Influence of epilepsy and its medication on intimacy - #14795

Hello Zuzana,

Both epilepsy and its medications can affect sexual desire and intimacy. But they can often be improved with medication adjustments and supportive therapy.

For this , 1.Talk to your neurologist.Explain clearly what’s happening (DOCTORS ARE TO HEAL ,NOT TO JUDGE YOU) 2. Ask for a referral to an endocrinologist or sex therapist. 3. Get enough sleep, exercise, and manage stress-all crucial for libido. Avoid alcohol or sedating drugs that can worsen fatigue. Communicate openly with your partner

Don’t worry,With the right combination of medical and emotional support you can regain your desired life.

👍You got this dear

I trust this helps Feel free to talk Thank you

Epilepsy itself, as well as the medications used to treat it, can indeed impact your sexual function and drive. This is a reasonably common concern, and it’s understandable that it could affect the dynamics of your relationship. Many antiepileptic drugs can influence sex drive, including Lamictal (lamotrigine), Fycompa (perampanel), and Piracetam, though the degree and nature of impact vary between individuals. These medications can alter neurotransmitter levels, affect hormone balance, or directly impact the nervous system, all of which can reduce libido or alter sexual response. It’s crucial to discuss this side effect openly with your healthcare provider, as they can help tailor your treatment plan to better suit your needs. They may consider adjusting your medication dosages or switching to a different medication that might have a lesser impact on your sexual health. Bear in mind, modifying or switching medications should always be guided by a healthcare professional, as maintaining seizure control is the primary concern. It also may help to evaluate other factors such as stress, mental health, or physical fitness, as they can further contribute to reduced sexual desire. It’s good practice to incorporate a holistic approach to care, which might include speaking with a therapist or counselor familiar with epilepsy-related issues to address any psychological barriers. In the meantime, fostering open communication with your partner can provide mutual support and strengthen your relationship.

Hi Zuzana, You’ve raised a very important and sensitive concern and we are here to help. Many people with epilepsy experience similar challenges, and it’s not your fault. Your issues might be due to effect of epilepsy or effect if medicines (but the medicines that you’re taking have less chances of causing decreased libido, but some effects have been seen). This is what you can do-

1. Discuss with your Neurologist: Don’t stop or change medicines on your own. The doctor can review whether the doses can be adjusted or if one of them can be switched to another option less likely to affect libido.

2. Get done these tests- CBC, FT3, FT4, TSH, Estrogen, Progesterone, Prolactin, Testosterone. Review with the reports.

3. Psychological & Relationship Support: Even if attraction and feelings are strong, anxiety about seizures or self-image can affect intimacy. Counseling (psychosexual therapy or couples therapy) can help both you and your partner navigate this together.

4. Lifestyle Support: Regular exercise, stress management, and adequate sleep can naturally improve libido.

5. What you’re experiencing is common and reversible. With the right medication balance and support, most people regain normal sexual desire. Please don’t blame yourself; this is a known medical side effect, and your concern is absolutely valid.

Feel free to reach out again.

Regards, Dr. Nirav Jain MBBS, DNB D.Fam.Med