Cannabis Prescription to Manage Endometriosis

Endometriosis is often associated with severe pelvic pain and discomfort. A cannabis prescription for endometriosis may provide relief by reducing inflammation and soothing muscle spasms. Cannabis’s analgesic properties can help reduce the intensity of pain, making it easier for patients to manage this chronic condition.

Endometrial tissue, which is typically only seen in the lining of the womb, develops outside of the womb in other locations, such as the belly or pelvis, in endometriosis, a chronic disorder. This tissue frequently adheres to ovaries, fallopian tubes, and other organs.

Menstruating individuals are affected by the illness, which is more prevalent in adults between the ages of 30 and 40. According to research, people are more vulnerable if they:

  • I have never been a parent.
  • Have cycles that are seven days or longer.
  • Possess brief menstruation periods of little more than 27 days.
  • Have endometriosis in your family.
  • Have a medical condition that prevents menstrual blood from flowing normally.

Pain From Endometriosis

Depending on how much endometrial tissue has been found outside of the womb, endometriosis can cause moderate to severe discomfort. But infrequently, people with relatively few endometrial deposits experience excruciating discomfort, and the opposite is also true. Before going into further detail regarding the stages and severity of endometriosis below, let’s first speak about why endometriosis hurts.

The uterine lining is frequently the only location for the glandular cells that make up endometrial tissue. When a pregnancy first begins, they act as a site of attachment for a fertilised embryo. The hormones the ovaries release cause endometrial cells to enlarge and thicken during the menstrual cycle. These cells generally die and shed when a person is not pregnant, exiting the body through the vagina during a menstrual period.

The endometrial tissue that forms outside of the womb is also impacted by the hormones secreted by the ovaries. In response to the hormones, the legions thicken, expand, shed, and flow throughout the menstrual cycle. This irritates the organs that cling to endometrial tissue. By forcing blood to collect in the pelvis and belly, it also aggravates the lining, which is rich with nerve fibres. Last but not least, endometriosis may lead to scarring and the development of adhesions between the abdominal and pelvic organs, which may result in pain that is unrelated to menstruation and discomfort during routine bodily functions.

Why Does Endometriosis Occur?

According to estimates, 1 in 10 women of reproductive age have endometriosis.

While there is no known cause for endometriosis, the illness is most frequently explained by “retrograde menstruation,” in which endometrial tissue migrates from the womb by being pushed out of the fallopian tubes during a menstrual cycle. The following are risk factors linked to the emergence of endometriosis:

  • Genetics: The probability of developing endometriosis rises if a close relative also has the ailment.
  • Menstrual and reproductive history: brief menstrual cycles (less than 26 days), first period at a young age (less than 12 years), and no offspring.
  • Weight: It has been demonstrated that endometriosis is more likely to affect leaner people.
  • Ethnicity: Caucasians are more likely than those of other races to experience endometriosis.

Indicators of Endometriosis

Endometriosis signs and symptoms include:

  • Back pain or discomfort in the bottom part of the stomach
  • Having persistent period discomfort makes it difficult to do daily duties normally.
  • Pain during or following sex Pain when having a bowel or bladder movement
  • Nausea
  • Nausea or indigestion
  • Blood during a menstruation in the pee or faeces
  • Difficulty becoming pregnant

In addition to these endometriosis symptoms, one may also encounter heavier than usual periods. Endometriosis patients may use a lot of pads or tampons and even bleed through their clothing occasionally.

The signs and symptoms may have a negative influence on a person’s life and their mental health and wellness.

Diagnosis of Endometriosis

If any of the aforementioned symptoms exist, it is crucial to contact a doctor, especially if they are seriously interfering with everyday living.

Since symptoms can differ greatly across patients and frequently resemble those of other disorders, diagnosing a condition might take some time. The average wait time for an endometriosis diagnosis is 7.5 years.

A doctor will first inquire about your symptoms; it is advised to record any pain or other symptoms, especially if they coincide with the menstrual cycle.

The GP may also perform a vaginal and abdominal exam.

The combination oral contraceptive pill or a progestogen-only contraceptive are two hormonal treatments that a doctor may suggest as a temporary trial to aid with discomfort.

A GP may recommend you to a gynaecologist for a definitive diagnosis of endometriosis if these treatments are ineffective or you have severe, chronic, or recurring endometriosis symptoms. Keyhole (laparoscopic) surgery is the only way to conclusively determine this; however, depending on the circumstances, they could also take an MRI or ultrasound into consideration.

Stages of Endometriosis

The amount and distribution of endometrial deposits observed during keyhole (laparoscopic) surgery are used to evaluate the stage of endometriosis. When referring to the degree of the visible illness throughout this study, these stages are those of endometriosis. Many people may disagree with these findings since they may not accurately reflect the level of symptoms that an individual may experience. Following are the categories for the stages:

  • (Minimal): Stage 1 endometriosis
  • (Mild) Stage 2 endometriosis
  • (Moderate) Stage 3 endometriosis
  • (Severe): endometriosis in stage 4

Methods of Endometriosis Treatment

Endometriosis cannot be cured; however, its symptoms can be controlled by using several endometriosis therapies.

Depending on the intensity of the symptoms, several treatments may be used, such as:

  • Ibuprofen and paracetamol are examples of painkillers.
  • Medication for hormones and birth control
  • Endometrial tissue that has developed outside of the womb can be removed surgically.

In extreme circumstances, surgery to remove all or a portion of the diseased organ may be considered.

