The Clinical Significance of Endocannabinoids in Endometriosis Pain Management
review
OA: bronze
CC0
⤵ 36 in-corpus citations
AI-generated summary
This review examines the complex pain mechanisms in endometriosis and discusses how modulating the endocannabinoid system could offer new therapeutic targets for pain management.
One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works
Abstract
Introduction: Patients with endometriosis often suffer from diffuse and poorly localized severe pain. The current pain management strategies include medical and hormonal therapy, as well as surgery. Medical management of pain is often insufficient and is associated with high rate of recurrence. Better pain management is therefore of urgent need. Methods: Among the various candidates, the endocannabinoid system (ECS) has recently emerged as a relevant pharmacological target for the management of endometriosis-related pain. A computerized literature search was performed to identify relevant studies combining the keywords “endometriosis,” “endocannabinoid,” “cannabinoid receptor,” “THC,” and “pain mechanisms.” Conclusions: This review describes the multiple and complex pain mechanisms associated with endometriosis. Current data and theories concerning the link between the ECS and pain management for endometriosis patients are presented. Finally, we will discuss which aspects of endometriosis-associated pain can be targeted by modulation of the ECS.
My notes (saved in your browser only)
Condition tags
Citation neighborhood
Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.
References (55)
- [Administration of MICRONIZED PALMITOYLETHANOLAMIDE (PEA)-transpolydatin in the treatment of chronic pelvic pain in women affected by endometriosis: preliminary results.] via openalex
- Central changes associated with chronic pelvic pain and endometriosis via openalex
- Chronic pelvic pain, quality of life and sexual health of women treated with palmitoylethanolamide and α-lipoic acid. via openalex
- Deep endometriosis: definition, diagnosis, and treatment via openalex
- Elevated Systemic Levels of Endocannabinoids and Related Mediators Across the Menstrual Cycle in Women With Endometriosis via openalex
- Endocannabinoid involvement in endometriosis via openalex
- Endometriosis-associated nerve fibers, peritoneal fluid cytokine concentrations, and pain in endometriotic lesions from different locations via openalex
- Endometriosis in adolescents is a hidden, progressive and severe disease that deserves attention, not just compassion via openalex
- “I Can't Get No Satisfaction” : deep dyspareunia and sexual functioning in women with rectovaginal endometriosis via openalex
- Inflammation and nerve fiber interaction in endometriotic pain via openalex
- Mechanisms of pain in endometriosis via openalex
- Peripheral changes in endometriosis-associated pain via openalex
- Prevalence and incidence of diagnosed endometriosis and risk of endometriosis in patients with endometriosis-related symptoms: findings from a statutory health insurance-based cohort in Germany via openalex
- Progesterone-dependent regulation of endometrial cannabinoid receptor type 1 (CB1-R) expression is disrupted in women with endometriosis and in isolated stromal cells exposed to 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD) via openalex
- Protein oxidative stress markers in peritoneal fluids of women with deep infiltrating endometriosis are increased via openalex
- Relation between pain symptoms and the anatomic location of deep infiltrating endometriosis via openalex
- Role of cytokines in the endometrial-peritoneal cross-talk and development of endometriosis via openalex
- Sphingosine pathway deregulation in endometriotic tissues via openalex
- The adjuvant use of N-palmitoylethanolamine and transpolydatin in the treatment of endometriotic pain via openalex
- The molecular connections between the cannabinoid system and endometriosis via openalex
- The social and psychological impact of endometriosis on women's lives: a critical narrative review via openalex
- Treatment of pain associated with deep endometriosis: alternatives and evidence via openalex
- Treatment of pelvic pain associated with endometriosis via openalex
- TRPV1 Expression on Peritoneal Endometriosis Foci is Associated With Chronic Pelvic Pain via openalex
- W2101517073 via openalex
- W2106738623 via openalex
