Epilepsy Talk

If You’re Thinking Of Getting Pregnant… | May 31, 2010

Years ago, women who had epilepsy were often discouraged from getting pregnant. Today, that’s no longer the case. Thanks to early and regular prenatal care, more than 90 percent of pregnant women who have epilepsy deliver healthy babies, according to the Epilepsy Foundation.

The Difficulties of Getting Pregnant With Epilepsy

It’s possible that having epilepsy may make it more difficult for you to get pregnant.  Women with epilepsy have fewer children than women in general. Their fertility rate is between 25% and 33% lower than average. Here are some possible reasons why:

* Women with epilepsy have higher rates of some conditions that can cause infertility. One of these is polycystic ovarian syndrome (PCOS).

* Women with epilepsy are more likely to have irregular menstrual cycles, which can make it more difficult to get pregnant.

* Women with epilepsy are also more likely to have menstrual cycles that do not produce an egg. These are called anovulatory cycles.

* Women with epilepsy are also more likely to have abnormalities in hormones involved in pregnancy.

Despite these risk factors, the large majority of women with epilepsy can become pregnant and carry the baby successfully to term. Here are some tips to improve your odds…

Preparing in Advance

Before you try to conceive, you should talk to your neurologist and your obstetrician. Most doctors recommend that women with epilepsy be cared for by a high-risk obstetrician during their pregnancy. Both will want to monitor you and your baby closely.

And starting before you get pregnant, take prenatal vitamins with 0.4 milligrams of folic acid every day, and keep taking them throughout the pregnancy. Folic acid has been shown to reduce the risk of some birth defects by 60% to 70%.

Also, magnesium sulfate has been shown to prevent additional seizures. In recent years, doctors have disagreed about whether magnesium sulfate or more traditional anti-seizure medications (diazepam, phenytoin) should be preferred. Obstetricians favored magnesium, while neurologists favored the more traditional approach. However, a large amount of clinical evidence now conclusively supports the use of magnesium sulfate as the safest and most effective drug for preventing seizures in pregnant women.

Overall, the data shows that magnesium sulfate can reduce the risk of having ongoing seizures by up to 66%. When compared to other anti-seizure medications, magnesium sulfate has been shown to be more effective and to reduce the risk of other possible complications.

It’s also important to make healthy lifestyle choices. For example:

* Eat a sensible and balanced diet.

* Stay close to your normal weight.

* Exercise regularly.  (Even if it’s just a walk.)

* Try to keep your stress at a minimum.  (I know, easier said than done!).

* Get enough sleep.

* Avoid smoking, alcohol and illicit drugs.  (Duh!)

* And limit the amount of caffeine in your diet.

It’s also a good idea to:

* Plan ahead and optimize medications.

* Try to get on just one medication .

* Recognize possible effects of seizure meds on contraception.

* Do not change AEDs without talking with your doctor first.

Risk Factors

Women who have epilepsy face a higher risk of pregnancy-related complications, including:

* Severe morning sickness  (Welcome to the club!)

* Anemia

* Vaginal bleeding during and after pregnancy

* Premature separation of the placenta from the uterus (placental abruption)

* High blood pressure and excess protein in the urine after 20 weeks of pregnancy (preeclampsia)

* Premature birth

* A low birth weight baby

Medication

According to the Epilepsy Foundation, mothers taking seizure medication, risk birth defects of 4 to 8 percent — compared with 2 to 3 percent for all babies.  Not much of a difference.  But the risk seems to be highest when multiple seizure medications are taken. Yet, without medication, uncontrolled seizures may deprive the baby of oxygen. Seizures can also increase the risk of miscarriage or stillbirth.  So, it’s important, as you know, to get the right balance.

There are no anti-seizure drugs that are 100 per cent without risk of causing birth defects. But some anti-seizure medications appear to be more dangerous than others and your doctor may be able to avoid prescribing them. Here’s what doctors know so far:

* Depakote and Depakene seem to carry the highest risk of damage to the baby, particularly neural tube defects, such as spina bifida.

* Phenobarbital or Depakote during pregnancy may affect future intelligence of the child, but this can occur with other AEDs as well.

*  Dilantin (Phenytoin) and barbiturates can cause cleft lip or palate, or other skull, face, or heart malformations.

*  Depakote (Valproic Acid) and, to a smaller extent Tegretol (Carbamazepine and Carbatrol), are linked to open spine problems.

*  Tegretol can also cause “minor defects,” such as fingernail malformations, or mild facial feature distortions, that often resolve by age five years.

*  Lamictal can also cause  breakthrough seizures during pregnancy. That’s because metabolism of Lamictal — as well as other antiepileptic drugs — increases during pregnancy. This can cause a drop in the level of anti-seizure medication in your system. If that level gets too low, you could have a seizure. But if your doctor prescribes a higher dose of Lamictal to make sure that you don’t have breakthrough seizures, there could be a higher risk of damage to your baby.  So it’s a delicate balance.

The best rule is to use the single medicine that is most effective in treating your seizures, but with some bias toward the newer FDA category C antiepileptic drugs such as: Neurontin, Topamax, Zonegran, Trileptal, Lyrica, Keppra and Vimpat.

But make sure your doc is up to date on all the newest research. Because information about the safety of anti-seizure drugs during pregnancy literally changes from month to month. Which makes managing epilepsy during pregnancy very challenging.  If you have any questions, check with the Epilepsy Foundation.

Pregnancy Registries

Several pregnancy registries track safety of AEDs. Participation is free and the registry will both provide you with information and help the epilepsy community to better understand the safety of AEDs during pregnancy. It’s a good idea to contact one of the registries if you have epilepsy and are pregnant. A list and links can be found at:

The Antiepilepsy Drug (AED) Pregnancy Registry  http://www.aedpregnancyregistry.org/

North American Pregnancy Registry http://www.epilepsy.com/learn/treating-seizures-and-epilepsy/seizure-and-epilepsy-medicines/seizure-medications-and

During Your Pregnancy

You’ll see your doctor often, to check your weight and blood pressure, together with regular blood tests to monitor the levels of your medication. Your obstetrician will, of course, closely monitor your baby’s health. Frequent ultrasounds will track your baby’s growth and development. And depending on the circumstances, other prenatal tests may be recommended.

If you’re taking AEDs, such as Dilantin, Tegretol or Phenobarbital, your obstetrician will probably recommend oral Vitamin K  (5 mg. pills, 2 pills per day) during the last month of pregnancy to help prevent bleeding problems in the baby after birth.  Also, babies usually receive a Vitamin K injection after birth.

And if you have a seizure, don’t panic! Seizures can be dangerous, but many mothers who have seizures during pregnancy deliver perfectly healthy babies. But be sure to report the seizure promptly to your obstetrician and/or neurologist. He or she may adjust your medication to help prevent other seizures. And, if you have a seizure in the last few months of your pregnancy, your doctor may monitor your baby at the hospital or clinic.

Labor and Delivery

Most pregnant women who have epilepsy deliver their babies without complications. Women who have epilepsy may use the same methods of pain relief during labor and deliver as provided to others. If you have a seizure during labor, it may be stopped with intravenous medication. If the seizure is prolonged or your labor doesn’t progress normally, your obstetrician  may deliver the baby by C-section.

