The vulnerable stages/ phases or days in the menstrual cycle in women with catamenial epilepsy are quite established as premenstrual ( C1 pattern), during ovulation (C2 pattern) and in luteal phase (C3 pattern). Furthermore, it is known that high dose of progesterone was tolerated well during luteal phase especially in C1 pattern  as compared to its efficacy during other patterns and in women with non-catamenial epilepsy.

What is your opinion for whether using specified anti-seizure treatment for different catamenial seizure patterns might have well tolerability? e.g using natural progesterone, benzodiazepine, acetazolamide etc.

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