Safety assessment of sanitary pads with a polymeric foam absorbent core

Menstrual wastes: a Sri Lankan perspective on quantities, characteristics, and issues

The importance of good menstruation hygiene management (MHM) practices has gained considerable attention in Sri Lanka, but least attention is given to menstrual wastes regarding the types, quantities, characteristics, disposal practices, and potential environmental impacts due to haphazard disposal. An understanding of the types, quantities, and characteristics of menstrual wastes is crucial to formulate and implement safer collection and environmentally acceptable disposal strategies. Therefore, this paper provides a preliminary viewpoint regarding menstrual wastes generated in Sri Lanka with an overview on source separation (SS), disposal methods, and the legal requirements regarding disposal. Commercially available single-use sanitary pads (100% in Colombo capital city; 17-91% in other regions) and reusable cotton cloths (3-83% in other regions, except in Colombo-0%) are the widely used menstrual hygiene products (MHPs). SS is very low, and overall disposal practices are environmentally unfriendly (e.g., 8-84% flushing into toilets). Pad quantities generated from one menstruator/month are 288.4 g (259.6 g plastic), 360.5 g (324.5 g plastic), and 432.6 g (389.3 g plastic) (from a 5 mL blood-soaked 5 g pad); 436.8 g (393.1 g plastic), 546 g (491.4 g plastic), and 655.2 g (589.7 g plastic) (from a 10 mL blood-soaked 5 g pad); and 568.4 g (511.6 g plastic), 710.5 g (639.5 g plastic), and 852.6 g (767.3 g plastic) (from a 5 mL blood-soaked 15 g pad), and cloths/menstruator/month are 199.4 g, 249.2 g, and 299 g (from a 5 g material) at changing frequencies of 4, 5, and 6 times/day, respectively. Nevertheless, cloth waste quantities that get disposed for any given year are substantially less (due to reuse) compared with sanitary pad wastes. Soiled MHPs are not categorized as infectious wastes or household hazardous wastes in Sri Lanka. Legislative changes with planning of proper SS, collection, and disposal and the use of cotton cloths and/or other environmentally friendly MHPs are suggested.

Nanocellulose-doped superabsorbent polymer for improved absorption properties in sanitary pad applications

An important disposable hygienic absorbent is the female sanitary napkin wherein superabsorbent polymers (SAP) are incorporated into it to increase the absorption capacity. Nevertheless, it has been discovered that SAPs have negative consequences on the environment and the user's health. The present study explores doping nanocellulose, into an acrylic acid-based SAP matrix to enhance absorption performance, leveraging nanocellulose's high surface area and hydrophilicity. Different SAP-nanocellulose compositions were tested, and characterizations like Thermogravimetric Analysis (TGA), Fourier Transform Infrared (FT-IR), Scanning Electron Microscopy (SEM), and X-ray Diffraction (XRD) confirmed the successful incorporation of nanocellulose into the SAP structure. Performance tests showed enhanced absorption properties in SAPs doped with nanocellulose compared to unmodified SAPs. The 70-30 composition significantly outperformed unmodified SAP (100-0). Free absorbency was highest for unmodified SAP, while 70-30 almost equaled in equilibrium absorbency in distilled water, but excelled in saline, simulated, and animal blood. Schott's pseudo-second-order model and Fickian diffusion were used to identify the kinetic swelling of SAP. For absorption under load, 70-30 attained 28.7 g/g in saline, a 28.91 % increase over unmodified SAP. In CRC, 70-30 exceeded unmodified SAP by 37 % in saline and 53 % in simulated blood demonstrating enhanced stability and absorbency.

