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Influence of epilepsy and its medication on intimacy
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Nervous System Disorders
Question #14795
4 hours ago
20

Influence of epilepsy and its medication on intimacy - #14795

Zuzana

hello, I am 23 yo woman and have epilepsi since I was 18. I've been on differen medication throughout the 5 years (keppra, topiramark, lamictal, fycompa, piracetam). My current medicine is Lamictal, Fycompa and Piracetam. I've been having troubles in intimacy and sexual life. I don't feel the need of sex itself as much as I should as an 23 yo. Even tho my feelings to my partner are strong, I am attracted to him and every other aspect of our relationship is working, in this area I don't feel the strong need. I've been doing some research and found out, that my medicine is most likely the problem, but I would like to ask an expert, because this is hurting my relationship. Thank you

Age: 23
Chronic illnesses: Epilepsy
Intimacy
Epilepsy
Medicine
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Doctors’ responses

Dr. Arsha K Isac
I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.
3 hours ago
5

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

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Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
50 seconds ago
5

Hello dear See there are very less chances that these medicines can affect sexual activity But some cases have been reported with loss of libido and diminishing sexual health I suggest you to please consult with your concerned physician along with gynaecologist. May be there can be requirement of replacement of medication with less fatal medication So have in person opinion with gynaecologist and neurologist for better clarity Regards

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