- W2109160205 via openalex
- W2110352413 via openalex
- W2111276435 via openalex
- W2122400634 via openalex
- W2125186579 via openalex
- W2044990949 via openalex
- W2049230776 via openalex
- W2135643435 via openalex
- W2026056052 via openalex
- W2138336325 via openalex
- W2085922363 via openalex
- W2082084857 via openalex
- W2144309900 via openalex
- W2144774634 via openalex
- W2145447463 via openalex
- W2010495502 via openalex
- W2149796309 via openalex
- W2063064745 via openalex
- W2156333779 via openalex
- W2163315477 via openalex
- W2165928453 via openalex
- W2005694755 via openalex
- W1997909126 via openalex
- W1981438836 via openalex
- W1964977460 via openalex
- W2405000290 via openalex
- W1557215935 via openalex
- W2099774519 via openalex
- W2058418915 via openalex
Cited by (36)
- Project Twenty21 Australia: A Case Study of the Treatment of Chronic Pelvic Pain Due To Endometriosis with Cannabidiol Oil 2025
- Self-help and Prescription Therapies for Menstrual Burden in a University Population 2025
- Endometriosis - on the intersection of modern environmental pollutants and ancient genetic regulatory variants 2025
- Self-help and Prescription Therapies for Menstrual Burden in a University Population 2025
- Strategies for self-management of endometriosis symptoms: An observational study 2025
- Self-Reported Use and Effectiveness of Marijuana for Pelvic Pain Among Women with Endometriosis 2025
- Abordagem não-farmacológica para a dor pélvica de mulheres com endometriose 2025
- Guideline No. 445: Management of Chronic Pelvic Pain 2024
- Self-Reported Use and Effectiveness of Marijuana for Pelvic Pain among Women with Endometriosis 2024
- Endometriosis: A Comprehensive Analysis of the Pathophysiology, Treatment, and Nutritional Aspects, and Its Repercussions on the Quality of Life of Patients 2024
- Investigational drugs for the treatment of dysmenorrhea 2024
- The Place of Cannabinoids in the Treatment of Gynecological Pain 2023
- Cannabis and Endometriosis: The roles of the gut microbiota and the<br aria-hidden="true" />endocannabinoid system 2023
- Endo Belly: What Is It and Why Does It Happen?—A Narrative Review 2023
- Complementary therapy for endometriosis related pelvic pain 2023
- Therapeutic use of cannabidiol in endometriosis: literature review 2023
- Endometriosis: Features and potential role of medicinal cannabis 2023
- Detection of Cannabinoid Receptor Expression by Endometriotic Lesions in Women with Endometriosis as an Alternative to Opioid-Based Pain Medication 2022
- Approach to Pain in Endometriosis Patients: Systematic Literature Review 2022
- Role of the endocannabinoid system in the pathophysiology of endometriosis and therapeutic implications 2022
- Endometriosis, an Ongoing Pain—Step-by-Step Treatment 2022
- Association of endocannabinoids with pain in endometriosis 2021
- Endometrioseschmerz beherrschen 2021
- Effects of cannabis ingestion on endometriosis-associated pelvic pain and related symptoms. 2021
- Cannabinoids and chronic pelvic pain in women: Focus on endometriosis 2021
- Cannabidiol for the Management of Endometriosis and Chronic Pelvic Pain 2021
- Effects of cannabis ingestion on endometriosis-associated pelvic pain and related symptoms 2021
- Neurogenic Inflammation in the Context of Endometriosis—What Do We Know? 2021
- Self-management strategies to consider to combat endometriosis symptoms during the COVID-19 pandemic 2020
- Use of Cannabis for Self-Management of Chronic Pelvic Pain 2020
- Plants as source of new therapies for endometriosis: a review of preclinical and clinical studies 2020
- The fundamental role of the endocannabinoid system in endometrium and placenta: implications in pathophysiological aspects of uterine and pregnancy disorders 2020
- Self-management strategies amongst Australian women with endometriosis: a national online survey 2019
- Cannabis Use, a Self-Management Strategy Among Australian Women With Endometriosis: Results From a National Online Survey 2019
- Endometriosis and pain in the adolescent- striking early to limit suffering: A narrative review 2019
- From pathogenesis to clinical practice: Emerging medical treatments for endometriosis 2018
Source provenance
- europepmc
- last seen: 2026-06-04T01:30:01.192114+00:00
- openalex
- last seen: 2026-06-04T00:00:01.174412+00:00
- pubmed
- last seen: 2026-05-13T22:20:19.560968+00:00
License: CC0
· commercial use OK