{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T18:17:40Z","timestamp":1783448260121,"version":"3.55.0"},"reference-count":67,"publisher":"Bioscientifica","issue":"2","license":[{"start":{"date-parts":[[2026,2,28]],"date-time":"2026-02-28T00:00:00Z","timestamp":1772236800000},"content-version":"vor","delay-in-days":333,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.bioscientifica.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,4,1]]},"abstract":"<jats:sec>\n                    <jats:title>Abstract<\/jats:title>\n                    <jats:p>People with endometriosis report consuming cannabis to manage their symptoms. Given the range of differing legalities and access pathways across the world, this study aimed to investigate the drivers and barriers to cannabis use worldwide. An online, anonymous, cross-sectional survey was distributed internationally by endometriosis organisations and was open to anyone consuming cannabis for endometriosis symptoms. Survey questions included motivations for both starting and ongoing cannabis consumption, concerns over cannabis use, reasons for stopping cannabis, and communication of cannabis consumption with healthcare providers. Eight hundred and eighty-nine responses were collected across &amp;gt;10 countries. Illicit cannabis (56.7%) was the most common access pathway. 99% of respondents stated they would continue to use cannabis to manage their endometriosis-based symptoms, with 90% reporting they would recommend its use to a friend or relative with the disease. The most common motivation(s) for cannabis consumption were inadequate pain control (68.6%) and bothersome side effects of medications (56.3%). Similar motivations were reported for ongoing cannabis consumption, with concerns over dependence\/addiction on pharmaceutical medications (43.9%) being another common motivation. Those using illicit cannabis were significantly less likely (P &amp;lt; 0.0001) to disclose their cannabis consumption to medical professionals. Cannabis was viewed as superior to pharmaceuticals both in terms of effectiveness and side-effect profile. Despite this, concerns around cost, breaking the law, judgement due to stigma, and current drug-driving laws were reported. Illicit usage and lack of medical oversight raise concerns over potential drug interactions or withdrawal effects due to reduction in pharmaceutical medications because of cannabis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Lay summary<\/jats:title>\n                    <jats:p>Survey participants reported that it is most common internationally for people using cannabis to manage endometriosis pain and associated symptoms to access this illegally, despite medical access being available in many countries. Many respondents also reported that cannabis was more effective and had a more tolerable side-effect profile than pharmaceutical medications they had used previously. However, over half of respondents were concerned about the negative impact of stigma associated with cannabis and how this might affect their day-to-day lives. Other concerns were potentially breaking the law where they live, possibly losing their driving licence due to drug-driving laws, or losing their job due to workplace drug-testing policies. Such concerns may be why more than 30% of participants reported not disclosing their cannabis consumption to their doctor. This is concerning because medical supervision is important to monitor for side effects and potential drug interactions, which people using cannabis may not know exist.