All of these concerns can seem overwhelming. Yet, although you have to be aware of the risks, the vast majority of women with epilepsy get through pregnancy just fine. Your chances of having a healthy child are excellent, especially if you talk with your doctor early and often, follow the advice you are given, and take good care of yourself.

Breastfeeding

Breastfeeding is good for you and your baby and the benefits usually outweigh the risks from trace amounts of seizure medicine present in the breast milk. Recognize that your baby has been exposed for nine months to the medicine in the placental bloodstream. AEDs that are highly bound to blood proteins, including Dilantin, Phenobarbital, Tegretol and Depakote don’t have a significant effect on breast milk.  But others, like Keppra, Mysoline and Zonegran, do have measurable concentrations in breast milk. Rarely, a child may have side effects such as drowsiness or failure to thrive from seizure medications in breast milk and then should be switched to formula feedings.

Caring for Your Baby

If your seizures are not in control, take special care to avoid injury to the baby. Most of this is just plain common sense:

* Try changing the baby’s diaper on the floor.

* Don’t leave a baby in bathwater, on heights, near heat or other dangerous objects or chemicals.

* Find a safe way to carry the baby.  (Lots of moms use Snugglies or baby slings.)

The bottom line is: you can become pregnant, carry a child successfully through pregnancy, breastfeed and be a terrific mother. Planning is key, since medication changes during pregnancy can be risky. Keep in close touch with your doctor(s) and do not change medications on your own.

Best of luck to you!

Other articles of interest:

DNA Blood Test Gives Women A New Option For Prenatal Screening  http://www.npr.org/blogs/health/2015/01/26/368449371/dna-blood-test-gives-women-a-new-option-for-prenatal-screening?utm_source=npr_newsletter&utm_medium=email&utm_content=20150126&utm_campaign=dailydigest&utm_term=nprnews

Striking a Nerve: Epilepsy Drugs in Pregnancy http://www.medpagetoday.com/Neurology/Seizures/43719

Children born to mothers who took the antiepileptic drug sodium valproate during pregnancy are at significantly increased risk of autism and other neuro developmental disorders.
http://www.pharmacytimes.com/news/Antiepileptic-Drug-Linked-to-Increased-Autism-Risk

New Findings On Women, Pregnancy, Epilepsy http://www.sciencedaily.com/releases/2013/12/131209132444.htm?utm_source=feedburner&utm_medium=email&utm_campaign=Feed%3A+sciencedaily%2Fhealth_medicine%2Fepilepsy+%28ScienceDaily%3A+Health+%26+Medicine+News+–+Epilepsy+Research%29

To subscribe to Epilepsytalk.com and get the latest articles, go to the bottom box of the right column and click on “Sign me up!”

Resources:
http://my.epilepsy.com/node/990004

http://my.epilepsy.com/node/627

http://www.mayoclinic.com/health/pregnancy/PR00123/NSECTIONGROUP=2

http://www.webmd.com/epilepsy/women-pregnancy-epilepsy?

http://www.uptodate.com/patients/content/topic.do?topicKey=~JqqkRi44op3f4Y

http://my.epilepsy.com/node/572

http://highbloodpressure.about.com/od/eclampsia/f/eclampsia-treat.htm

http://central-pennsylvania.injuryboard.com/fda-and-prescription-drugs/increased-birth-defect-risks-in-two-fdaapproved-epilepsy-medications.aspx?googleid=295210


79 Comments »

  1. The 90% does not include Depakote. When I willingly and happily got pregnant. I was on Depakote. My neurologist did not tell me that I could not have babies with this medicine.

    His first response was for me to get an abortion. I told him, “No, I am not a baby killer!! I want my baby.”

    I had a healthy 8 pound boy. So, if you are on Depakote, I recommend you do not get pregnant.

    Like

    Comment by Ruth Brown — June 1, 2010 @ 4:04 AM

  2. I just read the entire post. You mentioned Depakote. My neurologist knew that I could get pregnant at my age. He did not tell me before I got pregnant. “Risk Factors:” I did not realize that hemorraging was one of the risks. I hemorraged after the birth of my twins and my last baby. Both times I almost died.

    Like

    Comment by Ruth Brown — June 1, 2010 @ 4:14 AM

  3. What a guy… 😦

    Like

    Comment by Phylis Feiner Johnson — June 1, 2010 @ 6:00 AM

  4. I was working and ecstatic about getting pregnant and walked to work which was about a mile. One night I noted I was bleeding heavily and the Perinatologist told me to have complete bed rest. I laid down a lot w/ the first pregnancy and by the end of the 4th month. I was fine! I did not go back to work because the seizures were evident. I went into status the 5th month and looked at the EMT’s and my husband’s pale face. I feel asleep and woke up in the ER. The baby was fine! He was born and fine after 9 months.

    My second child, we were moving and that was a trip packing and laying down and watching a 3 yr. old. I was fortunate to have neighbor’s help. The seizures were less but not getting enough rest was evident. Had my cutie in another state, but was fortunate to have help in the state I moved. Delivery was natural on both. Had little seizures but both babies are fine! Now they are teenagers!

    Like

    Comment by Tonialpha — June 1, 2010 @ 9:17 AM

  5. FABULOUS Tonialpha!

    Were you taking any AEDs at the time? If so, which ones?

    Sounds like you had a rough struggle but made it through with grit and determination. Hats off to you and your teens!!! 🙂

    Like

    Comment by Phylis Feiner Johnson — June 1, 2010 @ 7:30 PM

  6. I have epilepsy and during my menstrual cycles I don’t produce the eggs to be able to have kids is there something I could do about that?

    Like

    Comment by Tammy — July 1, 2010 @ 8:59 AM

  7. Do you have an endocrinologist, because it might be either your hormones or metabolic system.

    Seizure control medication often effect the way the ovaries work.

    Women with epilepsy are slightly less fertile than women who do not have epilepsy — but fertility problems related to epilepsy can be treated. Women with epilepsy who need fertility treatment (often for reasons unrelated with their epilepsy) should make sure that they have had any necessary drug withdrawal or change before they start fertility treatment.

    If given drugs to quicken egg production, women with epilepsy should understand that your seizures could increase during this time while you are having fertility treatment (or if your seizures were currently controlled there is a chance that they may come back). This predisposition usually settles very quickly.

    Many women with epilepsy have polycystic ovaries (or polyfollicular ovaries) — a condition in which egg-carrying cysts (or follicles) in the ovary fail to rupture and release the egg at the right time of the month. Some, but not all, women with this condition (happens so often that it can hardly is considered as abnormal) develop hormonal changes as well that can lead to irregular periods and relative (but treatable) infertility.

    This condition – polycystic ovary syndrome – may, in itself, be more common in women with epilepsy and there is some evidence that one particular drug to control seizures (sodium valproate) may also bring on the syndrome. This effect (if it is true – not all experts thinks so) is, from our own experience reversible. http://www.associatedcontent.com/article/635/fertility_pregnancy_and_epilepsy_pg4.html?cat=52

    The bottom line? Get thee to an endocrinologist and then back to your gynocologist. And please, get back to me and tell me how you’re doing!

    Best of luck…

    Like

    Comment by Phylis Feiner Johnson — July 1, 2010 @ 8:06 PM

  8. I don’t have epilepsy but I read about it because I think it is a shame so many people are ignorant about it. I also read because my 4 year old has some sleep problems and epilepsy came up in my reading.