Medical Cannabis and Endometriosis

Although medicinal cannabis cannot treat endometriosis, the pain-relieving effects of CBD can help. According to a research which was conducted by the University of California in America, cannabinoids found in medicinal marijuana can relieve pain more effectively than if medicinal cannabis was not utilised.

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Frequently Asked Questions About Endometriosis

Is endometriosis hereditary?

The aetiology of endometriosis is unknown, although evidence indicates that first-degree relatives of women with the condition are seven times more likely to acquire endometriosis.

Is it possible for me to have children?

About 30–40% of women with endometriosis might have trouble getting pregnant. This means 60–70% won’t have fertility issues. If getting pregnant is very important to you, talk to your doctor about your symptoms so you can create a good treatment plan together.

Can a hysterectomy cure endometriosis?

As a final resort, some women elected to have a hysterectomy. This does not, however, promise total pain alleviation. If you choose to have a hysterectomy, it is critical that all endometriosis be removed at the same time.

Is endometriosis hard to live with?

Endometriosis can be challenging to live with due to its chronic and often unpredictable nature. This condition occurs when tissue similar to the lining of the uterus grows outside of the uterus, leading to symptoms such as pelvic pain, painful menstrual periods, pain during intercourse, and infertility.

The severity of symptoms can vary widely among individuals, with some experiencing mild discomfort and others enduring debilitating pain that significantly impacts daily life, relationships, work, and mental health. Endometriosis can also lead to complications such as adhesions, ovarian cysts, and chronic inflammation, further complicating management.

Additionally, obtaining an accurate diagnosis and effective treatment can be difficult, and many individuals with endometriosis face challenges in finding healthcare providers who are knowledgeable about the condition and can offer appropriate care.

Thus, while endometriosis is a manageable condition for some, it can be profoundly distressing and disruptive for others, highlighting the importance of comprehensive support, education, and advocacy for those affected.

Does endometriosis worsen with age?

The progression of endometriosis can vary among individuals, and while some may experience worsening symptoms with age, others may find their symptoms stabilise or improve.

In some cases, endometriosis-related pain and symptoms may become less severe after menopause, when hormonal fluctuations cease. However, for some individuals, especially those with severe or advanced cases of endometriosis, symptoms may persist or worsen over time due to factors such as the cumulative effects of inflammation, scarring, and adhesions within the pelvic cavity.

Additionally, the impact of endometriosis can be influenced by various factors, such as hormonal changes, reproductive history, genetics, and the effectiveness of treatment strategies.

Regular monitoring and management by healthcare providers can help individuals with endometriosis navigate potential changes in symptoms over time and optimise their quality of life.

What CBD is best for endometriosis?

For endometriosis, full-spectrum CBD oil is often recommended because it contains a range of cannabinoids and terpenes that work together to enhance the therapeutic effects. Look for high-quality, third-party tested products to ensure purity and potency.

How much CBD to take for endometriosis?

As for dosage, there’s no one-size-fits-all answer. Start with a low dose, such as 10-20 mg per day, and gradually increase until you find what works best for you. It’s crucial to monitor your body’s response and adjust accordingly. Consulting with a healthcare provider can also help tailor the dosage to your specific needs.

How Much CBD Oil to Take for Endometriosis?

The appropriate dosage of CBD oil for endometriosis can vary widely among individuals based on factors such as body weight, severity of symptoms, and personal tolerance to CBD. It is generally recommended to start with a low dose, typically around 10-20 mg of CBD per day. From there, you can gradually increase the dosage until you find the amount that provides the most relief. Many users find effective doses range from 20 to 50 mg of CBD per day, while some may require higher amounts depending on their specific needs. Consulting with a healthcare professional who understands CBD and endometriosis can provide guidance on the best dosage for your situation.

Does THC affect endometriosis?

Yes, THC (tetrahydrocannabinol) can positively help manage symptoms of endometriosis for some individuals. By interacting with the endocannabinoid system, THC may reduce acute pelvic pain and inflammation associated with endometrial tissue growth outside the uterus. Its muscle-relaxant and analgesic properties can ease cramping and discomfort, potentially improving quality of life. However, effects vary, and side effects like dizziness or mood changes may occur. Consult a healthcare provider to ensure safe and appropriate use for endometriosis.

Can I get medical cannabis for endometriosis?

Yes, in the UK, it is possible to receive a cannabis prescription for endometriosis in some cases. Medical cannabis may help alleviate symptoms like chronic pelvic pain, inflammation, and discomfort during menstruation, though eligibility will depend on a healthcare assessment and previous treatment history.

What are the best cannabis strains for endometriosis?

In the UK, doctors can prescribe medical cannabis to treat endometriosis symptoms like chronic pain, inflammation, and mood disturbances. The best cannabis strains for endometriosis often include a combination of Indica and Sativa varieties, depending on the patient’s needs. People typically prefer Indica strains for their relaxing and pain-relieving properties, making them ideal for nighttime use or when seeking relief from severe pain. Examples like Purple Kush and Northern Lights are known for reducing pain, muscle tension, and promoting restful sleep, which can be particularly beneficial during endometriosis flare-ups.

On the other hand, Sativa strains offer energising and mood-lifting effects, which can help combat fatigue, stress, and low moods often associated with endometriosis.  Strains like Jack Herer and Super Lemon Haze may provide pain relief while boosting energy and improving focus. Hybrid strains, such as Girl Scout Cookies and Blue Dream, combine both Sativa and Indica properties, offering balanced effects for daytime pain management and mood support.

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