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1530\/raf-24-0098","type":"journal-article","created":{"date-parts":[[2025,5,30]],"date-time":"2025-05-30T12:15:42Z","timestamp":1748607342000},"update-policy":"https:\/\/doi.org\/10.1530\/crossmarkpolicy-13","source":"Crossref","is-referenced-by-count":1,"title":["\u2018In the weeds\u2019: navigating the complex concerns, challenges and choices associated with medicinal cannabis consumption for endometriosis"],"prefix":"10.1530","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9960-3191","authenticated-orcid":true,"given":"Justin","family":"Sinclair","sequence":"first","affiliation":[{"name":"NICM Health Research Institute, Western Sydney University 1 , ,","place":["Sydney, Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Allie","family":"Eathorne","sequence":"additional","affiliation":[{"name":"Medical Research Institute of New Zealand 2 , ,","place":["Wellington, New Zealand"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hannah","family":"Adler","sequence":"additional","affiliation":[{"name":"Centre for Social and Cultural Research, Griffith University 3 , , ,","place":["Brisbane, Queensland, Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amelia","family":"Mardon","sequence":"additional","affiliation":[{"name":"NICM Health Research Institute, Western Sydney University 1 , ,","place":["Sydney, Australia"]},{"name":"IIMPACT in Health, University of South Australia 4 , ,","place":["Adelaide, Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Orit","family":"Holtzman","sequence":"additional","affiliation":[{"name":"NICM Health Research Institute, Western Sydney University 1 , ,","place":["Sydney, Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason","family":"Abbott","sequence":"additional","affiliation":[{"name":"School of Clinical Medicine, Discipline of Obstetrics and Gynaecology, UNSW 5 , ,","place":["Sydney, Australia"]},{"name":"Gynaecological Research and Clinical Evaluation (GRACE) Unit, Royal Hospital for Women and UNSW Sydney 6 , ,","place":["Sydney, Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jerome","family":"Sarris","sequence":"additional","affiliation":[{"name":"NICM Health Research Institute, Western Sydney University 1 , ,","place":["Sydney, Australia"]},{"name":"Florey Institute of Neuroscience and Mental Health, University of Melbourne 7 , , ,","place":["Melbourne, Victoria, Australia"]},{"name":"Centre for Mental Health, Swinburne University of Technology 8 , , ,","place":["Melbourne, Victoria, Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7539-9851","authenticated-orcid":true,"given":"Mike","family":"Armour","sequence":"additional","affiliation":[{"name":"NICM Health Research Institute, Western Sydney University 1 , ,","place":["Sydney, Australia"]},{"name":"Medical Research Institute of New Zealand 2 , ,","place":["Wellington, New Zealand"]},{"name":"Translational Health Research Institute, Western Sydney University 9 , ,","place":["Sydney, Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"416","published-online":{"date-parts":[[2025,5,30]]},"reference":[{"key":"2026070713203929500_bib1","doi-asserted-by":"crossref","first-page":"3","DOI":"10.3390\/medicines6010003","article-title":"Medicinal cannabis\u2014potential drug interactions","volume":"6","author":"Alsherbiny","year":"2019","journal-title":"Medicines"},{"key":"2026070713203929500_bib2","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1186\/s12906-019-2431-x","article-title":"Self-management strategies amongst Australian women with endometriosis: a national online survey","volume":"19","author":"Armour","year":"2019","journal-title":"BMC Complement Altern Med"},{"key":"2026070713203929500_bib3","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0223316","article-title":"The cost of illness and economic burden of endometriosis and chronic pelvic pain in Australia: a national online survey","volume":"14","author":"Armour","year":"2019","journal-title":"PLoS One"},{"key":"2026070713203929500_bib4","doi-asserted-by":"crossref","first-page":"1485","DOI":"10.1089\/jwh.2020.8668","article-title":"Illicit cannabis usage as a management strategy in New Zealand women with endometriosis: an online survey","volume":"30","author":"Armour","year":"2021","journal-title":"J Womens Health (Larchmt)"},{"key":"2026070713203929500_bib5","doi-asserted-by":"crossref","first-page":"473","DOI":"10.1089\/can.2021.0162","article-title":"Endometriosis and cannabis consumption during the COVID-19 pandemic: an international cross-sectional survey","volume":"7","author":"Armour","year":"2022","journal-title":"Cannabis Cannabinoid Res"},{"key":"2026070713203929500_bib6","doi-asserted-by":"crossref","first-page":"1979","DOI":"10.1007\/s11606-020-05800-7","article-title":"Medical reasons for marijuana use, forms of use, and patient perception of physician attitudes among the US population","volume":"35","author":"Azcarate","year":"2020","journal-title":"J Gen Intern Med"},{"key":"2026070713203929500_bib7","doi-asserted-by":"crossref","first-page":"691","DOI":"10.1016\/j.drugpo.2014.02.009","article-title":"Barriers to access for Canadians who use cannabis for therapeutic purposes","volume":"25","author":"Belle-Isle","year":"2014","journal-title":"Int J Drug Policy"},{"key":"2026070713203929500_bib8","article-title":"Recruitment via social media: advantages and potential biases","volume":"5","author":"Benedict","year":"2019","journal-title":"Digit Health"},{"key":"2026070713203929500_bib9","doi-asserted-by":"crossref","first-page":"S105","DOI":"10.36076\/ppj.2008\/11\/S105","article-title":"Opioid complications and side effects","volume":"11","author":"Benyamin","year":"2008","journal-title":"Pain Physician"},{"key":"2026070713203929500_bib10","doi-asserted-by":"crossref","first-page":"865","DOI":"10.1016\/B0-12-369398-5\/00038-4","volume-title":"Encyclopedia of Social Measurement","author":"Berg","year":"2005"},{"key":"2026070713203929500_bib11","doi-asserted-by":"crossref","first-page":"739","DOI":"10.1016\/j.jpain.2016.03.002","article-title":"Medical cannabis use is associated with decreased opiate medication use in a retrospective cross-sectional survey of patients with chronic pain","volume":"17","author":"Boehnke","year":"2016","journal-title":"J Pain"},{"key":"2026070713203929500_bib12","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1186\/1477-7517-10-2","article-title":"Perceptions of cannabis as a stigmatized medicine: a qualitative descriptive study","volume":"10","author":"Bottorff","year":"2013","journal-title":"Harm Reduct J"},{"key":"2026070713203929500_bib13","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1016\/j.jss.2023.09.072","article-title":"Differential electronic survey response: does survey fatigue affect everyone equally?","volume":"294","author":"Brown","year":"2024","journal-title":"J Surg Res"},{"key":"2026070713203929500_bib14","doi-asserted-by":"crossref","first-page":"268","DOI":"10.1056\/NEJMra0804690","article-title":"Endometriosis","volume":"360","author":"Bulun","year":"2009","journal-title":"N Engl J Med"},{"key":"2026070713203929500_bib15","doi-asserted-by":"crossref","DOI":"10.1097\/01.AOG.0000665024.52449.e7","article-title":"Patient-reported use of medical cannabis for management of chronic pelvic pain","volume":"135","author":"Carrubba","year":"2020","journal-title":"Obstet Gynecol"},{"key":"2026070713203929500_bib16","doi-asserted-by":"crossref","first-page":"787","DOI":"10.1002\/pds.5209","article-title":"Chronic opioid use and complication risks in women with endometriosis: a cohort study in US administrative claims","volume":"30","author":"Chiuve","year":"2021","journal-title":"Pharmacoepidemiol Drug Saf"},{"key":"2026070713203929500_bib17","article-title":"The impact of education on attitudes toward medical cannabis","volume":"1","author":"Clobes","year":"2022","journal-title":"PEC Innov"},{"key":"2026070713203929500_bib18","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1038\/s41572-021-00247-4","article-title":"Cannabis use and cannabis use disorder","volume":"7","author":"Connor","year":"2021","journal-title":"Nat Rev Dis Primers"},{"key":"2026070713203929500_bib19","doi-asserted-by":"crossref","first-page":"717","DOI":"10.1177\/10497323241227419","article-title":"The effects of stigma: older persons and medicinal