    Back to the subject at hand.

    I think this was a great article you did! Great information. I just wanted to remind everyone that if you become pregnant, or even thinking about it, try to remove as much stress from your life as possible. People will say “just don’t worry about it” but that is almost impossible. Sometimes you have to sit down and take a look at what really matters and what doesn’t.

    I have had 6 pregnancies and 5 children with very little morning sickness at all. During the last months of my last pregnancy I started throwing up at night because I was worried about many things and was not getting nearly enough rest. Had I just stopped worrying about things I couldn’t change and things that hadn’t even happened, I wouldn’t have gotten sick at all.

    Please take care of yourselves! Don’t do what I did! Rest as much as your body needs, even if it means leaving some things undone. Once you have run yourself down it is very hard to catch up. Pray, meditate, and relax. Sorry this is so long!

    Take care

    Like

    Comment by smallsock — August 27, 2010 @ 11:58 PM

    • THANKS for your visit AND thanks for your great advice.

      Stress so often makes things more difficult than they have to be. Plus, as you may or may not know…STRESS is the all star #1 seizure trigger!

      Like

      Comment by Phylis Feiner Johnson — August 28, 2010 @ 9:17 PM

  9. thanks for the info, we are trying at the moment aged 42 and 46, looking into fertility treatment options…

    Like

    Comment by Nathan — October 5, 2011 @ 12:16 PM

  10. When you do get pregnant, I suggest a high risk GYN and keeping your neuro in the link.

    Like

    Comment by Johnson — October 5, 2011 @ 6:17 PM

  11. IMPORTANT UPDATE!
    October 19, 2011

    Two epilepsy drugs – Lamictal and Keppra -– which are currently listed in category C may be dangerous to a fetus and should be listed in category D, according to new data.

    The difference between the categories is that D shows evidence of risk, but the benefits outweigh the risks. While category C is indicated for drugs that have shown to be harmful in animal studies.

    http://central-pennsylvania.injuryboard.com/fda-and-prescription-drugs/increased-birth-defect-risks-in-two-fdaapproved-epilepsy-medications.aspx?googleid=295210

    Like

    Comment by Phylis Feiner Johnson — October 19, 2011 @ 4:25 PM

  12. Breastfeeding While Taking Seizure Medicine Does Not Appear To Harm Children, Study Suggests

    http://www.sciencedaily.com/releases/2008/04/080417145752.htm

    Like

    Comment by Phylis Feiner Johnson — November 21, 2012 @ 9:50 AM

  13. Lack Of Information And Support For Pregnant Women With Epilepsy

    http://www.medicalnewstoday.com/releases/254697.php

    Like

    Comment by Phylis Feiner Johnson — January 10, 2013 @ 10:25 AM

  14. I have 3 girls, ages 7, 5 and 19 months. All along my doctors told me it was fine to be on seizure medicine. I take keppra 500 mg twice a day. My 5 year old was diagnosed with high functioning autism and we’re just starting therapy with my 19 month old. On the road to being diagnosed like my 5 year old. I had always suspected that I my medicine caused the autism, but could never bring myself to google it. Well, just did and this is just one of the many pages that I found on it. Pretty depressed, don’t even want to look at my children right now. I gave them this horrible disorder. I wish I had known all of this a long time ago. Seriously would have never had children. Sorry but autism is horrible. Glad I googled it. At least I’ll have something to talk about in tomorrow’s counseling session.

    Like

    Comment by sarahrobinson1114 — March 24, 2013 @ 5:23 PM

  15. Sarah, it wasn’t YOUR fault. It was your DOCTOR’s fault for being so uninformed.

    What’s done is done, you can’t take that back.

    But, please don’t beat up on yourself over your doctor’s ignorance.

    Like

    Comment by Phylis Feiner Johnson — March 25, 2013 @ 10:24 AM

    • True. A migraine later from crying so hard, I’ve realized there’s nothing I can do about it. So frustrating though. Wish this was a more known fact! I went to the “best” doctors. I’m in Nashville TN. I would have never guessed they were misguiding me. On top of it all of my doctors are family friends. So I don’t want to say anything to them I’d regret. Might just switch. It also makes me wonder why my mother didn’t research this when I was diagnosed with epilepsy in high school. Not blaming it on her, but I would have researched the crap out of this if it were my child.

      Like

      Comment by sarahrobinson1114 — March 25, 2013 @ 10:34 AM

  16. Ahhh, don’t blame you mom either, Sarah.

    Many people get epilepsy at different times of their lives with no probable cause.

    In fact, I first was diagnosed with epilepsy in my teens. I blame it on those raging adolescent hormones. 😦

    Like

    Comment by Phylis Feiner Johnson — March 25, 2013 @ 10:41 AM

  17. P.S. Watch out for those migraines, Sarah. THEY exacerbate seizures!

    Like

    Comment by Phylis Feiner Johnson — March 25, 2013 @ 10:45 AM

    • Thankfully I still have only ever had 1 seizure. But if I forget to take my medicine I start having plenty of tics. And yeah I’ve had migraines all my life. Yay! If you want email me at sarahrobinson1114@hotmail.com. Never talked to anyone else who has epilepsy before!

      Like

      Comment by sarahrobinson1114 — March 25, 2013 @ 10:49 AM

      • Well, Sarah, you’re in the right place!

        Welcome to Epilepsy Talk.

        I think you’ll find our “family” a group of generous caring and sharing people, who don’t hesitate to help one another out.

        If you want to subscribe and get every post, simply go to the box at the bottom of the right column that says “Sign me up!”

        I’m happy you’ve found us.

        Like

        Comment by Phylis Feiner Johnson — March 25, 2013 @ 11:07 AM

  18. One more thing for Sarah…

    Epilepsy & Migraines — Kissing Cousins

    https://epilepsytalk.com/2010/09/12/epilepsy-migraines-kissing-cousins/

    Like

    Comment by Phylis Feiner Johnson — March 25, 2013 @ 11:10 AM

  19. Hi im a high risk pregnant currently taking 350 lamictal and 200 zonegran. I also have a incompetent cervix. And had to loss of babies before. One from preterm loss and the other from incompetent cervix. I am kinda worried about my medication right now, because Im not feeling controlled I keep having small ones. Also, JME eplilesy.

    Like

    Comment by chai — April 8, 2013 @ 2:56 PM

  20. Chai,

    Are you aware of The Antiepilepsy Drug (AED) Pregnancy Registry 1-888-233-2334 http://www.massgeneral.org/aed

    Do you have a high-risk GYN? Is your neuro following your pregnancy?

    Are you keeping a diary?

    Those are things that I would suggest.

    Good luck…

    P.S. According to The Epilepsy Foundation, risk seems to be lower when you are taking only one AED, but I don’t know your circumstances. And I’m surely not a doc!

    Like

    Comment by Phylis Feiner Johnson — April 8, 2013 @ 3:31 PM

  21. Hi im 27 years old i have epilepsy since i was a lil girl, my partner and me decided to have a baby but i dont kno if I can get pregnant or safe cuz im taking Phenytoin to control my seizures. Can i get pregnant taking this medication?

    Like

    Comment by Laura negrete — June 14, 2013 @ 5:31 PM

  22. Dilantin (Phenytoin) and barbiturates can cause cleft lip or palate, or other skull, face, or heart malformations.

    Thee are several pregnancy registries to track the safety of AEDs.

