Persons with epilepsy can enjoy all the sexual feelings and pleasures others enjoy. Epilepsy is not generally associated with restrictions on sexual activities. Most persons with epilepsy have normal sex lives. There is no convincing evidence that seizures are more likely to occur during sexual activities. Rarely, seizures may be more likely to occur during or shortly after physical exertion and intense emotional experiences. In this case, some modifications may be needed for the enjoyment of an active sex life.
Some patients with epilepsy have a decreased sex drive. Psychological factors are common, as they are in the general population. Diminished interest in sex may partly result from antiepileptic drugs that increase the liver metabolism of sex hormones such as testosterone or estrogen. These drugs include carbamazepine (Tegretol, Carbatrol), primidone (Mysoline), phenobarbital, and phenytoin (Dilantin). Other cause of decreased sex drive may relate to the epilepsy itself, the cause of the epilepsy.