cannabis","volume":"34","author":"Dahlke","year":"2024","journal-title":"Qual Health Res"},{"key":"2026070713203929500_bib20","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1111\/bcpt.13152","article-title":"Interaction between warfarin and cannabis","volume":"124","author":"Damkier","year":"2019","journal-title":"Basic Clin Pharmacol Toxicol"},{"key":"2026070713203929500_bib21","doi-asserted-by":"crossref","DOI":"10.3389\/fsurg.2021.690680","article-title":"Survey fatigue during the COVID-19 pandemic: an analysis of neurosurgery survey response rates","volume":"8","author":"De Koning","year":"2021","journal-title":"Front Surg"},{"key":"2026070713203929500_bib22","doi-asserted-by":"crossref","first-page":"699","DOI":"10.1056\/NEJMc1708349","article-title":"Trial of cannabidiol for drug-resistant seizures in the Dravet syndrome","volume":"377","author":"Devinsky","year":"2017","journal-title":"N Engl J Med"},{"key":"2026070713203929500_bib23","doi-asserted-by":"crossref","first-page":"1280","DOI":"10.1111\/dar.13847","article-title":"The wild west of medicine': a qualitative investigation of the factors influencing Australian health-care practitioners' delivery of medicinal cannabis","volume":"43","author":"Dobson","year":"2024","journal-title":"Drug Alcohol Rev"},{"key":"2026070713203929500_bib24","doi-asserted-by":"crossref","first-page":"2096","DOI":"10.1111\/imj.15494","article-title":"Treatment use and satisfaction in Australian women with endometriosis: a mixed-methods study","volume":"52","author":"Evans","year":"2022","journal-title":"Intern Med J"},{"key":"2026070713203929500_bib25","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1111\/inm.13231","article-title":"Stigma-related barriers to medical cannabis as harm reduction for substance use disorder: obstacles and opportunities for improvement","volume":"33","author":"Fehr","year":"2023","journal-title":"Int J Ment Health Nurs"},{"key":"2026070713203929500_bib26","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0216556","article-title":"Health professional beliefs, knowledge, and concerns surrounding medicinal cannabis - a systematic review","volume":"14","author":"Gardiner","year":"2019","journal-title":"PLoS One"},{"key":"2026070713203929500_bib27","doi-asserted-by":"crossref","first-page":"451","DOI":"10.1177\/1748895811415345","article-title":"Cannabis normalization and stigma: contemporary practices of moral regulation","volume":"11","author":"Hathaway","year":"2011","journal-title":"Criminol Crim Justice"},{"key":"2026070713203929500_bib28","first-page":"128","article-title":"Medical marijuana policy reform reaches Florida: a scoping review","volume":"16","author":"Howell","year":"2019","journal-title":"Fla Public Health Rev"},{"key":"2026070713203929500_bib29","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1093\/humrep\/dew293","article-title":"World Endometriosis Society consensus on the classification of endometriosis","volume":"32","author":"Johnson","year":"2017","journal-title":"Hum Reprod"},{"key":"2026070713203929500_bib30","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2018-022101","article-title":"Knowledge and attitudes of Australian general practitioners towards medicinal cannabis: a cross-sectional survey","volume":"8","author":"Karanges","year":"2018","journal-title":"BMJ Open"},{"key":"2026070713203929500_bib31","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1186\/s12954-024-00929-8","article-title":"The role of stigma in cannabis use disclosure: an exploratory study","volume":"21","author":"King","year":"2024","journal-title":"Harm Reduct J"},{"key":"2026070713203929500_bib32","doi-asserted-by":"crossref","first-page":"735","DOI":"10.2147\/JPR.S98182","article-title":"Medical cannabis - the Canadian perspective","volume":"9","author":"Ko","year":"2016","journal-title":"J Pain Res"},{"key":"2026070713203929500_bib33","doi-asserted-by":"crossref","first-page":"1120","DOI":"10.1097\/AOG.0000000000003267","article-title":"Patterns