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Endometriosis and cannabis in District of Columbia

The state does not list this condition by name, but its statute or regulator permits a certifying physician to add conditions case-by-case. Patients should expect to bring full diagnostic records to the certification visit.

Physician-discretion program
✗ No
LEGAL
Up to 8 oz over any 30-…
POSSESSION
$100/yr
STATE FEE
1–21 d
TIMELINE
Physician-discretion program. The state does not list this condition by name, but its statute or regulator permits a certifying physician to add conditions case-by-case. Patients should expect to bring full diagnostic records to the certification visit.

District of Columbia statute and program

The District of Columbia Medical Cannabis Program is the operating authority for District of Columbia patient certification. The authoritative legal text is: D.C. Official Code §7-1671.01 et seq.: Legalization of Marijuana for Medical Treatment Initiative Act. The program portal is at District of Columbia Medical Cannabis Program.

What the evidence says about cannabis and Endometriosis

Endometriosis is a chronic estrogen-dependent inflammatory disease in which tissue histologically and functionally similar to the endometrium grows outside the uterus. Common implant sites include the pelvic peritoneum, ovaries (where they form endometriomas), uterosacral ligaments, rectovaginal septum, bladder, bowel, and (less commonly) thoracic and extra-pelvic sites. The implants respond to cyclical hormonal stimulation, producing local inflammation, fibrosis, adhesion formation, and pain.

For the full evidence base, including the NASEM tier, randomized trial summaries, and symptom-domain breakdown, read the mmjnow Endometriosis page.

How to qualify in District of Columbia

The District of Columbia Medical Cannabis Program requires the following registration steps for a Endometriosis patient (or any qualifying diagnosis):

  1. Self-certification or physician recommendation. Since the 2022 Medical Cannabis Amendment Act, adults 21 and older may self-certify residency and need for medical cannabis without a physician recommendation. Patients under 21 (or anyone preferring the physician path) must obtain a written recommendation from a DC-licensed physician, dentist, APRN, naturopath, or PA registered with the Alcoholic Beverage and Cannabis Administration (ABCA).
  2. Apply through the ABCA online portal. Applications are submitted electronically through the ABCA medical cannabis program portal. Applicants upload a government-issued photo ID (out-of-district IDs accepted under DC reciprocity), proof of residency if applicable, and the physician recommendation when going the certified-patient route.
  3. Pay the registration fee and receive the card. The DC patient registration fee is $100 for one year or $200 for two years; reduced fees of $25 / $50 apply for patients enrolled in Medicaid, SSI, SSDI, or other public assistance under the Medical Cannabis Equity Act. Temporary digital cards are typically issued within several business days; physical cards arrive by mail within roughly two to three weeks.
  4. Purchase from licensed DC medical cannabis dispensaries. DC operates a medical-only retail market (Congress has historically blocked adult-use sales via the Harris Rider appropriations restriction). DC honors out-of-state medical cannabis registrations under its reciprocity statute, so visitors with valid medical registration from any US state may purchase from DC dispensaries with their out-of-state card and ID.
State registration fee
$100
Physician visit (typical)
$0–$200
Certification to card
1–21 days
Out-of-state patients
Eligible
Minors
Eligible with caregiver

For full District of Columbia registration steps, fees, and reciprocity rules, see the District of Columbia cannabis-laws page.

ICD-10 code

A certifying physician documenting Endometriosis for the District of Columbia medical cannabis program will typically record ICD-10 N80.9 or SNOMED-CT 129103003 in the patient's record. The state registry does not itself collect ICD-10 codes in most programs, but the physician's chart is the audit trail if the certification is later reviewed.

Frequently asked questions

Does District of Columbia list Endometriosis as a qualifying condition for medical cannabis?

Not by name, but District of Columbia permits physician discretion. Under District of Columbia Medical Cannabis Program, a certifying physician can add a condition like Endometriosis on a case-by-case basis when the physician judges that the patient would benefit from medical cannabis. This is different from a state where the qualifying-condition list is fixed in statute. Whether a particular physician will certify Endometriosis depends on the physician's training, the strength of the patient's documentation, and the practitioner's reading of the available evidence — evidence is described as limited (a small number of supportive studies, often underpowered or focused on narrow symptom domains). Patients should expect to bring full diagnostic records to the certification visit.

How do I get a District of Columbia medical marijuana card for Endometriosis?

Step one is finding a physician licensed in District of Columbia who is registered with District of Columbia Medical Cannabis Program and willing to evaluate Endometriosis cases. Step two is collecting your records (diagnosis documentation, treatment history, and the ICD-10 code your physician will use) and bringing them to the certification visit. Step three is the physician's certification through the state registry, followed by the patient registration application, state fee, and waiting period before the card is issued. District of Columbia honors out-of-state medical cards under its reciprocity rules — uncommon, and worth verifying before relying on it. Verify the patient minimum age with the state program before applying. The authoritative source for the current process is the District of Columbia Medical Cannabis Program site at https://abca.dc.gov/page/medical-cannabis-program; the state updates fees, forms, and physician registration rules periodically.

What does the evidence say about cannabis for Endometriosis?

For Endometriosis, evidence is described as limited (a small number of supportive studies, often underpowered or focused on narrow symptom domains). The mmjnow condition page for Endometriosis lays out the current evidence base, including the citations underlying that evidence tier — typically the National Academies of Sciences, Engineering, and Medicine consensus reports, federal agency guidance, and peer-reviewed reviews. Evidence quality is independent of state law: a state can list a condition for which evidence is limited, and a state can decline to list a condition for which evidence is strong. Patients deciding whether to pursue medical cannabis for Endometriosis should review the underlying evidence (linked on the condition page) and discuss expected benefit, dosing, and risk with a clinician familiar with both Endometriosis and cannabinoid pharmacology. Cannabis is not a substitute for evidence-based first-line treatments for Endometriosis; the evidence position above describes whether trial data supports its use, not whether it should replace standard care.

Sources

  1. D.C. Official Code §7-1671.01 et seq.: Legalization of Marijuana for Medical Treatment Initiative Actaccessed May 16, 2026
  2. Initiative 71 (2014): Marijuana Legalization Initiativeaccessed May 16, 2026
  3. D.C. Alcoholic Beverage and Cannabis Administration: Medical Cannabis Programaccessed May 16, 2026
  4. Wikipedia: Cannabis in the District of Columbiaaccessed May 16, 2026
  5. NIH National Institute of Child Health and Human Development: Endometriosisaccessed May 18, 2026
  6. NASEM: The Health Effects of Cannabis and Cannabinoids (2017)accessed May 18, 2026

    “Substantial evidence that cannabis or cannabinoids are effective for chronic pain in adults.”

  7. Endometriosis Foundation of America: About Endometriosisaccessed May 18, 2026
  8. American College of Obstetricians and Gynecologists: Endometriosis FAQaccessed May 18, 2026
  9. MedlinePlus: Endometriosisaccessed May 18, 2026