    Participation is free and the registry will both provide you with information and help the epilepsy community to better understand the safety

    It’s a good idea to contact one of the registries if you have epilepsy and are pregnant.

    I would suggest The Antiepilepsy Drug (AED) Pregnancy Registry at Massachusetts General Hospital. 1-888-233-2334 http://www.massgeneral.org/aed

    Like

    Comment by Phylis Feiner Johnson — June 15, 2013 @ 12:47 PM

    • Alright ill register, is there any safe medication that wont affect or not allow getting pregnant ? I been wanting to have a baby, but I wanna have a healthy pregnancy nd a baby ?

      Like

      Comment by Laura negrete — June 15, 2013 @ 5:20 PM

      • The best rule is to use the single medicine that is most effective in treating your seizures, but with some bias toward the newer FDA category C antiepileptic drugs such as: Neurontin, Topamax, Zonegran, Trileptal, Lyrica and Vimpat.

        Like

        Comment by Phylis Feiner Johnson — June 16, 2013 @ 5:41 PM

  23. Hello,
    I read the article and find it interesting.
    I’m a 23 (almost 24) y/o single person living with High Functioning Autism and a seizure disorder (was born with hydrocephaulus but I didn’t receive a shunt until 1993 which I consider a miracle since I’ve done my research and found that if this condition that i was born with was left untreated, well…let’s just say I wouldn’t be here typing this)
    I’ve lived with seizures my entire life (in fact, i’ve taken some of the meds listed in this article: Depakote, Dilantin, Tegretol, Topamax and Keppra (the last two I’m still on with Keppra being the most recent. Though my neurologist wants to try wean me off of Topamax. My family *mainly my father* wants me to stay on for fear of the unknown. This is something I absolutely HATE! Because it’s what got me sterilized (yes my family’s fear of the unknown got me coerced into a sterilization at 19 y/o and even tho I legally had the right to say no, their voice and opinions were louder than mine. it took 2 years after *this happened in 2008* the surgery to tell my mom’s family *parents are divorced, families are in a feud* about this because my dad wanted this to be a secret. But I hated lying to my mom’s family since me. my brother and sister had to do it so much when we were younger to “hide” from them because if we told the truth, Dad would go to jail for kidnapping *this is what was percieved* (I’m also a christian so I think that’s what pushed me to tell the truth b/c the guilt got to me so much. That and the fact that all my friends i knew in High School were getting married and having kids and I’m still single *and unsure of my fertility since no test was given*. I’ll admit I’m afraid that I’m wanting the impossible here! I mean because when I told my Dad about why I told my mom’s family (when he found out through my grandparents, his dad and stepmother-Divorce seems to run in my family- the same people who had a feeling that I didn’t want to be sterilized) he didn’t care that I was guilty for what happened, he cursed me out, said I betrayed him and basically denied my forgiveness when I attempted to forgive him (he stopped going to church when I was in high school and now he’s turned into someone who’s really bitter about the world around him. But really I think he’s hurt because he’s gone through two failed marriages, he doesn’t want to lose his third wife, the child he raised *but isn’t his to begin with but my mom’s* won’t speak to him because she feels excluded from the family even though I myself as her older sister have made numerous efforts to reach out to her, but she slinks back and hides not wanting anything to do with the family and recently, my brother cut ties with my mom and her family as well (which made me angry)
    now I am the only one who has any ties to this family as far as contact goes.
    I want a child so bad because I want that child to see that they are loved. after all I’ve been through, I don’t want history to repeat itself.
    I have looked into tubal reversal procedures (but they cost a lot of money and most of them are out of state)
    And I don’t have a boyfriend/husband yet. It’s probably best to wait.

    Like

    Comment by Steph — July 31, 2013 @ 12:36 AM

  24. Oh Steph,

    My heart goes out to you.

    You might consider getting counseling at Planned Parenthood (free) and see if tubal reversal is a reality.

    If so, they could probably direct you to a good GYN at a modest price.

    If you are going to get pregnant, it’s imperative that you read the info above drugs, their consequences and the advice to try to be on one drug only.

    Option #2 is that you could adopt through the ministry. You would be doing the world and a homeless little girl or boy a favor.

    And if it’s through the ministries, I think your chances are good that you won’t be getting someone else’s “problem.”

    Think about it. It seems you have a lot of love to give and a lot of compassion to share.

    Give it a try.

    Like

    Comment by Phylis Feiner Johnson — July 31, 2013 @ 9:53 AM

  25. Hi, I’m 30 yrs. Old I have epilepsy I was diagnosed when I was 22 yrs. Old I’ve only had one seizure & I’m only on one medication levetiracetam (keppra) I’ve done about 6 months or more of research, I do my best to follow both my neuro’s & my ob gyn’s advice I’ve been married for almost 2 yrs. But all this info is not the tricky part I also have cerebral palsy l was just wanting to see if I’m the only one in this boat or if someone has a similar out come

    Like

    Comment by joanna — November 26, 2013 @ 10:39 PM

    • I’m in the exact same boat! Have had 1 seizure (10 years ago) and am on Keppra. Just make sure you take your prenatal vitamins everyday. There’s still a risk of birth defects. One of mine has some autism stuff.

      Like

      Comment by sarahrobinson1114 — November 27, 2013 @ 12:23 PM

  26. The Keppra part is easy.

    “In the United States, the Food and Drug Administration (FDA) assigns each medication to a Pregnancy Category according to whether it has been proven to be harmful in pregnancy. Levetiracetam is listed in Pregnancy Category C. This indicates that caution is advised, but the benefits of the medicine to the mother may outweigh the potential risks to the baby.”

    http://epilepsy.med.nyu.edu/treatment/medications/levetiracetam

    Cerebral Palsy and Pregnancy

    “Make sure all health professionals are aware how your CP as well as other conditions (for
    example EPILEPSY) may affect your pregnancy.

    Not every woman with CP will have the same experience. Hopefully you will have a
    trouble-free pregnancy, but be prepared to accept that pregnancy may make the effects of CP worse.”

    There’s also more information at http://www.capability-scotland.org.uk/media/57633/pregnancy_13.pdf
    which you might find helpful, but not definitive.

    Here’s an optimistic article about A First-Time Mom with Spastic Cerebral Palsy
    http://www.ncpad.org/425/2253/Community~Voice~~First-Time~Mom~with~Spastic~Cerebral~Palsy
    But I don’t know if it applies to you.

    Another piece of information I picked up is that a C-Section is advised.

    As for the low-down on Cerebral Palsy Risks in Pregnancy, you can go to http://www.cerebralpalsysource.com/About_CP/pregnancy_cp/index.html

    But as you already know, there is little about Keppra AND CP. (Mostly questions.)

    I think consulting with a high risk OB/GYN would be a good first step. (You might want to see more than one.)

    Other than that, I’m sorry to say, I basically came up empty handed.

    Like

    Comment by Phylis Feiner Johnson — November 27, 2013 @ 9:00 AM

  27. Maybe someone can helpme.. I am looking for risks for birthdefects if my boyfriend has epilepsy and takes medication for that but can’t find much on that.. I only find articles on birth defect risks for woman with epilepsy. But can not find anything on the effect of man taking anti epileptic medicine and trying to conceive a baby.. any useful links on that? Thank you in advance..