of prescription opioid use in women with endometriosis: evaluating prolonged use, daily dose, and concomitant use with benzodiazepines","volume":"133","author":"Lamvu","year":"2019","journal-title":"Obstet Gynecol"},{"key":"2026070713203929500_bib34","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1016\/j.drugpo.2017.07.020","article-title":"Making medicine; producing pleasure: a critical examination of medicinal cannabis policy and law in Victoria, Australia","volume":"49","author":"Lancaster","year":"2017","journal-title":"Int J Drug Policy"},{"key":"2026070713203929500_bib35","doi-asserted-by":"crossref","DOI":"10.1016\/j.socscimed.2021.114247","article-title":"Reasons for rejecting hormonal contraception in Western countries: a systematic review","volume":"284","author":"Le Guen","year":"2021","journal-title":"Soc Sci Med"},{"key":"2026070713203929500_bib36","doi-asserted-by":"crossref","first-page":"211","DOI":"10.5694\/mja17.01247","article-title":"Medicinal cannabis in Australia, 2016: the Cannabis as Medicine Survey (CAMS-16)","volume":"209","author":"Lintzeris","year":"2018","journal-title":"Med J Aust"},{"key":"2026070713203929500_bib37","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1186\/s12954-020-00377-0","article-title":"Medical cannabis use in the Australian community following introduction of legal access: the 2018-2019 Online Cross-Sectional Cannabis as Medicine Survey (CAMS-18)","volume":"17","author":"Lintzeris","year":"2020","journal-title":"Harm Reduct J"},{"key":"2026070713203929500_bib38","doi-asserted-by":"crossref","first-page":"1154","DOI":"10.3390\/jcm11051154","article-title":"Clinical relevance of drug interactions with cannabis: a systematic review","volume":"11","author":"Lopera","year":"2022","journal-title":"J Clin Med"},{"key":"2026070713203929500_bib39","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1016\/j.ejim.2018.01.004","article-title":"Practical considerations in medical cannabis administration and dosing","volume":"49","author":"Maccallum","year":"2018","journal-title":"Eur J Intern Med"},{"key":"2026070713203929500_bib40","doi-asserted-by":"crossref","first-page":"390","DOI":"10.1007\/s43032-022-00952-9","article-title":"The efficacy of self-management strategies for females with endometriosis: a systematic review","volume":"30","author":"Mardon","year":"2023","journal-title":"Reprod Sci"},{"key":"2026070713203929500_bib41","doi-asserted-by":"crossref","first-page":"1894","DOI":"10.1080\/10826084.2019.1618336","article-title":"Marijuana as a substitute for prescription medications: a qualitative study","volume":"54","author":"Mercurio","year":"2019","journal-title":"Subst Use Misuse"},{"key":"2026070713203929500_bib42","doi-asserted-by":"crossref","first-page":"441","DOI":"10.1093\/eurpub\/ckab007","article-title":"Correlates of patterns of cannabis use, abuse and dependence: evidence from two national surveys in Ireland","volume":"31","author":"Millar","year":"2021","journal-title":"Eur J Public Health"},{"key":"2026070713203929500_bib43","doi-asserted-by":"crossref","first-page":"350","DOI":"10.1177\/1360780419870814","article-title":"Medicinal cannabis users downplaying and shifting stigma: articulations of the \u2018natural\u2019, of what is\/is not a \u2018drug\u2019 and oppositions with \u2018chemical\u2019 substances","volume":"25","author":"Morris","year":"2020","journal-title":"Sociol Res Online"},{"key":"2026070713203929500_bib44","doi-asserted-by":"crossref","first-page":"951","DOI":"10.1007\/s11764-022-01297-7","article-title":"Medical cannabis-related stigma: cancer survivors' perspectives","volume":"17","author":"Nayak","year":"2023","journal-title":"J Cancer Surviv"},{"key":"2026070713203929500_bib45","doi-asserted-by":"crossref","first-page":"647","DOI":"10.1093\/humrep\/deaa330","article-title":"Self-management factors associated with quality of life among women with endometriosis: a cross-sectional Australian