{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T22:57:56Z","timestamp":1791413876465,"version":"4.3.3"},"reference-count":22,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2023,1,4]],"date-time":"2023-01-04T00:00:00Z","timestamp":1672790400000},"content-version":"vor","delay-in-days":1405,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2019,3,1]],"date-time":"2019-03-01T00:00:00Z","timestamp":1551398400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2019,1,17]],"date-time":"2019-01-17T00:00:00Z","timestamp":1547683200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["smoa.jsexmed.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2019,6,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Introduction<\/jats:title>\n                  <jats:p>Scientific research on the effects of marijuana on sexual functioning in women, including libido, arousal, orgasm, and satisfaction, is limited.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Aim<\/jats:title>\n                  <jats:p>To evaluate women\u2019s perceptions of the effect of marijuana use before sexual activity.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A cross-sectional design, from March 2016\u2013February 2017, within a single, academic, obstetrics and gynecology practice, was performed. Patients were given a questionnaire at their visit and asked to complete it anonymously and place it in a locked box after their visit.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Main Outcome Measures<\/jats:title>\n                  <jats:p>The primary outcome was satisfaction in the sexual domains of drive, orgasm, lubrication, dyspareunia, and overall sexual experience. The secondary outcome was the effect of the frequency of marijuana use on satisfaction.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Of the 373 participants, 34.0% (n\u00a0= 127) reported having used marijuana before sexual activity. Most women reported increases in sex drive, improvement in orgasm, decrease in pain, but no change in lubrication. After adjusting for race, women who reported marijuana use before sexual activity had 2.13 higher odds of reporting satisfactory orgasms (adjusted odds ratio\u00a0= 2.13; 95% CI\u00a0= 1.05, 4.35) than women who reported no marijuana use. After adjusting for race and age, women with frequent marijuana use, regardless of use before sex or not, had 2.10 times higher odds of reporting satisfactory orgasms than those with infrequent marijuana use (adjusted odds ratio\u00a0= 2.10; 95% CI\u00a0= 1.01\u20134.44).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Marijuana appears to improve satisfaction with orgasm. A better understanding of the role of the endocannabinoid system in women is important, because there is a paucity of literature, and it could help lead to development of treatments for female sexual dysfunction.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1016\/j.esxm.2019.01.003","type":"journal-article","created":{"date-parts":[[2019,3,2]],"date-time":"2019-03-02T01:33:03Z","timestamp":1551490383000},"page":"192-197","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":42,"title":["The Relationship between Marijuana Use Prior to Sex and Sexual Function in Women"],"prefix":"10.1093","volume":"7","author":[{"given":"Becky K.","family":"Lynn","sequence":"first","affiliation":[{"name":"Department of Obstetrics, Gynecology, and Women\u2019s Health , St. Louis, MO \u00a0 USA"},{"name":"Division of General Obstetrics and Gynecology , St. Louis, MO \u00a0 USA"},{"name":"Saint Louis University School of Medicine , St. Louis, MO \u00a0 USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia D.","family":"L\u00f3pez","sequence":"additional","affiliation":[{"name":"Department of Behavioral Science and Health Education , St. Louis, MO \u00a0 USA"},{"name":"College of Public Health and Social Justice , St. Louis, MO \u00a0 USA"},{"name":"Saint Louis University , St. Louis, MO \u00a0 USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Collin","family":"Miller","sequence":"additional","affiliation":[{"name":"Maternal Fetal Care Center at SSM Health St. Mary\u2019s , St. Louis, MO \u00a0 USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Judy","family":"Thompson","sequence":"additional","affiliation":[{"name":"Maternal Fetal Care Center at SSM Health St. Mary\u2019s , St. Louis, MO \u00a0 USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E. Cristian","family":"Campian","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Gynecology, and Women\u2019s Health , St. Louis, MO \u00a0 USA"},{"name":"Division of Urogynecology , St. Louis, MO \u00a0 USA"},{"name":"Saint Louis University School of Medicine , St. Louis, MO \u00a0 USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2019,3,1]]},"reference":[{"key":"2023012006090309300_bib1","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1023\/B:ASEB.0000007462.97961.5a","article-title":"The association of sexual dysfunction and substance use among a community epidemiological sample","volume":"33","author":"Johnson","year":"2004","journal-title":"Arch Sex Behav"},{"key":"2023012006090309300_bib2","first-page":"54","article-title":"A\u00a0comparison of self-reported sexual effects of alcohol, marijuana, and ecstasy in a sample of young adult nightlife 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