    Like

    Comment by cris — June 28, 2014 @ 1:28 PM

  28. I didn’t find much, but maybe this can help:

    Reproductive Function

    Most men with epilepsy are able to have perfectly healthy children. Nevertheless, epilepsy, its treatment, and associated disorders may affect reproduction. Men with epilepsy may have slightly reduced fertility compared with the general population. This may be due in part to hormonal changes as well as the impact antiepileptic drugs have on sperm production.

    http://epilepsy.med.nyu.edu/epilepsy/epilepsy-and-men/reproductive-function#sthash.y3WZBd6a.dpbs

    There is limited information about fertility in men with epilepsy. Some studies have suggested that men with epilepsy may have reduced fertility compared with men in the general population. This may be due to the effect of epileptic activity or anti-epileptic drugs (AEDs) on testosterone levels. Some AEDs may reduce the production of sperm or affect the quality of a man’s sperm, in particular carbamazepine, oxcarbazepine and sodium valproate. Nevertheless, the majority of men with epilepsy have no problems with fertility and father healthy children.

    If you and your partner do experience any problems with conceiving, you may both wish to seek advice from your GP. They can then investigate the many possible causes for this in both you and your partner. If they suspect that the difficulties could be connected in some way to your epilepsy or AEDs, they may refer you to see an epilepsy specialist.

    http://www.epilepsy.org.nz/main.cfm?id=70

    I hope this helps, Chris…

    Like

    Comment by Phylis Feiner Johnson — June 28, 2014 @ 2:04 PM

    • Thank you.. appreciated. I also read about a study in Denmark (if I am not mistaken) and they could not find any connection to risks or defects of children who are fathered by father with epilepsy. In this case, we also consulted our GP and were informed that the medicine could indeed have effect on the sperm. However, they do not know what kind of effect. In any case we were advised to go ahead and try to conceive. Thank you again for the time to reply.

      Like

      Comment by Cris — July 3, 2014 @ 5:25 PM

  29. Cris, my hopes are with you.

    Please keep in mind that the best rule of thumb for you is to use the single medicine that is most effective in treating your seizures, but with some bias toward the newer FDA category C antiepileptic drugs such as: Neurontin, Topamax, Zonegran, Trileptal, Lyrica, Keppra and Vimpat.

    Also, don’t forget that magnesium sulfate tidbit…

    A large amount of clinical evidence now conclusively supports the use of magnesium sulfate as the safest and most effective drug for preventing seizures in pregnant women.

    The best of luck. Please keep in touch so we know how you’re doing…

    Like

    Comment by Phylis Feiner Johnson — July 4, 2014 @ 10:05 AM

  30. Hello, I need help/advice! I’m 21 years old and I’ve been diagnosed with epilepsy ever since i was an infant and have had to many seizers to count they started out as grand mal and now they have just become tics or absent seizers. I’ve gone through a couple medications growing up but over the years I’ve grown on depakote and as i got older my dose rose from three 200mg to four 500mg and have been on that ever since. Soon when i got to the age of being physically active i started questioning pregnancy while on this medication. I didn’t put much effort in finding out what i was really going to have to deal with when i got older but after having a few talks with my mother and grandma i learned it runs in my mothers side of the family and that my grandmas sister actually died from it. Now the past couple years or so around the end of high school i got hit by baby fever. and that’s when i started doing some digging, me and my mom would talk about the risks i was always told “getting pregnant while taking you medication will kill your baby, and if you stop taking your medicine then you’ll die.” I knew to some extent that was true but i was always told different things that the percentage of woman who have epilepsy and give birth to healthy babies are 90%. And that defects are only common in woman who take depakote for the first 4-6 weeks of pregnancy. or that fulic acid reduces the risk of defects by 60%-70% My grandma insist that no matter what my medication is still in my system and that the baby can still have defects during conception and pregnancy. Now i don’t doubt that at all i know now that thats just how it and that’s just the challenge god gave me to overcome. What my main problem is, is that how can i safely switch to a more balanced medication when i have no insurance after losing my job and cant afford a neurologist let alone the medication, In your opinion based on my situation should i take my chances with the fulic acid or magnesium sulfate? Or does anyone have any suggestions on how i can change my medication safely? I need to know kind of asap here’s why…

    My period last about three to four days.
    this months period started roughly on the July 20th
    and ended on the 24th
    My cycle is somewhere around 28 days
    (i used a ovulating calculator that i don’t trust 100%)
    I was physically active the 26th after my period

    I know it would be to soon to tell if i was pregnant
    but we used no protection and this is why im up at 5am searching for suggestions and ideas on what i should do if i do.

    i read that sperm can last 72 hours in the body and last up to tree days when not ovulating.
    i’m worried about conceiving while on my medication that is if i do and if i do i don’t want switching medication to be to late. does depakote affect conceiving? Also i cant find out if i am pregnant until two weeks so i can take a test, i’m afraid ill be pregnant already by the time that time comes. i know they have the early detection test but i don’t know. I want to know how long conception last before your considered pregnant so i know when to start paying attention to my medication.I don’t want to be taking my medication regularly while being (possibly) pregnant and not be able to tell until weeks later. I don’t know what to do and i’m sorry if this is kinda off topic or out of anyone’s expertise but I’ve posted this in every pregnancy and epileptic forum i could find on google so anyone who has any suggestions information or anything id gladly appreciate it.

    Like

    Comment by Ashley LeeAnn Anderson — July 26, 2014 @ 6:33 AM

  31. Ashley,

    More than 90 percent of pregnant women who have epilepsy deliver healthy babies, according to the Epilepsy Foundation.

    Just because you have a parent, sibling, cousin or aunt who has epilepsy doesn’t necessarily mean you’ll have it also.

    In fact, if you have a close relative with epilepsy, the chance of you having epilepsy is only about 2-8%, depending on the specific type of epilepsy.

    The risk in the general population is about 1-2%. On the other hand, there is a 92-98% chance for the close relative of someone with epilepsy to NOT have the same condition!

    So, even though the risk in families with epilepsy is higher than in the general population, most people with epilepsy do not have any relatives with seizures, and the great majority of parents with epilepsy do not have children with epilepsy.

    Not everyone who carries genes making them more likely to develop epilepsy will do so. Even if the genes are passed on, not every generation in a family will have seizures. And so, like diabetes, epilepsy may skip a generation.

    Some women use a second method of birth control as a backup. Barrier methods, like condoms, diaphragms, and new-generation IUDs, are good options.

    Depakote can POSSIBILLY increase hormonal levels. If you are on this drug, your doctor may need to adjust the dosage of your birth control so that you don’t have too much of the contraceptive in your body.

    If you are getting prescriptions for Depakote, then I have to assume you’re seeing a neurologist. And, he most likely knows about your financial situation.

    IT IS IMPERATIVE THAT YOU HAVE A HIGH RISK OBSTETRICIAN AND YOUR NEUROLOGIST WORKING TOGETHER FOR THE HEALTH OF YOUR BABY AND YOU.

    A resource for advice may be The Massachusetts General Hospital AED Pregnancy Registry.

    They’re dedicated to determining the safety of anticonvulsant medications that can be taken by women during pregnancy to treat disorders such as epilepsy, mood disorder, and chronic pain.