survey","volume":"36","author":"O\u2019Hara","year":"2021","journal-title":"Hum Reprod"},{"key":"2026070713203929500_bib46","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1080\/0167482X.2020.1825374","article-title":"Managing endometriosis: a cross-sectional survey of women in Australia","volume":"43","author":"O\u2019Hara","year":"2022","journal-title":"J Psychosom Obstet Gynaecol"},{"key":"2026070713203929500_bib47","first-page":"12","article-title":"Medical cannabis: knowledge and expectations in a cohort of North Island New Zealand general practitioners","volume":"133","author":"Oldfield","year":"2020","journal-title":"N Z Med J"},{"key":"2026070713203929500_bib48","doi-asserted-by":"crossref","first-page":"616","DOI":"10.1002\/cpt.118","article-title":"Cannabinoid abuse and addiction: clinical and preclinical findings","volume":"97","author":"Panlilio","year":"2015","journal-title":"Clin Pharmacol Ther"},{"key":"2026070713203929500_bib49","doi-asserted-by":"crossref","first-page":"619","DOI":"10.1097\/PRS.0b013e3181de24bc","article-title":"Identifying and avoiding bias in research","volume":"126","author":"Pannucci","year":"2010","journal-title":"Plast Reconstr Surg"},{"key":"2026070713203929500_bib50","doi-asserted-by":"crossref","first-page":"411","DOI":"10.1111\/ajo.13804","article-title":"A survey of cost, access and outcomes for cannabinoid-based medicinal product use by Australians with endometriosis","volume":"64","author":"Proudfoot","year":"2024","journal-title":"Aust N Z J Obstet Gynaecol"},{"key":"2026070713203929500_bib51","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1186\/s42238-020-00056-8","article-title":"A qualitative review of cannabis stigmas at the twilight of prohibition","volume":"2","author":"Reid","year":"2020","journal-title":"J Cannabis Res"},{"key":"2026070713203929500_bib52","doi-asserted-by":"crossref","first-page":"1068","DOI":"10.1080\/01639625.2021.1953947","article-title":"Troubling claims of normalization: continuing stigmas within Michigan\u2019s medical cannabis community","volume":"43","author":"Reid","year":"2021","journal-title":"Deviant Behav"},{"key":"2026070713203929500_bib53","doi-asserted-by":"crossref","first-page":"334","DOI":"10.1002\/1098-240X(200008)23:4<334::AID-NUR9>3.0.CO;2-G","article-title":"Whatever happened to qualitative description?","volume":"23","author":"Sandelowski","year":"2000","journal-title":"Res Nurs Health"},{"key":"2026070713203929500_bib54","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1080\/02791072.2014.991858","article-title":"Stigma among California's medical marijuana patients","volume":"47","author":"Satterlund","year":"2015","journal-title":"J Psychoactive Drugs"},{"key":"2026070713203929500_bib55","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1111\/j.1600-0447.1998.tb05973.x","article-title":"Benzodiazepine dependence and withdrawal: a review of the syndrome and its clinical management","volume":"98","author":"Schweizer","year":"1998","journal-title":"Acta Psychiatr Scand"},{"key":"2026070713203929500_bib56","article-title":"Current barriers to patient access to medicinal cannabis in Australia","author":"Siewert,","year":"2020"},{"key":"2026070713203929500_bib57","doi-asserted-by":"crossref","first-page":"1277","DOI":"10.1016\/j.fertnstert.2006.11.051","article-title":"Treatment utilization for endometriosis symptoms: a cross-sectional survey study of lifetime experience","volume":"87","author":"Sinaii","year":"2007","journal-title":"Fertil Steril"},{"key":"2026070713203929500_bib58","doi-asserted-by":"crossref","first-page":"256","DOI":"10.1016\/j.jogc.2019.08.033","article-title":"Cannabis use, a self-management strategy among Australian women with endometriosis: results from a national online survey","volume":"42","author":"Sinclair","year":"2019","journal-title":"J Obstet Gynaecol Can"},{"key":"2026070713203929500_bib59","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1371\/journal.pone.0258940","article-title":"Effects