Sexual wellbeing is an important part of life, relationships, and overall health. Many adults with epilepsy have fulfilling sex lives, but it’s also common to experience sexual difficulties at different stages. These challenges can be caused by the epilepsy itself, anti‑seizure medications, other health conditions, emotional factors, or relationship stress.

Talking openly about sexual concerns can feel uncomfortable, but seeking support can improve confidence, intimacy, and quality of life.

How Epilepsy Can Affect Sexual Desire

Research suggests that reduced sexual desire or arousal affects around 25–33% of adults with epilepsy at some point in their lives.

Sexual desire varies widely from person to person, and people with epilepsy are no different.

Factors that may reduce sex drive

Common contributors include:

• Poor seizure control or fear of having a seizure during sex
• Side effects of anti‑seizure medications
• Other medical conditions (e.g., diabetes, heart disease, obesity)
• Menopause
• Low self‑esteem or concerns about body image
• Anxiety or depression
• Past negative sexual experiences
• Relationship difficulties
• Other medications (e.g., antidepressants)
• Excessive alcohol or recreational drug use

These factors can interact, making it important to look at the whole picture – not just epilepsy alone.

Erectile Dysfunction and Epilepsy

Men

Erectile dysfunction (ED) is common in men with epilepsy. Up to one‑third of men may experience difficulty achieving or maintaining an erection at some stage. ED can be linked to:

• Seizure activity
• Medication side effects
• Hormonal changes
• Stress, anxiety, or relationship concerns
• Other medical conditions

ED is treatable, and support is available through your GP or a sexual health specialist.

Sexual Difficulties in Women With Epilepsy

Women

Around 30% of women with epilepsy experience sexual difficulties, including:

• Reduced libido
• Problems with arousal
• Difficulty reaching orgasm

Hormonal changes, medication effects, mood, and relationship factors can all play a role.

What to Do if You’re Experiencing Sexual Difficulties

Sexual challenges can affect confidence, relationships, and emotional wellbeing. The first step is often simply acknowledging the issue and talking about it.

1. Talk with your partner

Open, honest communication can reduce anxiety, improve intimacy, and help you both understand what’s happening.

2. Speak with your GP

If difficulties continue, your GP can:

• Review medications
• Check for underlying health conditions
• Discuss emotional or psychological factors
• Recommend medical or non‑medical treatment options
• Refer you to sexual health or relationship counselling

Health professionals talk about sexual health every day – your concerns are valid and worth discussing.

3. Consider counselling or relationship support

Services such as Relationships Australia or sexual health counsellors can help with communication, confidence, and intimacy.

Planning a Family: Sexual Health and Fertility

Many women with epilepsy have questions about pregnancy and fertility. If you’re thinking about starting a family:

• Talk to your doctor early, ideally before trying to conceive.
• Medication adjustments may be needed to achieve the best seizure control on the lowest effective dose.
• If pregnancy occurs unexpectedly, don’t stop your anti‑seizure medication – contact your doctor promptly for advice.

For more detailed information, see the Epilepsy and Pregnancy Factsheet

Sex, Intimacy, and Chronic Illness

Living with a chronic condition can affect how people feel about sex, relationships, and identity. Emotional support, good communication, and tailored medical advice can make a significant difference. For more insights, see Sex and Love in Chronic Illness