    The primary goal is to determine the frequency of major malformations, such as heart defects, spina bifida and cleft lip, in the infants exposed during pregnancy to anticonvulsant drugs.

    Any woman who is currently pregnant and is taking AEDs for any reason can enroll in the Registry simply by calling toll-free at 1-888-233-2334.

    That’s about all the information I can offer.

    I wish you and your baby the best of health.

    Like

    Comment by Phylis Feiner Johnson — July 27, 2014 @ 11:00 AM

    • I was on Dilantin when I got pregnant. Because of excessive bleeding, I was told I miscarried. I didn’t. Too late, I was put on phenobarbital. My daughter was born with a cleft lip. I breast fed for a year until my seizures got worse and they wanted to put me back on the Dilantin. She is absolutely gorgeous and a teacher now. I, too, was advised to get an abortion. I thank God I didn’t!

      Like

      Comment by Kathleen Wurdinger — January 16, 2015 @ 5:45 PM

  32. That is one of the nicest stories I’ve heard. Despite the odds and all of science, you and your daughter triumphed.

    Like

    Comment by Phylis Feiner Johnson — January 17, 2015 @ 8:36 AM

    • I am 38 years old and 18 weeks pregnant. I have my 20 weeks scan in few weeks time. I am really worried and have lost my sleep over it. I didn’t find I was pregnant until 6 weeks, I usually have irregular periods and I didn’t think much when my periods was late. I didn’t start taking folic acid 5mg until 6 weeks and I have read on internet that baby has it’s neural tube by then. I am really concerned my baby might suffer with spina bifida because of my ignorance. I am in such a mess and in tears most of the times. My 13 weeks scan went okay and sonographer didn’t point out any problem but I know that you can only find out about Spina bifida for sure in 20 weeks scan. I just want to know is there anyone else who didn’t take folic acid straight away and had a healthy baby? I’m currently taking 200mg x 2 tegretol prolonged release and have grand mal epilepsy since I was six months old. I did not have seizure for last 11 years so it is well under controlled. In my 18 weeks of pregnancy I didn’t have as such any issue other than I get tired easily. I just need some reassurance more than anything.

      Ali

      Like

      Comment by aliabegummua — May 2, 2015 @ 2:06 PM

      • The doctor may want to increase & change your medication I’m on keppra & 5 mg of folic acid and prenatal plus & this Tuesday I’ll be 37 weeks pregnant, I conceived Sept 2, 2014 & didn’t find out I was pregnant until sept 21, 2014.. and my daughter is due at 38 weeks and healthy. Good luck

        Like

        Comment by Joanna — May 2, 2015 @ 6:12 PM

  33. Ali, please do not torture yourself. The folic acid delay should not affect your pregnancy.

    The other thing is that you’re only taking one drug, which is advised. And the best rule is to use the single medicine that is most effective in treating your seizures.

    If you are uncomfortable, why not try The Antiepilepsy Drug (AED) Pregnancy Registry 1-888-233-2334 http://www.massgeneral.org/aed.

    Like

    Comment by Phylis Feiner Johnson — May 2, 2015 @ 2:15 PM

  34. Magnesium Sulfate is an IV medication that can only be given in the hospital under a very specific set of circumstances. It’s not normally indicated in just epilepsy, but rather obstetric patients who are at risk for stroke/seizures/brain bleeds from a very specific set of obstetrical complications (HELLP/eclampsia/pre-eclampsia) or are expected to deliver a baby at risk of a stroke or bleed — usually a micro preemie under 30 wks gestation. Mag Sulfate is a neuro protectant. BUT. It comes with a list of very serious side effects, to include pulmonary edema, fluid imbalances, vision loss, inability to regulate body temp, among other things. There is a maximum dosage one can receive and set, prescribed course of treatment. It isn’t like taking pill or a rescue medication. I did 72 hours with 27 wk son and 96 hours with my 25 wk daughter. It saved my son, but landed me in ICU due serious complications. With my daughter, it prevented further complications with me; although she did not survive. Be informed. Rxlist and drugs.com have both verified that Mag sulfate is given either intra muscularly or intravenously. Not orally. It isn’t an anti convulsant, but a neuro protectant.

    Like

    Comment by Candi — June 12, 2015 @ 1:00 PM

  35. Thanks so much Candi for the correction, information and clarification.

    As always, you are a font of helpful information and help this website be as informative as YOU are.

    Like

    Comment by Phylis Feiner Johnson — June 12, 2015 @ 1:10 PM

  36. Hi my name is alba I have 2 beautiful kids a 6yr old little girl and a 20month old boy and they are my life! I was pregnant with them while on topomax 400mg daily and both were born very healthy well they both had Hypocalcemia which is very low calcium levels and had to be admitted to the ICU about 6-9 days after birth after discharge they were seeing an endocrinologist and put on special formula! My endocrinologist because he treats all 3 of us said to me if I ever wanted to have a 3rd child he needed to see me 3 months before planning the pregnancy so he can put me on a dose of Vit-D and Magnesium idk why but that’s just what he told me:-)
    I said to him Idk if I’m having anymore kids Doc with everything I’ve been through but I’ll keep it in mind;/) about 6 months ago my neuro put me on Keppra so I am now taking Keppra 200mg and Topamax 400mg, I don’t want to have a third baby yet but shall I get off the Keppra before trying for the third my husband wants a third baby in a year or two but I don’t want to be on two AEDs and do you think the Topomax is what caused the Hypocalcemia to my kiddos?

    Like

    Comment by Alba M — September 7, 2015 @ 1:32 PM

  37. According to this websites, it is possible to get Hypocalcemia from Topamax:

    http://www.drugs.com/pro/topamax.html

    This website explain how low Vitamin D levels cause low Calcium and that may be the answer.

    http://www.clevelandclinicmeded.com/medicalpubs/diseasemanagement/endocrinology/hypocalcemia/Default.htm

    Vitamin D and Calcium before pregnancy could prevent that.

    The best rule is to use the single medicine that is most effective in treating your seizures, but with some bias toward the newer FDA category C antiepileptic drugs such as: Neurontin, Topamax, Zonegran, Trileptal, Lyrica, Keppra and Vimpat.

    Does that mean you’d have to choose between Keppra and Topamax? Only your doctor can answer these questions.

    (Remember, I’m no doc, I’m just relying on research.)

    Like

    Comment by Phylis Feiner Johnson — September 7, 2015 @ 3:33 PM

    • Yes thank you I will look into the link and thank you very much for the info i am very comfortable with taking Topamax during pregnancy since it is category C I will now have to induce my Vit-D and Calcium during pregnancy just like my Endo advised!! Thank you for your advice and I will continue to follow your stories:-)

      Like

      Comment by Alba M — September 7, 2015 @ 4:30 PM

  38. I’m glad to be of help in any way I can. Even if I’m not a doc! 🙂

    Like

    Comment by Phylis Feiner Johnson — September 7, 2015 @ 5:05 PM

  39. It breaks my heart reading this article. I only wish I knew about all this before getting pregnant. I think looking back, what kills me the most is that I was diagnosed at 17 years old. Clearly of child bearing age and close to adulthood-yet my doctor at the time put me on depakote. He was also an epileptologist, not just neurologist-so he very much knew about medications and their effects. First I was on lamictal but not controlled, so he added depakote and now I’ve been fine for 8 years. I am happy I’m healthy and it works, but because I stayed on the medication throughout my pregnancy, my daughter has numerous delays and learning problems. Although she doesn’t have any physical disabilities, the damage was done. I hate myself for it, and again although I’m happy it worked, I really wish it was a safer medication for pregnancy my doctor would have tried first before going straight to the worst possible one-depakote. Now I’m advised never to have any more children again 😟

    Like

    Comment by Lauren — September 29, 2015 @ 7:05 PM

  40. Please don’t beat up on yourself. It was the neurologist (and perhaps the OBGYN) who are at fault.

    It’s unfortunate that you are a victim of their ignorance and was not given the necessary correct information.

