Both men and women may notice a cyclical pattern to their seizures.
- Record seizures on a calendar and track them in relation to any changes in hormones. Women who are having menstrual cycles, should track their cycle days.
- Women who have stopped having their menses should track other symptoms or changes, while women who are pregnant should track their pregnancy too.
- The use of hormonal medicines, such as contraceptives or birth control pills as well as hormonal replacement therapy, may affect seizures in some women, so record the dates and doses of these medicines.
- When seizures cluster around menses or hormone changes, consider these times 'high risk' for seizures. Try to modify your lifestyle so other triggers don't occur during this high-risk time.
- Talk to your care team about using rescue or 'as needed' medicines to help treat seizures associated with menses or other high risk times.
NOTE: Some seizure medicines may interfere with the effectiveness of hormonal contraceptives making unexpected or unplanned pregnancy more likely. Be sure to talk to your doctor about all contraceptive use.