to suppress my period but this had no effect, possibly because it had estradiol in it? My question is this--would it be beneficial to get on progesterone-only birth control to control these refractory seizures, and if so, would this lower the effectiveness of Lamictal? I know there is a correlation between Lamictal and birth control, the latter reducing the effectiveness of the former. Just trying to find out of progesterone has helped people with the same issue/meds that I have.

Also, does anyone know of a good neuroendocrinologist specializing in catamenial epilepsy? Thanks!