    Some doctors don’t know and some don’t care, but that doesn’t comfort you with the outcome.

    However, I do not think that with the correct neuro and a high risk OBGYN, you should give up.

    Remember: Knowledge is power.

    Like

    Comment by Phylis Feiner Johnson — September 29, 2015 @ 7:18 PM

  41. I’m trying to get pragnent and haven’t had a period and been off the depo shot in over a year and my seizer doctor just put my meds to 400mg a few months ago. The last I guess u can call it a period it was like a brown discharge witch was in the last of August to the first week of September. Can anyone help me figure this out.I don’t wanna talk to my doctor cuz she will say something to my mom and my mom always comes in there with me and if I tell her not to its suspicious to her she says so idk. My bf and I want a kid bad plz help me figure this out

    Like

    Comment by kayla — November 27, 2015 @ 7:33 PM

  42. I don’t know. But I strongly suggest you talk to your doc.

    Like

    Comment by Phylis Feiner Johnson — November 28, 2015 @ 9:29 AM

  43. My husband has been taking depakote (valporic acid 500mg) for 4 years off and on now. He just stop taking depakote Dec, 27 2015 so we can have a child. It is now Jan,4th 2016. From what i have been reading, depakote can lower sperm count. I really dont have much info on if “not taking depakote can help raise sperm count” i have no idea how long it can take for his sperm count to increase and how long it can take to conceive a child. We have been trying for 4 months now, while he has been on depakote. Since he just quit this drug, i hope it wont take so long to have a child.

    Like

    Comment by Nicole leon — January 4, 2016 @ 4:32 PM

  44. Research suggests that the AEDs phenytoin, carbamazepine and phenobarbital adversely affect hormone levels by reducing the level of free testosterone which, in turn, reduces sexual desire.

    Some good news regarding AEDs and hormonal effects does exist: Studies show that the AED lamotrigine may not have a negative impact on sexual function.

    In fact, in one study, lamotrigine was shown to have a favorable effect on sexual disorders in Men With Epilepsy (MWE) who had partial seizures and were taking other AEDs.

    What is the impact of hormonal changes? Reduced testosterone, one hormonal effect frequently seen in MWE, can adversely affect one or more of the following: energy, mood, drive, sexual function, bone density and seizure control.

    Sperm abnormalities: Some AEDs are associated with sperm abnormalities, including low semen volume, low sperm count and abnormal sperm motility.

    The following AEDs have been linked to sperm abnormalities: carbamazepine, oxcarbazepine and valproate.

    Reduced testicular volume: Some AEDs have been linked to reduced testicular volume

    Reproductive dysfunction: AEDs may cause alterations to androgens (substances that produce male characteristics and stimulate activity of male sex organs), thereby contributing to reproductive dysfunction.

    If you are experiencing problems with sexual function, it is important to discuss them with your doctor.

    Your doctor may be able to prescribe alternative AEDs; many patients who experience sexual deficits with one medication will have normal sexual function with another.

    Plus, if you suffer from impotence, your doctor may prescribe medication to help you overcome it.

    http://www.efepa.org/living-with-epilepsy/men-with-epilepsy/

    Like

    Comment by Phylis Feiner Johnson — January 4, 2016 @ 5:23 PM

  45. hi my name is grainne o Connor I am taking lepta 750 twice daily and it has prevented me from becoming pregnant

    Like

    Comment by grainne o Connor — January 16, 2016 @ 9:09 AM

  46. Have you considered speaking to an endocrinologist?

    Endocrinology is the study of medicine that relates to the endocrine system, which is the system that controls hormones.

    The endocrine system is a series of glands that produce and secrete hormones that the body uses for a wide range of functions.

    These control many different bodily functions, including:

    Respiration
    Metabolism
    Reproduction
    Sensory perception
    Movement
    Sexual development
    Growth

    Here’s more info:

    http://www.hormone.org/contact-a-health-professional/endorcrinology

    Good luck!

    Like

    Comment by Phylis Feiner Johnson — January 16, 2016 @ 10:12 AM

  47. Hello , i have epilepsy . & im taking a medicine called zonegran .. Im 20 and trying my first was a molar pregnancy soo because of that im really scared … I hope i can have kids in the future . Any advice will be thankful!

    Like

    Comment by Ana — January 24, 2016 @ 9:37 PM

  48. I don’t know enough about pregnancies to have a clue.

    But I would suggest you work together with a high risk gynecologist and a neurologist together.

    I wish I could help you more…

    Like

    Comment by Phylis Feiner Johnson — January 26, 2016 @ 10:29 AM

  49. I was 28 when I got pregnant and it wasn’t planned. I have seizure since i was 8 yrs old and taking Depakote since 12 yrs old . When I find out I was pregnant my Neurologist told me to think about abortion because of the birth deffects and I was 2 months pregnant already. My husband didn’t let me to do abortion we did lots of praying to have healthy baby and I promised GOD I will give a Saint name when I have my baby. Thank my LORD I had my baby boy 6 lb 8 oz 20 in health boy and he is 12 yrs old now handsome and energetic boy . 🙂 Thinking to have another one just scared

    Like

    Comment by mariam — May 2, 2016 @ 2:13 PM

    • I had a healthy baby girl she is now 1 yrs & 4 days old I been on keppra since I was 22 yrs old for a one time granmal seizure, in general there are more medical research appointments to be done during a pregnancy; on seizure medication. Depokote is a early to mid ’90s medication so more research has been done on that medication during pregnancy which is why it got a grade of (d) because all seizure medication that we take has been tested on pregnant animals grade d means serious disabilities or death.you’re best bet is to try switching to keppra grade (c) which is the best grade for nowadays. If it makes you less nervous I have cerebral palsey, walk with forearm canes & my daughter was born 38 wks & 1 day full term & she is physically ahead of kids her age 😊👶💪

      Like

      Comment by elena rayn's mom — May 17, 2016 @ 3:29 PM

  50. You did it once with success, so…

    What did you name your baby?

