Injury guide

UPDATED FEB 2026

Hair Relaxer Endometriosis

Part of the Hair Relaxer Cancer investigation

The short answer

Chemical hair relaxers contain EDCs linked to endometriosis — a painful condition where uterine-like tissue grows outside the uterus. Phthalates and parabens in relaxers promote endometrial implant growth through estrogen mimicry.

People's Justice Research TeamUpdated February 20, 2026Fact-checked

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How EDCs Promote Endometriosis

Endometriosis occurs when tissue similar to the uterine lining grows outside the uterus — on the ovaries, fallopian tubes, and pelvic peritoneum. This tissue responds to hormonal signals, growing and bleeding with the menstrual cycle. EDCs in hair relaxers that mimic estrogen can promote the growth and survival of endometrial implants, worsening the condition.

Symptoms and Impact

Endometriosis causes chronic pelvic pain, extremely painful periods, pain during intercourse, painful bowel movements and urination, and infertility (affecting 30–50% of women with the condition). The disease significantly impacts quality of life and can require multiple surgeries.

Legal Considerations for Endometriosis Claims

Endometriosis claims are not in the bellwether pool (which is limited to cancer cases), but they are part of the broader MDL 3060. Endometriosis claims generally have lower projected values than cancer claims but are still compensable — particularly when surgical intervention was required.

Medical Documentation

Endometriosis is definitively diagnosed through laparoscopic surgery and pathological confirmation. Key evidence includes surgical records, pathology reports, fertility treatment records, and documentation of chronic pain management and its impact on daily life.

Research & evidence

Scientific Evidence

Hair Relaxer Use and Risk of Uterine Cancer in the Black Women's Health Study

Bertrand KA, Coogan PF, Palmer JR (2023). Environmental Research

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Use of Straighteners and Other Hair Products and Incident Uterine Cancer

Chang CJ, O'Brien KM, Keil AP, Gaston SA, Jackson CL, Sandler DP, White AJ (2022). Journal of the National Cancer Institute

View on PubMed

Use of Hair Products in Relation to Ovarian Cancer Risk

White AJ, Sandler DP, et al. (2021). Carcinogenesis

View on PubMed

FAQ

Frequently Asked Questions

36 QUESTIONS

Chemical hair relaxers contain endocrine-disrupting chemicals (EDCs) — phthalates, parabens, formaldehyde, BPA, and cyclosiloxanes — that mimic estrogen when absorbed through the scalp. Chronic estrogen overstimulation promotes abnormal growth in hormone-sensitive tissues. The NIH Sister Study found that frequent relaxer users face a 155% increased risk of uterine cancer and a 119% increased risk of ovarian cancer.

Dive deeper

Related Guides

7 GUIDES

The full investigation

Part of the Hair Relaxer Cancer Investigation