Patient's question:
Three years ago, I suffered an injury and underwent cranial surgery. Over the past three years, I have had two episodes of epilepsy. Later, I took medication for over two years. Now, I want to have a child, but it is said that long-term medication use may pose teratogenic risks to the child. I wonder if it would be possible to undergo genetic testing to check whether I can conceive a child.Doctor's answer:
A woman who has been taking Depakine (sodium valproate sustained-release tablets) orally with good results and is planning to conceive should be strongly advised not to continue using it exclusively, as it ranks first among all antiepileptic drugs in terms of teratogenic effects. Instead, it is recommended to gradually replace it with other medications. After successfully completing the medication transition and waiting for at least 3 months, she can then proceed with conception without delay. It is advised to visit a hospital's pre-natal care clinic for thorough examination, diagnosis, and treatment. Avoid exposure to cold and hazardous occupations, such as high-altitude work or driving, and pay attention to rest to prevent stress.