Can I get pregnant if I have epilepsy? The answer is that it is possible to have children. But only under the guidance of a specialist and if you dare to take the risk yourself, because in reality it is often doctors who are afraid to advise epileptic patients to have children for fear of taking responsibility. What if I get pregnant accidentally while taking antiepileptic drugs? For female patients, the following two factors should be considered: 1. The impact of seizures Often, we encounter some patients with epilepsy who have significantly reduced the number of seizures or stopped having seizures after pregnancy, and some patients have instead had their seizures worsen after pregnancy. In the 1990s, some foreign scholars did a retrospective analysis, and the statistical results were that 15% of patients had an increase in seizure frequency, 24% had a decrease in seizures, and more than half of the remaining patients had no change in seizure frequency after pregnancy. The remaining half of the patients had no change in seizure frequency after pregnancy. Seizures that are generally less severe and of shorter duration (often less than one minute) do not affect the fetus. Severe generalized tonic clonic grand mal seizures can be harmful. On the one hand, the patient is often in a state of hypoxia, which in severe cases also leads to disturbances in the systemic internal environment, and on the other hand, the patient may fall and collide, all of which can cause harm to the fetus. （Theoretically, long-term use of antiepileptic drugs can increase the risk of pregnancy, including increased seizure frequency, vaginal bleeding, fetal malformation, and neonatal hemorrhage. However, these conditions are increased in probability (relative to a healthy pregnant woman), the vast majority of cases remain normal, and there are measures that can be taken to reduce the risk. Appropriate choice of antiepileptic drugs. Traditional antiepileptic drugs commonly used are phenytoin sodium (or dalantin), phenobarbital (or luminal), carbamazepine (or deltamethrin), and sodium valproate (or magnesium valproate, or depakene), for which there is definite evidence of effects on the fetus. The newer antiepileptic drugs commonly used are oxcarbazepine (or trilostane), lamotrigine (or lipitor), levetiracetam (or keplar), and topiramate (or tolterol), which have been used for a short time and have less relevant information, but are significantly better than the traditional antiepileptic drugs in terms of other side effects and should be considered as a priority. It is also worth pointing out that lamotrigine, which has been partially studied in the last decade, has shown no difference in its effects on the fetus compared to healthy pregnant women. In fact, my guideline in recent years has also been to choose lamotrigine first for female patients who are preparing to become pregnant, provided that seizures are controlled as much as possible. In male patients, it is very unlikely that the medication will affect the offspring when they are on long-term medication, and although there is no research data specifically in this area, in theory, the effects of the medication can be disregarded as long as the pregnancy is successful. In practice, I have often encountered cases of men with epilepsy taking medication whose wives can conceive and give birth normally. Whether seizures and medication affect male fertility is, of course, a separate issue. Why do seizures increase after pregnancy? It is rare for female epileptics to have fewer or no seizures after pregnancy, and it is still quite dangerous if they do have seizures. Is there any effect on the fetus when seizures occur during pregnancy? It depends on the type of seizure, its duration and whether the symptoms cause a potential risk of trauma. Prolonged seizures cause damage to the brain and will definitely have an effect on the fetus.