Chemicals in menstrual products: Biological plausibility should be combined with epidemiological evidence to define the magnitude of exposure

Paolo Vercellini, Paola Viganò, Edgardo Somigliana, Sun‐Wei Guo
BJOG: An International Journal of Obstetrics & Gynaecology · 2026 · vol. 133(5) , pp. 1108–1109 · doi:10.1111/1471-0528.17834 · PMID:38685687
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This paper discusses the biological plausibility of chemical exposure from menstrual products and advocates for combining this with epidemiological evidence to assess exposure magnitude.

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This BJOG paper discusses how chemicals present in menstrual products can be evaluated by integrating biological plausibility with epidemiological evidence to better estimate the magnitude of exposure. The authors outline that mechanistic considerations alone are insufficient, and that exposure levels and health relevance should be grounded in data from population-based studies. The main limitation is that the piece is not an original empirical study and does not provide new measurements of chemical concentrations or exposure-risk estimates. Relevance to endometriosis: the paper is authored by researchers affiliated with an academic centre focused on adenomyosis and endometriosis, linking its discussion of menstrual-product chemical exposure to these conditions’ broader research context.

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Department of Clinical Sciences and Community Health, Academic Centre for Research on Adenomyosis and Endometriosis, Università Degli Studi, Milano, Italy Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milano, Italy Correspondence Paolo Vercellini, Department of Clinical Sciences and Community Health, Università degli Studi and Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Via Commenda 12, 20122 Milano, Italy. Department of Clinical Sciences and Community Health, Academic Centre for Research on Adenomyosis and Endometriosis, Università Degli Studi, Milano, Italy Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milano, Italy Department of Clinical Sciences and Community Health, Academic Centre for Research on Adenomyosis and Endometriosis, Università Degli Studi, Milano, Italy Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milano, Italy Department of Clinical Sciences and Community Health, Academic Centre for Research on Adenomyosis and Endometriosis, Università Degli Studi, Milano, Italy Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milano, Italy Correspondence Paolo Vercellini, Department of Clinical Sciences and Community Health, Università degli Studi and Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Via Commenda 12, 20122 Milano, Italy. Department of Clinical Sciences and Community Health, Academic Centre for Research on Adenomyosis and Endometriosis, Università Degli Studi, Milano, Italy Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milano, Italy Department of Clinical Sciences and Community Health, Academic Centre for Research on Adenomyosis and Endometriosis, Università Degli Studi, Milano, Italy Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milano, Italy Vercellini, P., Viganò, P., Somigliana, E. and Guo, S.-W. (2026), Chemicals in menstrual products: Biological plausibility should be combined with epidemiological evidence to define the magnitude of exposure. BJOG, 133: 1108-1109. https://doi.org/10.1111/1471-0528.17834 Total unique accesses to an article’s full text in HTML or PDF/ePDF format.More metric information Scite metrics Explore this article's citation statements on scite.ai Share QR Code Generating QR code QR code copied to clipboard! Something went wrong while generating your QR code. Please try again in a moment. If the issue persists, refresh the page or contact support. Export citation Unable to load citation data. Please try again in a moment. How to cite Elkins, L. J., & Spiegelman, M. (2021). pyUserCalc: A revised Jupyter notebook calculator for uranium-series disequilibria in basalts. Earth and Space Science, 8, e2020EA001619. https://doi.org/10.1029/2020EA001619 How to cite text copied to clipboard! Download Citation If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. Simply select your manager software from the list below and click on download. This feature enables you to download the bibliographic information (also called citation data, header data, or metadata) for the articles on our site. Citation manager file format Use the dropdown list to choose how to format the bibliographic data you're harvesting. Several citation manager formats are available, including EndNote and BibTex. You can then copy the formatted citation (as displayed) or download it as file, to your device. If the RefWorks format is chosen, the 'Download' button will be replaced with an option to directly export to RefWorks Please check your email for instructions on resetting your password. If you do not receive an email within 10 minutes, your email address may not be registered, and you may need to create a new Wiley Online Library account. Request Username Can't sign in? Forgot your username? Enter your email address below and we will send you your username If the address matches an existing account you will receive an email with instructions to retrieve your username

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