


Hormones in drinking water or Tapwater
Hormones in drinking water - from pharmaceutical residues - have been a recurring topic for years. This particularly concerns hormones that enter the water cycle through disposed chemicals, discarded tablets or natural excretions. Even the smallest amounts have the potential to cause illness in humans and animals.
Nevertheless, the German Drinking Water Ordinance does not set a limit value1 and filtering in sewage treatment plants has not yet taken place (or only insufficiently). In order to better understand the problem, it is also necessary to be aware of an important distinction: Not only are true hormones found in drinking water, but also endocrine disruptors. Both substances have no place in Tapwater .
Hormones in the human body
However, hormones are not negative in the first place, but vital. The easiest way to think of them is as a kind of "post system" in the body that transports information with instructions. Hormones are chemical signaling and messenger substances that regulate numerous bodily functions in the human body, such as
- blood pressure,
- the water balance
- or the blood sugar level.
As hormones control important vital functions in the human body, it is important to differentiate between natural and artificially supplied hormones.
Natural hormones
Natural hormones are produced in the glandular cells of the human body.2 in certain organs such as the thyroid gland . In the human body, they primarily regulate ...
- the sexual functions,
- the metabolism,
- the breathing,
- blood pressure
- as well as the water and salt balance
The natural hormones are produced in the glandular cells of the human body.2 in certain organs such as the thyroid gland . In the human body, they primarily regulate ...

Hormones are messenger substances
Good to know
How exactly do hormones work? Hormones enter the bloodstream from the thyroid gland. The blood transports the hormones to cells with special "docking sites" where their information is read. Figuratively speaking, this process switches certain switches in the body on and off and thus controls vital (organ) functions.
Known natural hormones
Precisely because they play a crucial role in human life, some of the best-known hormones include ...
- the two sex hormones oestrogen and testosterone,
- Insulin (blood sugar),
- Adrenaline (heart rate, blood pressure, "fight-or-flight" response)3)
- and serotonin (colloquially known as the "happiness hormone").
Artificially administered hormones
But what effect do artificially administered hormones have on the human body? These do not necessarily have to have negative effects. Nevertheless, hormones that are not produced naturally in the body can also have enormously harmful consequences for humans.
Scenarios & examples of artificially administered hormones
(Professional) sport
- Their disastrous effects are known, among other things, from the abuse of performance-enhancing doping in professional sport.
- The masculinization of female athletes and serious illnesses are known consequences.4
Contraception (contraceptive pill)
- Ovulation inhibitors are the best-known way of artificially supplying the body with hormones.
- The "contraceptive pill" contains exactly the same hormones that are present in the blood of a pregnant woman: oestrogen and progesterone.
- The artificial supply keeps the hormone level largely constant.
- The regulation is suppressed by the higher-level control hormones and ovulation is prevented.
- This is how the pill protects against unwanted pregnancy.
Medicine
- Hormones are administered as a remedy in the context of endocrinology.
- The endocrinologist, a doctor specializing in hormone therapies, administers hormones, for example to provide diabetics with urgently needed insulin.
- In general, diseases of the water and salt balance are often caused by hormonal disorders.5
Food
- Sometimes, however, we take in hormones or substances that promote the production of hormones without being ill - for example through food.
- One example is the happiness hormone serotonin, the production of which is promoted by chocolate.
- This creates the feeling that chocolate makes you happy.
- When chocolate is eaten, the neurotransmitter dopamine is released. The body also releases endorphins - the body's own opiates.6
The consumption of chocolate is a good example of why the distinction between hormones and endocrine disruptors is so important for understanding the topic.
Difference between hormones & endocrine disruptors
If you want to understand the effect of hormones in the environment and on humans, you need to know the difference between the actual hormones and hormone-active substances that ...
- either act like hormones themselves
- or influence the hormonal balance.
These non-genuine hormones are also referred to as endocrine disruptors or endocrine disruptors. According to the German Association for the Environment and Nature Conservation, endocrine disruptors are defined as follows:
Quote
"Endocrine disruptors are substances that either directly trigger effects on endocrine glands or influence glandular activity at the site of action."7
List of hormone active substances
WHO and UNEP 8 provide an overview of chemical categories of substances with proven or potential endocrine effects (= endocrine disruptors). The substances were identified on the basis of existing reviews and authoritative reports: Behind them are more than 50 substances with complicated terms, some of which have now been banned and are barely known by name. For example
- Polychlorinated or polybrominated biphenyls, hexachlorobenzene,
- Chlordane, toxaphene, lindane, endosulfan, levonorgestrel
- and much more. (The full list of fabrics can be found here.)9
These and other hormone-active substances are found in ...
- Pesticides
- Insecticides
- Plasticizers (e.g. in paints)
- Semiconductors
- Cosmetics
- UV filter
- Flavors
- Transformers
- electrical capacitors
- Hydraulic systems
- Pharmaceuticals
- Herbicides
- Contraception
- Fragrances
Absorption of hormone-active substances
The intake of these "endocrine disruptors"9 or hormone-active substances into the human body essentially takes place - according to the WHO - via three routes:
- Food and liquids (e.g. if they have come into contact with pesticides or plastics)
- Skin contact (e.g. with cosmetics, pesticides, treated textiles, industrially manufactured cleaning agents)
- Inhalation (e.g. abrasion from plastics or tires in urban areas, pesticides during gardening or field work)
How hormones get into Tapwater
It is not harmless when hormones or endocrine disruptors end up in drinking water. But how do hormones actually get into the Tapwater of German households? The three main sources are
- Incorrectly disposed of medication (e.g. via toilet or sink)
- Industrial waste (chemical industry)
- Female urine (birth control pill)
The problem is that many residues are not (or cannot be) filtered by wastewater treatment plants and then also affect neighboring bodies of water (rivers or lakes). And once hormones are in the water cycle, they can also end up in drinking water.
Via excretions (e.g. contraceptive pill)...
As a result of the contraceptive pill, oestrogens in particular initially end up in wastewater via natural excretions and unused medication. A study by the Federal Environment Agency quantifies the increase in consumption of hormones from the contraceptive pill alone - in the period from 2002 to 2009 - from 12,339 kg to 13,697 kg. In the end, oestrogens find their way into drinking water.10
About medication ...
Pharmaceuticals containing hormonally active substances, for example, end up in wastewater when bottles that should actually be disposed of properly are rinsed out.
Good to know
Approximately 30,000 tons of pharmaceuticals are taken in Germany every year. Around 95 percent of pharmaceutical residues or their degradation products are excreted by humans. Sewage treatment plants do not filter out these residues adequately. The problem is exacerbated by the fact that it is estimated that up to a third of medicines in German households are disposed of improperly - often via the toilet. This means that not only traces of antibiotics but also hormones find their way into drinking water.
About the chemical industry
In addition to the contraceptive pill and medicines, there are also the chemical industry products mentioned above: widely used plasticizers or hardeners in the plastics industry, pesticides in Tapwater and cosmetics can also be endocrine disruptors. Due to the industrial development of the last 150 years, we are surrounded by ever increasing quantities of such chemicals!

