Counseling Reproductive-Age Youth With Epilepsy: Literature Review and Expert Opinion From the Epilepsy in the Child-Bearing Ages Through Menopause Consortium

Marie E. Clements, Christina Briscoe, Angela M. Curcio, Laurie M. Douglass, Janani Kassiri, Lynn C. Liu, Sally V. Mathias, Debra T. Moore-Hill, Deepthi Nalluri, Audrey Nath, Amanda M. Romeu, Tahniat Syed, Victoria Vinarsky, Susan Wiener, Qian Zhou Jo Jo Yang, Sarah J. Betstadt, Elizabeth I. Harrison, Neil Kulkarni, Preeti Puntambekar, Debopam SamantaLaveena Singla, P. Emanuela Voinescu, Laura Kirkpatrick

Research output: Contribution to journalReview articlepeer-review

Abstract

Epilepsy in the Child-Bearing Ages through Menopause is an international consortium of clinicians dedicated to improving the health of women with epilepsy across the lifespan. Epilepsy in the Child-Bearing Ages through Menopause's Adolescent and Young Adult Committee addresses quality of care for female youth with epilepsy. The Committee developed a literature review and expert opinion guidance for child neurologists on performing optimal counseling about epilepsy and reproductive health for female youth with epilepsy. To do so, we identified and voted on key topics essential for this counseling, then conducted comprehensive literature reviews for each topic, iteratively developed key statements about counseling content and style for each topic and voted on final content for inclusion. The included topics were teratogenesis, folic acid supplementation, pregnancy and fertility, contraception, heritability of epilepsy, menstrual and hormonal disorders, catamenial epilepsy, and taking a sexual history. This review provides a clear, novel framework for pediatric neurologists to counsel adolescent and young adult women with epilepsy about their reproductive health, supporting improvement in practices recommended by professional organization such as the American Academy of Neurology and Child Neurology Foundation.

Original languageEnglish
Pages (from-to)90-101
Number of pages12
JournalPediatric Neurology
Volume175
DOIs
StatePublished - Feb 2026

Bibliographical note

Publisher Copyright:
© 2025 The Authors

Keywords

  • Adolescent
  • Adolescent health
  • Epilepsy
  • Reproductive health

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Neurology
  • Developmental Neuroscience
  • Clinical Neurology

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