Preparing for pregnancy: Balancing epilepsy, weight, and fertility health

Preparing for pregnancy requires careful planning, especially for individuals managing epilepsy, weight concerns, and fertility health. A proactive approach ensures the best possible outcome for both mother and baby. Addressing these factors before conception can reduce risks and promote a healthy pregnancy journey.

For individuals with epilepsy, proper seizure control is a top priority before pregnancy. Certain anti-seizure medications (ASMs) can affect foetal development, so consulting a neurologist and obstetrician early on is essential.

In some cases, medication adjustments may be necessary to balance seizure control while minimising potential harm to the baby. Taking folic acid supplements is particularly important, as they help reduce the risk of neural tube defects, which are more common in pregnancies affected by epilepsy. Additionally, managing triggers such as stress, sleep deprivation, and inconsistent medication use can help maintain stability during pregnancy.

Weight management also plays a vital role in fertility and pregnancy health. Being overweight or underweight can impact ovulation and hormone balance, making it more challenging to conceive.

Achieving a healthy weight through balanced nutrition and regular exercise can improve fertility and reduce pregnancy complications, such as gestational diabetes and high blood pressure. Consulting a healthcare provider for personalised guidance can help ensure a safe and effective approach to weight management before conception.

Fertility health should also be carefully monitored. Women with epilepsy may have irregular menstrual cycles due to the effects of ASMs on reproductive hormones.

If conception proves difficult, a fertility specialist can provide guidance on ovulation tracking and potential treatments. Additionally, both partners should prioritize overall well-being by maintaining a nutritious diet, reducing stress, and avoiding harmful substances such as alcohol and tobacco.

By addressing epilepsy management, weight concerns, and fertility health, individuals can optimise their chances of a successful and healthy pregnancy. With the right medical support, lifestyle adjustments, and careful planning, preparing for pregnancy can be a rewarding journey toward welcoming a healthy baby into the world.