This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Gynaecology & Obstetrics
Which of the following methods of contraception should be avoided in women with epilepsy? 
Select and explain. 
A. Oral contraceptive pills, B. IUCD, C. Condoms, D. Diaphragm
A: Oral contraceptive pills
Answer: A: Oral contraceptive pills 
Explanation: All the antileptics (except for sodium valproate and clonazepam) have the propey to induce the enzyme complex which metabolizes the oral contraceptives. Hence it is better avoided in patients with a history of epilepsy on medications. The other three methods of contraception mentioned in the question have no such contraindication. Ref: Dutta textbook of Obstetrics, 6th Edition, Page 545; Textbook of Gynaecology By Rao, Page 183-184