What PFAS are, and why they turned up here
PFAS (per- and polyfluoroalkyl substances) are a large family of synthetic chemicals used to make fabrics resist water and stains. They are called "forever chemicals" because they barely break down, and the broader research literature links some of them to endocrine disruption and other health effects. In period underwear the concern is specific: the fabric sits against absorptive tissue for hours, so a shopper reasonably wants to know whether PFAS were used to build the leakproof layer.
The lawsuits: what was settled, and what was not
Thinx settled a class action for up to $5 million, reported in January 2023 (a $4 million fund plus a $1 million replenishment). The case was about marketing: plaintiffs alleged Thinx sold the underwear as safe, non-toxic, and (for some styles) organic while it allegedly contained PFAS. Thinx did not admit wrongdoing, and the settlement is a resolution of the marketing claims, not a court ruling that the underwear is dangerous.
Knix settled a similar suit for $1.4 million, and agreed to stop describing its products as "PFAS-free," "toxic-chemical-free," or "fluorine-free," and to increase PFAS testing for two years. Knix also did not admit wrongdoing. What both settlements mean: the companies resolved how the products were marketed, and the underlying question of what was in them was argued rather than decided in court.
What the independent testing shows
Separate from the lawsuits, independent labs have tested these products. The controversy started in 2020 when a journalist had Thinx tested at Graham Peaslee's lab at the University of Notre Dame and found fluorine levels high enough to indicate PFAS were intentionally added. A 2025 University of Notre Dame study, published in the journal Environmental Science & Technology Letters, tested 59 reusable period and incontinence products and found signs of intentional fluorination (a marker of deliberately added PFAS) in about a third - 33% - of the period underwear it tested. The researchers concluded PFAS are not necessary to make these products work.
Two caveats on the numbers: different studies report different rates (small commissioned screenings have reported higher figures than the larger peer-reviewed study), because sample sizes and methods differ, and "PFAS detected" is not the same as "intentionally added." Treat the testing as a real, repeated signal that some period underwear contains PFAS - not as a verdict on any one pair you own.
What the two brands say today
The story did not stop in 2023, so here is each brand's own current statement, read on its site on 2026-09-20. Thinx's FAQ: "Per- and polyfluoroalkyl substances, also known as PFAS, are absolutely not part of our product design and we do not treat our finished products with PFAS. We also take measures to help ensure these substances are not added to our products through material, design, production, facility, and supplier controls." Its how-they-work page says "Our underwear is safely made without PFAS." We found no published test results on thinx.com.
Knix publishes a product testing and safety page: it says it began routine testing of its leakproof fabrics and products for certain PFAS in January 2020 and for organic fluorine shortly after, shares sample lab results, states that "neither PFAS nor organic fluorine was detected at the testing limits," and dates its most recent results to August 2026. That is the kind of published testing the shopping advice below asks for. Both statements are the brands' own words; we have not tested either product.
How to shop with this in mind
The ground is shifting in shoppers' favor. Several US states have passed PFAS bans for period products (New York's takes effect in December 2026; California's law bans intentionally added PFAS), so PFAS status is becoming a sellability requirement, not just a consumer concern. Until then: look for brands that publish third-party testing or an OEKO-TEX screening certification, and treat a plain "PFAS-free" claim with mild skepticism unless it is backed by testing - that exact phrase is what Knix agreed to make only with testing behind it.
Sources
Every factual and legal claim above traces to a primary or major-outlet source:
- Thinx settlement (up to $5M, Jan 2023, no admission of wrongdoing): NPR, NBC News, and Top Class Actions reporting.
- Knix settlement ($1.4M, agreed to drop "PFAS-free" claims and add testing, no admission): Top Class Actions and the official Knix marketing settlement notice.
- 2025 testing (33% of period underwear intentionally fluorinated, 59 products): University of Notre Dame, published in Environmental Science & Technology Letters, 2025.
- 2020 origin testing: Sierra magazine and Graham Peaslee, University of Notre Dame.
- State PFAS bans (New York effective Dec 2026; California): NRDC and Bloomberg Law reporting.
- What the brands say today: thinx.com/pages/faq and thinx.com/pages/how-they-work; knix.com/pages/product-testing-safety (all read 2026-09-20).
Quick answers
- Do period underwear contain PFAS?
- Some do. Independent testing, including a 2025 University of Notre Dame study, has found intentionally added PFAS in roughly a third of period underwear tested, and two major brands settled lawsuits over PFAS-related marketing. Not every pair contains them, and testing is improving, but "PFAS-free" is only meaningful when a brand backs it with third-party testing.
- Did Thinx really have PFAS?
- Independent lab testing in 2020 reported fluorine levels in Thinx consistent with intentionally added PFAS, and Thinx settled a class action for up to $5 million in 2023 over marketing the products as non-toxic. Thinx did not admit wrongdoing - the settlement resolved the marketing claims rather than a court finding that the product is unsafe.
- Is Knix PFAS-free now?
- As part of its $1.4 million settlement, Knix agreed to make "PFAS-free," "toxic-chemical-free" and "fluorine-free" claims only with testing behind them, and to increase PFAS testing for two years. Knix does publish testing: its product testing and safety page (read 2026-09-20) describes routine PFAS and organic-fluorine testing since 2020, shares sample lab results, states that neither was detected at the testing limits, and dates the latest results to August 2026. Those are the brand's own words; we have not tested the product.
- Was there a lawsuit against Thinx?
- Yes; it settled in 2023. Thinx settled a class action for up to $5 million (final court approval June 2023) over marketing its underwear as safe and non-toxic while independent testing suggested PFAS were present. Thinx did not admit wrongdoing. A similar case ended in Knix's $1.4 million settlement. Both suits were about marketing claims versus test results - neither was a court finding that the products injured anyone.
- How do I find PFAS-free period underwear?
- Look for brands that publish third-party test results or an OEKO-TEX Standard 100 screening, rather than a bare "PFAS-free" label. From December 2026, New York bans PFAS in period products (California already restricts intentionally added PFAS), so compliant products will become the default in those markets.
Related guides
Are period underwear FDA-regulated? Why there is no ingredient list
Yes, as a Class I menstrual pad: manufacturing and labeling rules, but no review before sale and no ingredient list. What that gap means for you.
Silver in period underwear: the antimicrobial question
Some period underwear uses silver, sometimes nanosilver, for odor control. What a 2018 lab study found, what has not been studied, and how to avoid it.
What AI gets wrong about period underwear absorbency
Five failure modes: invented tampon math, marketing tags read as tiers, stale ladders, same word with a different number, claims quoted as lab facts.
Want the one-page version of the data behind these guides? The printable absorbency cheat-sheet puts every brand's tiers in millilitres on a single sheet - free, no email needed.
The bigger safety picture
PFAS is one piece. The safety hub pulls together the regulation gap, the silver question, TSS, and vaginal-health concerns, each with its sources.