Some of the things that limit persons with E. when it comes to this most intimate of all physical contacts can include:
The stigmatization of the condition of epilepsy can make a person feel self-conscious which can affect self perspective of one's own body and sexual needs.
Restriction of social opportunities or restriction of access to usual educational and occupational experiences is often inflicted unnecessarily upon a person with epilepsy.
Recurrent seizures may lead to a sense of vulnerability and helplessness (poor self-esteem), impairing the capacity to form healthy, nurturing relationships.
Fear that sexual activity will induce a seizure, particularly for persons whose seizures are sometimes triggered by hyperventilation or physical exertion.
Fear of disclosure of your condition to your partner can affect the sexual dynamics of your relationship.
Social and familial stresses due to your sexual orientation, as well as living with epilepsy, may affect your sexual responses and relationships.
In other chronic illnesses, poor acceptance of the condition is associated with sexual dysfunction.
Sexual behaviour may be negatively reinforced if sexual feelings are a component of a seizure.
Disruption of brain regions mediating sexual behavior, either by fixed lesions or by epileptiform discharges
Changes in hormones supporting sexual behavior due to seizures and/or antiepileptic drugs
Antiepileptic drugs have direct effects on brain regions mediating sexuality and may also cause sexual dysfunction by secondary effects on reproductive hormones (http://www.epilepsyontario.org/client/EO/EOWeb.nsf/web/Sexual+Relationships)
We should understand that as persons with E., there are a variety of kinds of obstacles to be overcome, when it comes to intimacy. They are not uniform, nor are they the same for each of us.