Toward eco-friendly menstrual products: a comparative life cycle assessment of sanitary pads made from bamboo pulp vs. a conventional one

The predominant menstrual products utilized by women are sanitary pads. The majority of disposable sanitary pads are comprised of plastics and bleached wood pulp, often accounting for as much as 90% of their composition by weight. Nevertheless, the overall environmental footprint of production to disposal of disposable sanitary pads is often overlooked due to the cultural stigma associated with menstruation and the lack of chemical information. This study aims to evaluate the potential environmental impact of the life cycle of sanitary pads and provide insights for decision-making and driving improvements in product design and production processes. It is important to note that this study does not aim to assess the health and safety of the products for consumer use. A case study was conducted at Hempur in Stockholm, Sweden, to assess the environmental impacts of a disposable pad made from bamboo pulp and polylactic plastic. The study applied life cycle assessment to compare the life cycle of Hempur disposable sanitary pads with conventional ones made of polymers and bleached wood pulp. The research findings reveal that Hempur sanitary pads made from plant-based materials have lower adverse environmental impacts than the conventional ones considered in the study. The upstream operations of Hempur sanitary pads were identified as the least environmentally friendly phase of the product due to the use of unbleached wood pulp and polylactic plastic, which together account for between 40 and 80% in every impact category, most notably water scarcity and abiotic element depletion. Hempur can improve its environmental performance by switching from coal to hydropower for electricity generation in bamboo pulp manufacturing, leading to a decrease in global warming and acidification. Finally, we recommend alternatives for PLA, and the use of bamboo in the core part of the Hempur sanitary pad should be considered and assessed.

Reducing the bioburden on organic sanitary napkins and attempt to solve the sterility issue

Sanitary napkins are technical textile products that women use to hygienically collect menstrual fluids when they are menstruating. Because sanitary napkins must simultaneously fulfil a number of end-use requirements, they have layered constructions. Through the Unnat Bharat Abhiyan, Surat, India, this study explores the eco-friendly (organic material) sanitary napkin production facility in the village of Bhatlai in the Gujarat province of India and identifies an issue. With eco-friendly organic sanitary products, bioburdens are a big problem. The Unnat Bharat Abhiyan accepts recommendations and improvements relating to sterility in a sanitary manufacturing unit after bioburden testing is conducted using various approaches outlined by Sanitary Napkins - Specification (IS 5405:2019). This study seeks to develop sanitary napkins that are sterilized and have no bioburden to replace SAPs (super absorbent polymer) with an ecologically friendly biopolymer that provides competent performance and characteristics to rural women of India living near or below poverty line.

Elucidating the impact of sanitary waste on the formation of fat, oil and grease deposits in sewer systems

The accumulation of fat, oil and grease (FOG) deposits in sanitary sewer systems is a significant cause of sewer overflows, mainly due to their tendency to adhere to pipe walls. The aim of this study is to (i) develop laboratory-prepared FOG deposits using a mixture of iron (Fe) and aluminium (Al) metal ions, fatty acids, saccharides and cooked oils, in addition to various sanitary waste materials such as paper towels, wipes and pads and (ii) examine the characteristics of these FOG deposits. The goals of this study were to (i) gain a deeper understanding of the impact of sanitary waste on the formation of FOG deposits and (ii) discuss the detailed physiochemical properties of these FOG deposits. The findings revealed that FOG deposits can vary in nature, appearing as either a smooth, paste-like substance or a coarse, semi-solid material, depending on the types of waste present in the sewer. Analysis of the fatty acid profile indicated that the FOG deposits with wipes have the highest viscosity (3.2 × 104 Pa s) and larger composition of smaller chain saturated fatty acids (caprylic acid 0.64%, undecanoic acid 5.61%, lauric acid 4.65%, myristic acid 3.21% and palmitic 8.38%). In contrast, FOG deposits with Fe and Al metal impurities have higher heat resistance and thermal stability (melting point of 125 °C) and have larger composition of long chain fatty acids. Furthermore, FTIR analysis confirmed that these FOG deposits are composed of metallic salts of fatty acids, aligning with samples from sewer lines. Our results suggest that FOG deposit formation involves the aggregation of excess calcium, which compresses free fatty acid micelles, and a saponification reaction between the calcium aggregates and free fatty acids. This research illuminates the complex processes behind FOG deposit formation and their varied characteristics, providing valuable insights into potential strategies for preventing FOG-related sewer blockages.

