If your GP thinks your sexual problems might be connected to your epilepsy or epilepsy medicines, they will usually refer you to an epilepsy specialist. If it looks like there’s a physical cause for your sexual problems, your GP may suggest lifestyle changes or treatments to help. If you and your doctor think your sexual problems may have an emotional cause, your doctor may recommend sex therapy, psychotherapy or relationship counselling. For most men with sexual problems, a treatment can be found. If you have any worries about your sex drive, or your ability to have sex, you are not alone. If you have low testosterone levels, this may cause you to have problems with your sex life. These include your interest in having sex, your ability to have sex and your fertility. Testosterone is responsible for many things that affect your sex life. Testosterone – Your body produces the hormone testosterone. If you’re feeling depressed or anxious, this could cause you to have less interest in sex. People with epilepsy are more likely to be affected by depression and anxiety. But if this is something that you’re worried about, the worry could have an effect on your sex life. Having sex is very unlikely to trigger seizures, and most men with epilepsy don’t have seizures during sex. Some men worry that they’ll have a seizure during sex. Studies suggest that people with temporal lobe epilepsy are more likely to have low sex drive. Seizures, especially those that start in a part of the brain called the temporal lobe, can affect levels of sex hormones in the body. If you think your epilepsy medicine might be having an effect on your sex life, talk to your GP, epilepsy specialist nurse or epilepsy specialist. Many men take these epilepsy medicines, but only some will have sexual problems. There’s also some evidence that oxcarbazepine, when taken at doses higher than 900mg per day, can have this effect. The medicines that can cause you to have low testosterone levels include phenobarbital, phenytoin, carbamazepine and primidone. This could affect your interest in or ability to have sex. But they can reduce the level of testosterone in your body. Some other medicines don’t list sexual problems as a side-effect. These medicines are gabapentin, pregabalin, phenobarbital, phenytoin, topiramate, carbamazepine, clobazam and clonazepam. Some epilepsy medicines list sexual problems as a possible side-effect. There are a number of possible reasons why, as a man with epilepsy, you’re more likely to have problems with sex. The most common problems for men with epilepsy are having little or no interest in sex, and having problems with getting or keeping an erection. Any man might have problems with sex from time to time, but problems are more common in men with epilepsy than men without epilepsy. But epilepsy can sometimes cause problems with sex and fertility. Many men with epilepsy have normal sex lives and father healthy children.
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