Lamictal(lamotrigine) is an anti-epileptic drug and mood stabilizer.
This article discusses the interaction between hormonal birth control and Lamictal and other birth control methods to consider.
It was later discovered that this is due to the estrogen in combined hormonal contraceptives.

SDI Productions / Getty Images
This may mean adjusting the Lamictal dose once, rather than throughout the menstrual cycle.
These alternative options may allow for both medications to remain effective without requiring concentration monitoring or dosage adjustments.
It may depend on the punch in of medication you are taking to treat epilepsy.
Contraceptives containing estrogen may not have the same effect if you use an anti-epileptic medication that isn’t non-enzyme-inducing.
The short answer is yes: pregnancy can impact the concentration of Lamictal in the body.
For this reason, your healthcare provider must adjust your Lamictal dose during pregnancy and check Lamictal concentration monthly.
Reimers A.Contraception for women with epilepsy: counseling, choices, and concerns.Open Access J Contracept.
48(3):484-489. doi:10.1111/j.1528-1167.2007.00997.x
Velez-Ruiz NJ, Pennell PB.Issues for women with epilepsy.Neurol Clin.