Resource recovery from soiled sanitary napkin waste-a state-of-the-art review

With ever-improving social and medical awareness about menstrual hygiene in India, the demand for sanitary napkins has increased significantly. The utilization of high-quality and environment-friendly raw materials to produce these pads is further supporting the growth of the market. However, with improving demand and usage, the need for proper disposal techniques becomes more relevant, since all of these pads get contaminated with human blood which makes them a biohazard and can cause significant damage to human health and the environment. One sanitary pad takes around 800 years to degrade naturally and the plastic and super absorbent polymers (SAPs) in sanitary pads are non-biodegradable and can take multiple decades to degrade. Waste management technologies such as pyrolysis, gasification, and resource recovery can be adopted to manage tons of sanitary waste. Currently, sanitary waste treatment mainly focuses on landfilling, incineration, and composting, where biohazard wastes are mixed with tons of solid waste. Disposable sanitary pads have a high carbon footprint of about 5.3 kg CO2 equivalent every year. Innovative solutions for sanitary pad disposal are discussed in the manuscript which includes repurposing of derived waste cellulose and plastic fraction into value-added products. Future aspects of disinfection strategies and value addition to waste cellulose recovered from napkins were systematically discussed to promote a circular economy.

Tetrapodal textured Janus textiles for accessible menstrual health

Menstruating individuals without access to adequate hygiene products often improvise with alternatives that pose health risks and limit their participation in society. We describe here a menstrual hygiene product based on low-cost materials, which are integrated onto fabrics to imbue unidirectional permeability. A body-facing "Janus" fabric top layer comprising ZnO tetrapods spray-coated onto polyester mosquito netting imparts hierarchical texturation, augmenting the micron-scale texturation derived from the weave of the underlying fabric. The asymmetric coating establishes a gradient in wettability, which underpins flash spreading and unidirectional permeability. The hygiene product accommodates a variety of absorptive media, which are sandwiched between the Janus layer and a second outward-facing coated densely woven fabric. An assembled prototype demonstrates outstanding ability to wick saline solutions and a menstrual fluid simulant while outperforming a variety of commercially alternatives. The results demonstrate a versatile menstrual health product that provides a combination of dryness, discretion, washability, and safety.

Macrolitter and mesolitter in the Thames Estuary: A temporal litter assessment and brand audit of submerged and riverbed debris

Macroplastic is a growing concern for marine environments with estuaries providing a major pathway for pollution from land-based sources to the sea. In the Thames Estuary, plastic was abundant floating below the surface and on the riverbed, with an average catch per unit effort of 0.57 ± 0.42 and 2.75 ± 2.44 item per minute respectively. Whilst the abundance of litter differed between midwater and benthic zones, the types of products recovered did not. These were identified through visual examination and use of a unique citizen science engagement protocol, allowing for the item age, brand and countries of origin to be established. The majority of litter from the present study (n = 1335) was packaging (40%), some of which was over 30-years old and may have originated from landfill run off. Also abundant was sewage-related debris, the inputs of which was related to heavy or prolonged rainfall. Peaks in this material were recorded in September 2020 following the greatest volume of rain recorded in a single day and in June 2019 after the longest period of continuous rainfall. The Covid-19 pandemic did not influence the abundance or diversity of plastic recovered between December 2018 and September 2020. The durability of plastic ensures it has high potential for harm through entanglement, deoxygenation of sediment and ingestion. The retention in the environment also increases opportunities to fragment into micro- or nanoplastics and, therefore, it is important to monitor plastics at both a macro- and micro-scale.

The safety assessment of tampons: illustration of a comprehensive approach for four different products

Introduction

We illustrate a comprehensive tampon safety assessment approach that assures products can be used safely. Material biocompatibility, vaginal mucosa assessment, vaginal microbiome evaluation, and in vitro assessment of potential risk of staphylococcal toxic shock syndrome expressed through growth of Staphylococcus aureus (S. aureus) and production of TSST-1 are the four essential portions of the approach. Post-marketing surveillance informs of possible health effects that warrant follow up. The approach meets or exceeds US and international regulatory guidance and is described through the example of four tampon products.

