Women, of all ages, with epilepsy have their own considerations which must be taken into account if their care is to be optimised. Although the issues are usually considered when a female becomes of childbearing age, antiepileptic drug (AED) therapy during childhood may influence choices in adult life. Hormonal alterations, including changes in prolactin, follicle-stimulating hormone and luteinising hormone have been observed following generalised and focal seizures. They are thought to arise as a result of connections between the hypothalamic-pituitary axis and areas of the brain involved in seizures, although the precise mechanisms are unclear. These hormonal problems can result in reproductive dysfunction, with the most common disorders being polycystic ovarian syndrome (PCOS) and hypothalamic amenorrhoea .This case study reported Ovarianmature cystic teratoma as a possible reproductive dysfunction that may be a result of epilepsy.