Evidence map›Paper›PMID 35302185›Full record

ReviewCurrent environmental health reports2022

Menstrual Products as a Source of Environmental Chemical Exposure: A Review from the Epidemiologic Perspective.

Kristen Upson, Jenni A Shearston, Marianthi-Anna Kioumourtzoglou

Abstract readReview
In one paragraph

Review in Current environmental health reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed.

  1. Article
  2. Microplastics in the Female Genital Tract and Fetoplacental Continuum: A Lesion-Based Framework for Pathophysiological Interpretation.Pathophysiology : the official journal of the International Society for Pathophysiology · 2026
    Review
  3. Estrogenic activity in tampon products.Journal of the Endocrine Society · 2026
    Article
  4. "Monthly Flower Blooms and Sheds off": Awareness, Hesitancy, and usage of Sustainable Menstrual Products among College Students of Pathanamthitta District, Kerala.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine · 2026
    Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Vulvar Care: Reviewing Concepts in Daily Hygiene.Healthcare (Basel, Switzerland) · 2025
    Review
  10. Review
  11. Environmental impact of menstrual hygiene products.Bulletin of the World Health Organization · 2025
    Article
  12. Article
  13. Tampons as a source of exposure to metal(loid)s.Environment international · 2024
    Article
  14. Article
  15. Article
  16. Invited Perspective: Metals and Menarche.Environmental health perspectives · 2023
    Article
  17. Article
  18. Review
  19. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Kristen UpsonDepartment of Epidemiology and Biostatistics, College of Human Medicine, Michigan State University, 909 Wilson Road, Room 601, East Lansing, MI, 48824, USA. upsonkri@msu.edu.ORCID http://orcid.org/0000-0001-9598-8776
Jenni A ShearstonDepartment of Environmental Health Sciences, Columbia University Mailman School of Public Health, New York, NY, 10032, USA.
Marianthi-Anna KioumourtzoglouDepartment of Environmental Health Sciences, Columbia University Mailman School of Public Health, New York, NY, 10032, USA.

Funding

True Metal fac coreP30ES009089 · NIEHS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI MATTHEW S PERZANOWSKI · 1998 to 2026
$44.7M
Supplemental Training in Making Data FAIR and AI/ML ReadyT32ES007322 · NIEHS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Pam R Factor-Litvak, Allison Kupsco · 2000 to 2026
$12.1M
Influence of Diet, Iron Stores, and Toxic Metals on Uptakes and Effects on Uterine Fibroid Risk in African American WomenR00NR017191 · NINR · MICHIGAN STATE UNIVERSITY · PI UPSON, KRISTEN · 2019 to 2021
$740k
Impact of COVID-19 related stay-at-home orders on traffic, traffic-related air pollution, and cardiovascular health in New York CityF31ES033098 · NIEHS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI SHEARSTON, JENNI · 2021 to 2022
$63k
NIEHS NIH HHS F31 ES033098NIEHS NIH HHS F31ES033098NIEHS NIH HHS P30 ES009089NIEHS NIH HHS P30ES009089NIEHS NIH HHS T32 ES007322NIEHS NIH HHS T32ES007322NINR NIH HHS R00 NR017191NINR NIH HHS R00NR017191
6 · The paper itself

Abstract

purpose of reviewMenstrual bleeding is a regular, common occurrence in a substantial portion of the population. Menstruators may use more than 10,000 menstrual products over the lifetime. Given the potential for environmental chemicals in menstrual products to be absorbed by the vulvar and vaginal epithelium into systemic circulation, we reviewed the available data on menstrual products as a source of environmental chemical exposure. RECENT

findingsNearly two dozen studies have been conducted measuring environmental contaminants in menstrual products; all have detected environmental chemicals but had discrepant conclusions on exposure risks. Only three human studies have investigated menstrual product use and environmental chemical concentrations and all observed associations. Detection of environmental chemicals in menstrual products, in combination with challenges of exposure assessment, scarcity of human studies, and the exceedingly common occurrence of menstrual bleeding, motivates the need for further research. We provide recommendations to move this field forward.

Indexed as

Environmental ExposureMenstrual Hygiene ProductsFemaleHumansEnvironmental chemicalsMensesMenstrual padMenstrual productsTampon

Identifiers

PMID35302185
PMCPMC9876534

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.