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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