of cannabis ingestion on endometriosis-associated pelvic pain and related symptoms","volume":"16","author":"Sinclair","year":"2021","journal-title":"PLoS One"},{"key":"2026070713203929500_bib60","doi-asserted-by":"crossref","first-page":"464","DOI":"10.1089\/can.2021.0116","article-title":"Cannabis use for endometriosis: clinical and legal challenges in Australia and New Zealand","volume":"7","author":"Sinclair","year":"2021","journal-title":"Cannabis Cannabinoid Res"},{"key":"2026070713203929500_bib61","doi-asserted-by":"crossref","first-page":"1536","DOI":"10.3390\/ijerph19031536","article-title":"\u201cShould I Inhale?\u201d \u2013 perceptions, barriers, and drivers for medicinal cannabis use amongst Australian women with primary dysmenorrhoea: a qualitative study","volume":"19","author":"Sinclair","year":"2022","journal-title":"Int J Environ Res Public Health"},{"key":"2026070713203929500_bib62","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1530\/REP-23-0381","article-title":"\u2018A glimmer of hope\u2019: perceptions, barriers, and drivers for medicinal cannabis use amongst Australian and New Zealand people with endometriosis \u2013 a qualitative study","volume":"4","author":"Sinclair","year":"2023","journal-title":"Reprod Fertil"},{"key":"2026070713203929500_bib63","doi-asserted-by":"crossref","first-page":"1571","DOI":"10.1007\/s40265-023-01951-z","article-title":"The place of cannabinoids in the treatment of gynecological pain","volume":"83","author":"Sinclair","year":"2023","journal-title":"Drugs"},{"key":"2026070713203929500_bib64","doi-asserted-by":"crossref","first-page":"638","DOI":"10.1186\/s12905-023-02794-2","article-title":"Patient experiences of being advised by a healthcare professional to get pregnant to manage or treat endometriosis: a cross-sectional study","volume":"23","author":"Sirohi","year":"2023","journal-title":"BMC Womens Health"},{"key":"2026070713203929500_bib65","doi-asserted-by":"crossref","first-page":"7499","DOI":"10.3390\/ijerph19127499","article-title":"Perceived stigma of patients undergoing treatment with cannabis-based medicinal products","volume":"19","author":"Troup","year":"2022","journal-title":"Int J Environ Res Public Health"},{"key":"2026070713203929500_bib66","doi-asserted-by":"crossref","first-page":"154","DOI":"10.1186\/s13643-017-0541-4","article-title":"Structural barriers in access to medical marijuana in the USA-a systematic review protocol","volume":"6","author":"Valencia","year":"2017","journal-title":"Syst Rev"},{"key":"2026070713203929500_bib67","doi-asserted-by":"crossref","first-page":"438","DOI":"10.1007\/s11481-018-9782-9","article-title":"Cannabis addiction and the brain: a review","volume":"13","author":"Zehra","year":"2018","journal-title":"J Neuroimmune Pharmacol"}],"container-title":["Reproduction and Fertility"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/raf.bioscientifica.com\/view\/journals\/raf\/6\/2\/RAF-24-0098.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/raf.bioscientifica.com\/downloadpdf\/journals\/raf\/6\/2\/RAF-24-0098.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/journals.bioscientifica.com\/raf\/article-pdf\/doi\/10.1530\/RAF-24-0098\/147135\/raf-24-0098.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/journals.bioscientifica.com\/raf\/article-pdf\/doi\/10.1530\/RAF-24-0098\/147135\/raf-24-0098.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T17:50:14Z","timestamp":1783446614000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.bioscientifica.com\/raf\/article\/6\/2\/e240098\/26254\/In-the-weeds-navigating-the-complex-concerns"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,1]]},"references-count":67,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,4,1]]}},"URL":"https:\/\/doi.org\/10.1530\/raf-24-0098","relation":{},"ISSN":["2633-8386"],"issn-type":[{"value":"2633-8386","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,4,1]]},"article-number":"e240098"}}