Abstract Background Cannabis is increasingly recommended to treat female orgasmic disorder/difficulty (FOD/difficulty), a condition that affects up to 41% of women worldwide with no conventional medications. Aim To systematically review the existing literature on cannabis and its impact on female orgasm function. Methods A systematic review based on the PRISMA model evaluated the effects of cannabis on orgasm function in females with or without FOD/difficulty. Risk of bias was assessed for randomized and nonrandomized studies. Searches were conducted in PubMed, Google Scholar, Cochrane, and Embase. Outcomes Primary outcomes focused on the impact of cannabis on female orgasm function. Results Sixteen studies met inclusion criteria:...