Birth control can makes sz worst for some women just because sometimes doctors don't understand that estrogen is a sz-promoter. If a women with catamenial epilepsy is given BC with estrogen, it's going to make matters worst. She needs to take progesterone only, or very low estrogen BC.

I was on the Nuvaring, which is mostly progesterone and low estrogen, along with 250 mg Topamax and it was the only thing that stopped my sz and it was instantaneous. They were complex partials that would start at midcycle (I had long, erratic cycles so I think timing them helped alot) and were always in clusters. By the usual guidelines, I went into status very often since these lasted a few hours. The BC made a huge impact but I had to do alot of research to get myself onto it. DepoProvera is usually the choice option, but it can lead to weight gain. However, if you don't see results, I might suggest it. The nuvaring could be an option later on. Currently, I am trying out the Mirena IUD to see if that works as effectively.

Unfort. alot of nueros and ob/gyns do not know how to deal with this. I have not met anyone who could give me an answer. Do your research and really try to understand how it works so you can prepare yourself because they won't help you. This info isn't really in one place eitheir, so this is everything I know from having travelled this road already.

Note too, that you'll never be sz-free from hormones alone. Anticonvulsants need to be part of the combo, so finding the right level is important as well. I know that during my off-week with the Nuvaring I always felt "funny" so the drugs were still keeping something at bay.

Good luck.