Methods/Results

Each product is comprised mostly of large molecular weight components (cotton, rayon, polymers) that cannot pass the vaginal mucosa, are widely used across the industry, and replete with a vast body of safety data and a long history of safe use in the category. Quantitative risk assessment of all small molecular weight components assured a sufficient margin of safety supporting their use. Vaginal mucosa assessment confirmed that pressure points, rough edges and/or sharp contact points were absent. A randomized cross-over clinical trial (ClinicalTrials.gov Identifier: NCT03478371) revealed favorable comfort ratings, and few complaints of irritation, burning, stinging, or discomfort upon insertion, wear, and removal. Adverse events were few, mild in severity, self-limited and resolved without treatment. Vaginal microbiota assessment in vitro presented no adverse effect on microbial growth. Culture-independent microbiome analyses from vaginal swab samples obtained during the clinical trial showed no differences attributable to tampon usage, but instead due to statistically significant subject-to-subject variability. Growth of S. aureus and TSST-1 toxin production in the presence of any of the four products in vitro were statistically significantly reduced when compared to medium control alone.

Discussion

The data from the four elements of the comprehensive safety assessment approach illustrated herein confirm that tampons evaluated using this system can be used safely for menstrual protection. A post-marketing surveillance system that monitors and responds to in-market experiences indicated in-use tolerability of the product among consumers, thus confirming the conclusions of the pre-marketing safety assessment.

Support of adult urinary incontinence products: recommendations to assure safety and regulatory compliance through application of a risk assessment framework

Urinary incontinence (UI) or involuntary loss of urine is a common chronic medical condition among women. It is estimated that 5%-70% of the population experiences incontinence with most studies suggesting 25%-45% of the population. Varying definitions of UI (e.g., stress, urgency, mixed) exist, and inconsistent symptom assessment tools, age, and gender can affect the estimate of incidence. Disposable Adult Incontinence products were first introduced into the market in the late 1970s and initially were used mostly in nursing homes and hospitals. However, during the 1980s, the market for incontinence products via retail outlets dramatically increased as awareness of the benefits of the products grew and stigma about their use declined. Today's products that manage urine loss have an extensive history and have evolved with time. Always products were introduced into the market in 2014 and are designed to meet the needs of women of all ages. Considered medical devices in some countries, regional regulations and global guidelines require clear planning, thorough assessment, and concise documentation of clinical safety. This manuscript will briefly review the regulatory landscape with a specific focus on European Union regulations. As previously published, the iterative, risk assessment framework used to assess the safety of Always incontinence products confirms that these products are compatible with skin and can be used safely. This manuscript will expand on the current literature highlighting additional steps that help assure the safety and compliance of the products from quality assurance programs through comprehensive post-market safety surveillance. Recommendations to help ensure several of the key regulatory requirements are met are outlined in the context of a risk assessment framework used to assure safety.

Scanning Electron Microscopy Study on the Biodeterioration of Natural Fiber Materials Compared to Disposable Hygiene and Sanitary Products

Disposable personal care products are part of modern life, but these products could become a biological hazard in case of improper disposal. Therefore, our study compared the biodeterioration of plant-based woven materials (cotton, linen), animal materials (wool, leather), disposable hygiene products with cellulose fibers (sanitary pads, cosmetic pads), and chemical impregnated products (antimicrobial/sanitary wet wipes) using burial tests in two types of soils for 40 days. Weight loss (%) and scanning electron microscopy (SEM) revealed that textiles are relatively quickly deteriorated compared to animal-based products, and the process is dependent on the soil type. According to SEM analysis, sanitary pads were the least deteriorated, followed by wet wipes and cosmetic pads (maximum weight loss 24.332% and 27.537%, respectively), and the process was influenced by the composition and structure of the product. These results were correlated with changes in the number of microbes and cellulolytic activity of soil near the samples, and eight isolates belong to Ascomycetes according to PCR analysis. This is the first report on the fate of disposable hygiene and sanitary products in soil, but further comprehensive research is required to reveal crucial insights about their potential hazards and to increase public awareness of the inappropriate disposal of these products.

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

PURPOSE OF REVIEW

Menstrual 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 FINDINGS

Nearly 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.

