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Yup. Common practive with anti-epileptics - some have worse implications for babies than others which is why those said others are used first.
I just noticed this in the article:
Nearly all hospitals have long required pregnancy tests for some things, like getting a CT scan (which involves radiation exposure). And if the test is positive, the doctor is supposed to consider alternatives.
Exactly. It's not a "where do we draw the line" thing here, the line is already drawn as you allude to. It's not just CT scans as well, some actual medications need pregnancy tests or at least active contraception use. Roaccutane, methotrexate and other DMARDs etc - everything in medicine is a risk vs reward thing and I'm sure many patient would prefer not to be on a drug that messes up their fetus whether they're planning to keep it or not in the case they get pregnant. You'd rather just avoid the risk of that situation occuring altogether.
You cut the quote off, that's just part of what was said. That quote in full doesn't just talk about a pregnancy test, but that on top of and as well as sterilisation, before being allowed to take a necessary drug.