Medical Cannabis for Endometriosis in the UK

Growing awareness and prescribing for pelvic pain

The short answer

A specialist doctor in the UK can consider prescribing medical cannabis for long-term pelvic pain from endometriosis through a private clinic. Clinics look for a confirmed or strong clinical diagnosis and evidence that hormonal treatments and anti-inflammatory painkillers have not controlled the pain. Whether it is suitable for you is the specialist's decision.

Medical disclaimer: This information is for general guidance and does not constitute medical advice. The evidence base for cannabis-based medicines varies by condition. Always consult a qualified healthcare professional. Wording last changed on .

Overview

It causes tissue similar to the uterine lining to grow outside the uterus, leading to chronic pelvic pain, particularly during menstruation. Despite being common, average diagnosis takes 7–10 years in the UK. Medical cannabis is increasingly considered for patients with pain that persists despite hormonal and surgical treatments.

Common Symptoms

  • Severe period pain that is not relieved by NSAIDs
  • Chronic pelvic pain throughout the cycle
  • Pain during or after sexual intercourse
  • Painful bowel movements or urination during periods
  • Fatigue and low mood associated with pain

Conventional Treatments

Typically tried before medical cannabis is considered

  • NSAIDs (ibuprofen, mefenamic acid)
  • Hormonal contraceptives (pill, Mirena coil)
  • GnRH analogues (Zoladex)
  • Laparoscopic surgery
  • Pelvic floor physiotherapy

Eligibility Notes

A confirmed endometriosis diagnosis (ideally laparoscopically) or a strong clinical diagnosis is required. Evidence that hormonal treatments and NSAIDs have not provided adequate pain control strengthens the case. The pain history and its impact on daily life and relationships is central to the assessment.

How to get a prescriptionFive questions clinics usually ask

This page covers how to get assessed. What the research says about treatment for Endometriosis will be added here once it has been reviewed by a qualified professional. Your specialist is the person to ask about treatment.

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Information on this page is for general guidance only and does not constitute medical advice. The evidence base for cannabis-based medicines varies. Always consult a qualified healthcare professional before making decisions about your treatment.