Waste management and environmental impact of absorbent hygiene products: A review

Absorbent hygiene products (AHP) have received much interest due to the notion that their end-of-life (EoL) stage has high environmental impacts. Since the use of AHP will continue to rise in the foreseeable future, information that helps with a reduction in the environmental impacts of AHP through their life cycle is needed. This research presents an estimation of AHP in municipal waste, and it also reviews and discusses waste management options, available treatments at bench, pilot or full scale, and life cycle assessments (LCAs) available in the literature. Municipal waste of countries belonging to the Organization for Economic Co-operation and Development contains on average 2.7% of baby nappies, 4.8% of adult nappies and 0.5% of sanitary pads (in weight), whereas that of Latin-American countries have 7.3%, 3.3%, and 0.9%, respectively. Management options for AHP waste in developed countries are landfilling and incineration, while in developing countries AHP are disposed of in dumpsites and landfills. Most LCAs identify significant environmental impacts in the production of raw materials, while EoL scenarios involving incineration and landfill were found to have a significant contribution to global warming potential. Substitution with alternative products has been suggested as a way of decreasing environmental impacts; however, their use frequently causes a trade-off on different impact categories. Municipalities could use a wide range of policy tools, such as extended producer responsibility systems, bans, levies, ecolabelling, or a combination of these, to reduce the environmental and economic burden of AHP waste.

Asymmetric wetting and antibacterial composite membrane obtained by spraying bacterial cellulose grafted with chitosan for sanitary products surface layers

The asymmetric wetting membranes have attracted intense attention in liquid directional transportation. However, it is a huge challenge to prepare surface layer membrane for sanitary products with antibacterial and asymmetric wettability by a simple method. Herein, the bacterial cellulose grafted with chitosan (BC-CS) was used as the hydrophilic agent to modify polypropylene nonwoven fabric (PPF) substrate via easy and effective one-sided layer-by-layer spraying to prepare the asymmetric wetting and antibacterial composite membrane (BC-CS/PPF). It showed that the BC-CS/PPF had good physical properties, which was attributed to the strong and uniform physical combination between nano-sized BC-CS and PPF. The sanitary products with BC-CS/PPF surface layer, denoted as BC-CS/PPF sanitary products, also had good absorption and anti-return property. The antibacterial test revealed that BC-CS had an excellent performance against S. aureus and E. coli in the simulated application environment. Moreover, the antibacterial performance was better than that of commercial sanitary products.

The effects of wet wipe pollution on the Asian clam, Corbicula fluminea (Mollusca: Bivalvia) in the River Thames, London

The aim of the present study was to evaluate "flushable" and "non-flushable" wet wipes as a source of plastic pollution in the River Thames at Hammersmith, London and the impacts they have on the invasive Asian clam, Corbicula fluminea, in this watercourse. Surveys were conducted to assess whether the density of wet wipes along the foreshore upstream of Hammersmith Bridge affected the distribution of C. fluminea. High densities of wet wipes were associated with low numbers of clams and vice versa. The maximum wet wipe density recorded was 143 wipes m^-2 and maximum clam density 151 individuals m^-2. Clams adjacent to the wet wipe reefs were found to contain synthetic polymers including polypropylene (57%), polyethylene (9%), polyallomer (8%), nylon (8%) and polyester (3%). Some of these polymers may have originated from the wet wipe reefs.

Pictorial methods to assess heavy menstrual bleeding in research and clinical practice: a systematic literature review

Background

Pictorial blood loss assessment charts (PBACs) represent the most widely used method to assess menstrual blood loss (MBL) in clinical trials. The aims of this review were to: (1) determine the diagnostic accuracy of PBACs that have been validated against the reference alkaline hematin technique; (2) categorize the pitfalls of using obsolete and nonvalidated charts; (3) provide guidelines for development of a new PBAC or use of an existing chart to measure MBL in clinical trials; and (4) consider the feasibility of using pictorial charts in primary care.

Methods

A literature review was conducted using Embase and MEDLINE databases. The review identified reports of women with self-perceived or actual heavy menstrual bleeding (HMB), bleeding disorders, abnormal uterine bleeding, leiomyomata (uterine fibroids) or endometriosis, and women undergoing treatment for HMB, as well as those with normal menstrual periods. Data were reviewed from studies that focused on the development and validation of PBACs and from those that used derivative noncertified charts to assess HMB.

Results

Nine studies reported validation of PBAC scoring systems against the alkaline hematin technique. Across these studies, the sensitivity was 58–97%, the specificity was 7.5–95.5%, the positive and negative likelihood ratios were 1.1–13.8 and 0.14–0.56, respectively, and the diagnostic odds ratio was 2.6–52.4. The cut-off score above which the diagnosis of HMB was made ranged from 50 to 185. Several modifications of these PBACs were used in other studies; however, objective confirmation of their validity was not reported. Overall, there was widespread inconsistency of chart design, scoring systems, diagnostic cut-off limits and post-treatment outcome measures.

