Patients, especially female patients or family members, often ask doctors, “Can I get married?” or “Can my daughter get married? Or “Can my daughter get married?” ”Can I have children?” “If I have children, will I inherit epilepsy?” “Do I need to stop taking my medication during pregnancy?” Although people with epilepsy are a special group, they are also faced with the major life event of marriage, and it is important for patients and their families to know about it. Can I get married? First of all, from the legal point of view, the marriage law only stipulates that close relatives and some special cases cannot get married, but it does not stipulate that people with epilepsy cannot get married. Marriage for people with epilepsy must be based on honesty and should not be concealed. You should also try to avoid high levels of mental exertion, overwork and missing medication due to busyness, which will cause an increase in seizures and aggravate the condition. Does epilepsy run in families? In fact, even normal parents can give birth to a child with epilepsy. Most people with epilepsy have no family history and are epidemic. There are many causes of epilepsy, some of which are secondary to acquired diseases, such as traumatic brain injury, brain tumor, cerebrovascular disease, etc. The possibility of epilepsy being inherited is minimal; while some are primary epilepsy, which means that no clear cause can be found. Only a small percentage of people with epilepsy have a clear genetic predisposition to epilepsy, which is a genetic disorder with a high probability of inheritance, but it is not necessarily inherited. For most people with epilepsy, their children have a genetic predisposition to epilepsy, which means that their children have a greater chance of having epilepsy than other children; this is a matter of probability and does not necessarily occur. To use an analogy, having a child with epilepsy is like buying a lottery ticket and winning. Anyone who has a child is equivalent to buying a lottery ticket. Assuming that the chance of winning a lottery ticket is one percent, if you don’t buy it (don’t have a child) you will definitely not win (have a child with epilepsy), but if you do buy it (have a child) you may win, and an epileptic mother simply has a better chance of winning than a normal mother. The ultimate decision to have a child or not should be made by mutual agreement between the couple with the knowledge of the above. One can choose not to have a child after marriage, or one can face the risks and be brave enough to try to have a child, or some couples can accept a flawed child and believe it is better than not having a child. Thus, each family has a different perception of the problem and a different reality and will make a completely different decision. Do I need to take anti-epileptic drugs during pregnancy? Will it affect the fetus? Many patients worry that the use of antiepileptic drugs during pregnancy will damage the fetus, and some stop the drugs on their own, resulting in grand mal seizures that lead to intrauterine hypoxia and even miscarriage and premature birth, thus showing that seizures can damage the fetus. The impact of antiepileptic drugs on the fetus is mainly in the teratogenic problem, the current clinical data shows that, except for sodium valproate, the teratogenic risk of other antiepileptic drugs is only about 1% higher than that of pregnant women who are not taking them, and the teratogenic rate of new antiepileptic drugs is even lower, and there are few cases of healthy babies born during the whole pregnancy taking antiepileptic drugs. Therefore, doctors suggest that patients with epilepsy should plan to get pregnant, preferably when epilepsy is fully controlled. For patients with frequent seizures and poor control, the antiepileptic drug regimen should be actively adjusted to achieve ideal control before considering pregnancy.