Introduction Epilepsy is one of the most common neurological diseases. Both males and females can be affected, however in females there is a significant relationship to menstrual cycle and pregnancy… Click to show full abstract
Introduction Epilepsy is one of the most common neurological diseases. Both males and females can be affected, however in females there is a significant relationship to menstrual cycle and pregnancy due to hormones effect. Objectives To study the clinical pattern of epilepsy among females, and the cosmetic side effects of epilepsy, the stigma and the relation to menstrual cycle, and pregnancy, effect on delivery, congenital, and fetal abnormalities. Method This is a prospectivecross sectional non-intervention clinical based study that was carried out in DAOUD charity clinic, from Febrewary-2019 to April 2019. 31 women above 18 years old were included and, full detailed history and examination were conducted by a neurologist. Result The study included 31 women whom their ages range between (18) years old to (65) years old. It reviled that 83.8% patients had generalized epilepsy, 12.9% had focal epilepsy15 women out of 31 were well controlled, and 13 were not well controlled (n = 28). Cosmetic effects were recognized to be 64.6% due to the drugs and 32.2% were due to post-epileptic trauma. 26.6% showed a catamenial seizure, 13.3% and 6.4% of the patients had primary and secondary infertility respectively. As a obstetrical complications 6.5% had miscarriage, 3.22% preterm delivery, and 3.22% neonatal death. Also 64.6% of patients were stigmatized. Conclusion Cosmetic effects of antiepileptic drugs are more frequent in women. Also the drugs have effect on the reproductive health of the female, like obstetrical complications, fatal abnormalities, and infertility.
               
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