A systematic review of 29 studies found limited evidence that sex influences the acute cognitive effects of cannabis or THC in humans. Only 6 of 29 articles (20.7%), representing 8 of 216 cognitive outcomes (3.7%), reported sex differences. All six studies found greater cognitive impairment in female participants for at least one measure; one study also found greater effects in male participants, and one found divergent effects between sexes. No consistent patterns emerged by cognitive domain, route of administration, or dosing paradigm. Methodological heterogeneity across studies prevents firm conclusions, and future research should examine hormonal modulation of cannabinoid effects.
Taking a low-dose cannabis edible (average 7.3 mg of THC) leads to measurable decreases in verbal learning and memory, specifically on two measures of a free recall task, 150 minutes after ingestion. No effects were found on visual attention or executive function as measured by the useful field of view and trail making tests. Subjective feelings of intoxication increased, but blood THC levels did not correlate with any cognitive performance changes. The results suggest that people who use relatively low doses of cannabis edibles may experience some cognitive decrements while feeling intoxicated.