Endometriosis is an often-painful chronic condition where tissue similar to the lining of the womb starts to grow in other places such as the ovaries and fallopian tubes. With endometriosis, the endometrial-like tissue acts as endometrial tissue would — it thickens, breaks down and bleeds with each menstrual cycle. But because this tissue has no way to exit your body, it becomes trapped causing pain.

It is estimated 1 in 10 women of reproductive age in the UK suffer from endometriosis.

Patients with endometriosis may experience:

• Pain in your lower tummy or back (pelvic pain) – usually worse during your period

• Period pain that stops you doing your normal activities

• Pain during or after sex

• Pain when peeing or pooing during your period

• Feeling sick, constipation, diarrhoea, or blood in your pee during your period

• Difficulty getting pregnant

• Heavy periods

For some women, endometriosis can have a big impact on their life and may sometimes lead to mood disorders such as depression.

Currently there is no cure for endometriosis. However, symptoms can be managed with appropriate care so that they do not affect your daily life.

Yes, Medical Cannabis is legal in the UK. Since the law was passed in 2018, Medical Cannabis is allowed for the treatment of chronic pain conditions if other treatments have proven ineffective. Our consultants are pain specialists with experience working with Medical Cannabis.

There is ongoing global research and real-world data that shows the efficacy of Medical Cannabis. It may benefit chronic pain sufferers where other first-line medications have failed.

Medical cannabis works by acting on your endocannabinoid system (ECS). This exists in each of us and helps functions including pain control, sleep and mood.

For example, our own data has shown:

• 94% of patients reported an improvement in the severity of their pain

• 77% of patients reported improvement in mental health

• 88% of patients improved in at least component of quality of life

• 59% of patients using opioids reported they stopped all use

• 97% experienced no adverse effects

See our section on Medical Cannabis for more information and data.

References quoted: Leva Clinic has a number of proprietary data sources, including working with researchers from Imperial College London and participates in research with Drug Science.

Your consultant will make sure that you start on a concentration and dose/titration of Medical Cannabis that does not make you feel high.

They'll start you on a low dosing schedule, like you might have seen on other medications. For example "0.1ml twice daily, increase by 0.1ml every 3 days up to 0.5ml maximum".

From there you are in full control of how quickly you increase up to the maximum daily dose.

It's important you follow this schedule intuitively. If you were to feel any side-effects you can contact us immediately.

Any side effects of medical cannabis are more likely to occur when your treatment first starts.

In most cases the side effects are quite mild and wear off within a few days. It's important to document these and share any concerns with your consultant.

Here's a list of typical side effects:

Very common (affecting more than 1 in 10 people)

• Feeling dizzy or tired.

Common (affecting less than 1 in 10 people)

• Feeling depressed or confused.

• Feeling over excited or losing touch with reality.

• Problems with your memory or having trouble concentrating.

• Feeling sleepy or giddy.

• Blurred vision.

• Eating more or less than usual.

• Changed sense of taste or a dry mouth.

• Constipation or diarrhoea.

• Feeling or being sick.

• Lack of energy or feeling weak or generally unwell.

• Feeling abnormal or drunk.

• Loss of balance or falling over.

Uncommon (affecting less than 1 in 100 people)

• Seeing or hearing things that are not there (hallucinations).

• Believing ideas that are not true.

• Feeling that other people are against you.

• Thoughts of suicide.

• Fainting.

• Changes in pulse rate, heart rate or blood pressure.

• Tummy pain

Medical cannabis may produce undesirable effects such as dizziness and drowsiness. These effects might impair your judgement or performance of skilled tasks. Note that this is the same as with any medication, including painkillers like opioids. Please refer to gov.uk's section on drugs and driving: the law.

If you're experiencing any significant effects such as dizziness or drowsiness you should not drive, operate machinery or engage in any hazardous activity