Conclusions

PBACs are best suited to the controlled and specific environment of clinical studies, where clinical outcome parameters are defined. The current lack of standardization precludes widespread use of the PBAC in primary care.

Review registration number

PROSPERO international prospective register of systematic reviews: CRD42016030083.

Risk assessment of volatile organic compounds (VOCs) detected in sanitary pads

Disposable sanitary pads are a necessity for women's health, but safety concerns regarding the use of these products have created anxiety. The aim of this study was to conduct a risk assessment of 74 volatile organic compounds (VOCs), which were expected to be contained within sanitary pads. Of the 74 VOCs, 50 were found in sanitary pads retailed in Korea at concentrations ranging from 0.025 to 3548.09 µg/pad. In order to undertake a risk assessment of the VOCs, the toxicological database of these compounds in the United States Environmental Protection Agency (USEPA), Agency for Toxic Substances and Disease Registry (ATSDR), National Toxicology Program (NTP) and World Health Organization (WHO) was searched. Ethanol was found to exhibit the highest reference dose (RfD) while 1,2-dibromo-3-chloro-propane displayed the lowest RfD. Consequently, a worst-case exposure scenario was applied in this study. It was assumed that there was the use of 7.5 sanitary napkins/day for 7 days/month. In the case of panty liners or overnight sanitary napkins, the utilization of 90 panty liners/month or 21 overnight sanitary napkins/month was assumed, respectively. In addition, 43 kg, the body weight of 12 to 13-year-old young women, and 100% VOCs skin absorption were employed for risk assessment. The systemic exposure dose (SED) values were calculated ranging from 1.74 (1,1,2-trichloroethane) ng/kg/day to 144.4 (ethanol, absolute) µg/kg/day. Uncertainty factors (UFs) were applied ranging from 10 to 100,000 in accordance with the robustness of animal or human experiments. The margin of exposure (MOE) of 34 VOCs was more than 1 (acceptable MOE > 1). Applicable carcinogenic references reported that the cancer risk of five VOCs was below 10^-6. Based on our findings, evidence indicates that the non-cancer and cancer risks associated with VOCs detected in sanitary pads currently used in South Korea do not pose an adverse health risk in women.

Sanitary pads and diapers contain higher phthalate contents than those in common commercial plastic products

Sanitary pads and diapers are made of synthetic plastic materials that can potentially be released while being used. This study measured the amounts of volatile organic compounds (VOCs) (methylene chloride, toluene, and xylene) and phthalates (DBP, DEHP, DEP, and BBP) contained in sanitary pads and diapers. In sanitary pads, 5,900- and 130-fold differences of VOC and phthalate concentrations were seen among the brands. In the diapers, 3- and 63-fold differences of VOC and phthalate concentrations were detected among the brands. VOC concentrations from the sanitary pads and diapers were similar to that of the residential air. However, phthalate concentrations of sanitary pads and diapers were significantly higher than those found in common commercial plastic products. As sanitary pads and diapers are in direct contact with external genitalia for an extended period, there is a probability that a considerable amount of VOCs or phthalates could be absorbed into the reproductive system.

Safety Evaluation of Absorbent Hygiene Pads: A Review on Assessment Framework and Test Methods

Disposable absorbent hygiene products have evolved for superior performance, enhancing the convenience of daily lives. However, the use of disposable hygiene pads has brought safety concerns on chemical exposure, and significant efforts have been made to assess the potential risks associated with use of hygiene pads. This article intends to overview the safety assessment framework of diapers and feminine pads, which includes hazard identification, hazard characterization, exposure assessment, risk characterization, and post-market risk management. Risk assessment of various constituents are reviewed for quantification methods and conservative estimation of exposure parameters. By reviewing the up-to-date considerations in risk assessment, we aim to provide insightful discussion on safety evaluation of current versions of disposable absorbent products. More clinical testing and post-market surveillance are needed for continuous monitoring of potential health impacts of advanced products and constituents.