    Like

    Comment by Phylis Feiner Johnson — May 2, 2016 @ 2:56 PM

  51. I have something important to share, for over 4 years now of my marriage i have been trying to get pregnant, this almost made my husband to divorce me because my mother in-law was planning to get him another girl, i was always crying everyday because my marital life way going down. My mother in-law made my husband believe that i was the cause of us being able to give birth, i was always crying, my heart was broken into pieces. My husband and I have been seeing a fertility specialist. We have done one IUI with no luck. My husband has a sperm count which goes up and down, the doctor has recommended him taking the Preseed supplement which he is doing over 3 years with no change in the situation my husband who has low sperm count? It just seems to me that if the sperm are unable to fertilize the egg it will not matter how many are produced. I am was so confused until i contacted this powerful spiritual coven online who I saw a number of testimonies of how he has help so many of them so I sent fountain waters coven a mail and I told them all my sorrows and pain they replied me and ask me not to cry any more that they will help, the sent me some instructions and caution, fountain waters performed the ritual rights and send me a spiritual medicine, they told me to have sex with my husband within 2weeks of doing this I felt dizzy and I went to the doctor and it was confirm that I was pregnant thanks to fountain waters spiritual waters powers now am a mother of a bouncing baby boy and joy has been restored to my marital life and am very happy, no more stress from my mother in-law. If any one needs such help don’t wait all life time to get help in getting pregnant contact fountain waters now on his personal email : fountainwatercoven@yahoo.com Or whatsapp them on +2349054913842

    Like

    Comment by Debbie Jackson — June 14, 2016 @ 2:27 PM

  52. Debbie, thanks for sharing your story and your suggestions.

    I’m even happier that you were able to have your baby boy.

    But still, I would dump that mother-in-law, if I could!

    Like

    Comment by Phylis Feiner Johnson — June 14, 2016 @ 2:44 PM

  53. i have epelepsy and seizures and i am 28 years old can you please help i an american muslim living on kuwait my email is omar1113@yahoo.com

    Like

    Comment by Omar Ansari — June 22, 2016 @ 5:26 PM

  54. What kind of help do you want? (I’m NOT a doctor.)

    Like

    Comment by Phylis Feiner Johnson — June 22, 2016 @ 6:43 PM

  55. Hi I am 35 and have been on Zonisamide (Zonegran) 150 mg since I was 17. My husband and I are ready to start planning for a family. I’ve read tons of articles about the importance of taking Folic acid prior and during pregnancy. I understand that women on medicines for epilepsy need a higher dosage than an average woman, but can you specify what dosage of Folic acid is ideal? I’ve read you can take up to 15mg, and most prenatals have 800mcg – 1mg. My Obgyn gave me a prescription for a Folbic Tablet which is an additional 2.5mg of Folic acid and other B vitamins, but I wondered if that was enough? Also any literature on taking Folate instead of Folic Acid since it is so critical that we have the vitamin, but so many women have difficulty processing the synthetic form of Folic Acid? Thanks!

    Like

    Comment by Olivia — August 23, 2016 @ 7:49 PM

  56. The U. S. Public Health Service and CDC recommend that all women of childbearing age consume 0.4 mg (400 micrograms) of folic acid daily.

    https://www.cdc.gov/ncbddd/folicacid/recommendations.html

    Folate (the natural form) has some very important functions in the body:

    “It is necessary during rapid cell division and growth. In fact, pregnancy is known to actually double the need of dietary folates.”

    Though the recommendation for pregnancy is 400-600mcg of folate/folic acid, this is the minimal amount needed to prevent birth defects.

    When using folate instead of folic acid (thus removing the added risks to mom with the synthetic form), it is often advisable to take more than the minimum.

    As always, check with a doctor or midwife before taking or changing anything, especially during pregnancy, but do your research on this one!”

    http://wellnessmama.com/12543/folic-acid-vs-folate/

    Like

    Comment by Phylis Feiner Johnson — August 23, 2016 @ 9:39 PM

  57. i am here to share my testimony on how i conceived my baby. i have been married to my husband for 11 years without no issue.i had problems with my in-laws even my husband started to have new affairs aside our marriage. it was a very terrible thing to bear. i became a laughing stock among my pear, i prayed and fasted and nothing happened. i was now seen as always unhappy.i was even ready to pack out of my marital home and stay on my own because my husband was not given me any attention that i needed from him. i decided to focus on my job and try to live happy on my own. on this faithful day, i decided to check the net for updates on healthy living and i came across a story of a man who Dr NOSA helped his wife to conceive a baby. i decided to put a try because this has been my greatest problem in life. today i am a proud mom with two son. words will not be enough to explained what this man did for me.i am a happy mother,i know there is someone in same condition and you feel there is no way. i urge you to contact him. This is the solution to every single mother around the globe. distance is not a barrier, he will surely make your dreams come trough. contact him today via email: drmosaspellcaster@gmail .com

    Like

    Comment by sandra lopez — November 15, 2016 @ 7:11 PM

  58. Sandra, thank you for your story and the link.

    Perhaps this can be of help to those who are struggling to conceive a child.

    Like

    Comment by Phylis Feiner Johnson — November 15, 2016 @ 7:23 PM

  59. Dear Aluta Spell, your herbs is a must for any woman trying to get pregnant. I was devastated and so was my husband after being told by my fertility specialist at age 38 that I had no option but to consider adoption or donor eggs (according to my doctor I was out of eggs and gave me 4% chance of getting pregnant and a 2% chance of carrying a baby to full term). After much research and dozens of hours reading infertility related articles and posts online, I have found your email I never believed in anything alternative to western medicine and thought all the other stuff like Chinese medicine was a hoax. But I was soon glad to be wrong as I followed your step by step guidelines. After one month of trying I became pregnant and had a beautiful healthy boy. Nine months after that I did everything you told me again and after 2 months of trying I got pregnant again and gave birth to another perfect little boy. I would recommend anyone with an open mind to contact him for help. It just might be the answer to your prayers.his website http://freespellsolution.weebly.com/

    Like

    Comment by Mitchell Glover — November 28, 2016 @ 9:49 AM

  60. I want to share a great testimony on this website on how great man of God who
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    like this and you want to be pregnant you can contact
    prophetmercyland@gmail prophet jeremaih omoto via Email: prophetmercyland@gmail or
    cell phone +2347055176615 or you can still watch him television marcylandtv

    Like

    Comment by Becky Valentine — January 2, 2017 @ 4:39 PM

  61. Becky, I’m glad you found your miracle and were able to get pregnant.

    Like

    Comment by Phylis Feiner Johnson — January 2, 2017 @ 5:09 PM

  62. I had been trying for three years to get pregnant. I took hormones, used creams, my husband and I got checked, I was taking up to 35 pills a day to try to get things moving. by January I was told by the doctor, “There is noting else we can do for you”. Being a mother has been my dream since I was 4 years old and that news was beyond devastating. It was hard to be happy for anyone I knew that was pregnant or had children, especially younger people or people who had not planned it at all. I swore off facebook, baby showers, shows with children, anything that reminded me of what I would never have. I started to incorporate some Buddhist meditation into my life to try and find peace, i use priest raja medicine and by febuary I got my first positive pregnancy test. My baby girl is growing inside me,Feeling her kick me, hearing her heartbeat, these are the happiest things to have ever happened to me. I feel so fortunate. I can honestly say though, it’s not easy being pregnant after infertility. I am constantly worrying about her and begging her to stay with me, stay alive. Going from infertile to pregnant is a double edged sword, but I am so grateful to experience this and I can’t wait to see my sweet girl. now a mum of a beautiful baby girl. contact the priest with this email, he sure can help you, priestraja@mail.com

    Like

    Comment by caroljonessite — January 10, 2017 @ 3:53 AM


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    About the author

    Phylis Feiner Johnson

    Phylis Feiner Johnson

    I've been a professional copywriter for over 35 years. I also had epilepsy for decades. My mission is advocacy; to increase education, awareness and funding for epilepsy research. Together, we can make a huge difference. If not changing the world, at least helping each other, with wisdom, compassion and sharing.

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