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ISSN 2225-4676 (Electronic)

2011, Number 1

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Rev Cubana Neurol Neurocir 2011; 1 (1)

Sexuality, fertility and contraception in epileptic adolescents: state of the art and proposed management

García GRJ

Language: Spanish
References: 26
Page: 52-58
PDF size: 242.83 Kb.


ABSTRACT

Objectives: 1) To present the actual state of the knowledge that may answer a lot of the preoccupations of the epileptic adolescents, relatives and health professionals with dedication to their attention. 2) To recommend about different options of management and therapy of these patients, at present in Cuba.
Development: Some disorders and uncertainties about the sexuality, fertility and the mode to avoid the pregnancy in the adolescence, principally in patients with chronic disorders and among them the epilepsy, do not have, the answers and/or definitive solutions approved by unanimity. In adolescents with epilepsy, there are some factors with a known influence of major frequency of sexual dysfunctions, infertility and difficulty in the determination of the best combination of methods of contraception and the antiepileptic drugs, in the adolescents with sexual activity. These are: the own epilepsy and the attacks, the medication, the association of diseases of the nervous system, the mental disorders, the anxiety, depression, the social characteristics and others. There are different options of therapy in the unlike situations, but should be known, the adverse effects of the antiepileptic drugs in the sexual function and the reproduction before their utilization.
Conclusions: In adolescents with epilepsy, with the influence of many factors, is very important to have a general mode of management in special situations, but the decisions at the end should be personalized.


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