As many as two-thirds of people with epilepsy face some change in sexual desire, behavior, or activity as a result of their seizures. Even if this kind of problem has affected you, you may not have discussed it with your doctor or someone else who might provide real support and help. Doctors often are reluctant to bring up such intimate topics up in the course of a visit, and many patients do not feel comfortable talking about sex. Whatever the reasons behind the silence, there is no need to suffer. The most common change is a general lessening of sexual interest and activity, sometimes called hyposexuality. Fear Fear often is an underlying factor in sexual problems.
If you suspect your low libido might be related to your medication, talk to your doctor. He or she will probably be able to suggest an alternative. Depression is a well known libido killer, but so are some antidepressants. Prozac, Zoloft, and other selective serotonin reuptake inhibitors SSRIs improve mood by raising serotonin.
Sexual functioning and variables that influence sexual functioning have not been studied in Indian women with epilepsy. In a pilot study, female age, 18—45 years outpatients with epilepsy who were in a stable sexual relationship for at least 1-year were screened using the mini international neuropsychiatric interview. Findings were compared with age- and sex- matched sample of healthy control women drawn from the same sociodemographic population. In multivariate analysis, use of clobazam and phenobarbitone, and longer time after the last seizure were each associated with significantly higher FSFI scores; and longer duration of epilepsy was associated with significantly lower FSFI scores. There is a substantial impairment of sexual functioning in women with epilepsy.