A variety of special issues arise in caring for women with epilepsy. S
eizures related to the menstrual cycle (catamenial epilepsy) can be co
ntrolled by several treatment strategies. Oral contraceptives are not
contraindicated, but higher-dose agents are needed if enzyme-inducing
antiepileptic medications are given concomitantly. Sexual and reproduc
tive dysfunctions are common but often go unrecognized. In the past, m
any people with epilepsy were wrongly advised against reproduction. Wi
th appropriate management, most women with epilepsy deliver healthy ch
ildren. A better understanding of these concerns will allow physicians
to improve the lives of women with epilepsy.