Use of Cannabis Products for the Management of Pain Associated With Gynecologic Conditions
Summary of Consensus Recommendations
Cannabis and Gynecologic Pain: General Principles
Clinicians should be aware of the possibility of patients' use of cannabis products for pain management and be prepared to counsel them about the theoretical benefits based on the endocannabinoid pathway, potential adverse effects, and the limitations of the data on the use of the cannabis products for the management of gynecologic pain.
Limited, low-quality survey data show that cannabis use may lead to decreased use of opioids. However, more data are needed before cannabis products can be substituted for other pain medications.
Palmitoylethanolamide (PEA)-Transpolydatin
Adolescents and Use of Cannabis
Adolescents using cannabis products are at increased risk of detrimental cognitive effects and psychotic disorders when compared with adults. Data on short-term and long-term effects on adolescent brain development are needed before medical cannabis products can be recommended for adolescents for the management of gynecologic pain.
Recommendation Grading
Disclaimer
Overview
Title
Use of Cannabis Products for the Management of Pain Associated With Gynecologic Conditions
Authoring Organization
American College of Obstetricians and Gynecologists
Publication Month/Year
June 28, 2024
Last Updated Month/Year
July 12, 2024
Document Type
Consensus
Country of Publication
US
Document Objectives
Patients with gynecologic pain may use cannabis to manage pain, especially when it is not effectively managed by traditional methods. There are insufficient data to make a recommendation regarding the use of cannabis products for management of pain associated with gynecologic conditions. Clinicians should be aware of the possibility of patients' use of cannabis products for pain management and be prepared to counsel them about the theoretical benefits based on the endocannabinoid pathway, potential adverse effects, and the limitations of the data on the use of cannabis products for the management of gynecologic pain.
Inclusion Criteria
Female, Adult, Older adult
Health Care Settings
Ambulatory
Intended Users
Nurse, nurse practitioner, physician, physician assistant
Scope
Management
Diseases/Conditions (MeSH)
D059408 - Pain Management, D010146 - Pain, D002188 - Cannabis
Keywords
Pain Management, cannabis, marijuana, CBD, THC, Gynecologic Conditions
Source Citation
ACOG Clinical Consensus No. 7: The Use of Cannabis Products for the Management of Pain Associated With Gynecologic Conditions. Obstetrics & Gynecology 144(1):p e24-e34, July 2024. | DOI: 10.1097/AOG.0000000000005606