Hormones in drinking water: health effects?
Their exact effect on humans is still being researched, but known clinical pictures range from fertility disorders, behavioral changes and mental illnesses to suspected cancer-causing effects.
Endocrinological societies and the WHO consider it proven that endocrine disruptors contribute to various diseases and disorders in humans. Among them:
- the development of hormone-sensitive cancers,
- metabolic diseases such as diabetes mellitus,
- Infertility
- and neuronal developmental disorders.
In the view of these specialist societies, embryos, fetuses and children are particularly at risk. As early as 1995, research into hormone-like compounds began in the USA as one of five national priorities. Over 200 such substances are now known.7
Health risks of endocrine disruptors
If an adolescent comes into contact with such a substance at the wrong time, this can lead to permanent functional disorders and organ defects. For example, disorders in pubertal development often have hormonal causes.11

Pathogenic influences on animals and humans?
In a recent review on the health risks of endocrine disruptors12over 1800 scientific studies were included. As examples of endocrine disruptors that (may) be linked to diseases, the WHO and UNEP list8 list the following examples.
PCB
(until the 1980s in transformers and plasticizers)
- Evidence for possible endometriosis and fibroids of the uterus in humans
- Myomas, tumors and adrenal gland problems in seals
- Evidence for suppression of thyroid hormones in all vertebrates
DDT
(insecticide)
- Evidence of nipple retention, hypospadias, reduced sexual organ weight, reduced anogenital distance,
- abnormally small penises, deficient testicles, lower testosterone levels in men
- Testosterone reduction and demasculinization in polar bears and alligators
- Intersexuality in fish and frogs.
PBDE
(Flame retardants in plastics)
- Evidence of previous menarche and testicular position abnormality in humans
- Egg shell thinning, delayed hatching and lower hatch weight in birds
Bisphenol A
(plasticizers plastic bottles, toys, thermal paper etc.)
- Acts as estrogen in all vertebrates
- Evidence for disruption of the mammary gland sexual cycle
- more sensitive to tumor development and estradiol
- Regulates adipose tissue via estrogen receptors in fat cells
- Influences the function of beta cells
- increases insulin resistance and glucose intolerance
- Indications of diabetes and altered liver function in humans.
Fluoxetine
(medication e.g. antidepressants)
- Possibly affects sex hormones and reproduction as well as feeding behavior in fish and other aquatic vertebrates
- Reduced growth of tadpoles due to reduced feeding behavior
- Premature egg laying and non-viable larvae in freshwater molluscs.
PBDE
(Flame retardants in plastics)
- Evidence of previous menarche and testicular position abnormality in humans
- Egg shell thinning, delayed hatching and lower hatch weight in birds
DEHP
(known plasticizer: global market share of approx. 54% in 2010)
- Numerous negative effects on masculinity, similar to DDT
PFOS
(Impregnation of textiles, carpets & paper)
- Indications of a decline in female fertility
- Change of the cycle
Levonorgestrel
(contraception)
- can limit the reproductive success and egg laying of female fish as well as the sexual interest of male fish
Hormones - even in mineral water?
Traces of hormone-active substances are not only found in Tapwater. Bottled mineral water can also contain hormones such as oestrogen. Biologist Martin Wagner from the Department of Aquatic Ecotoxicology at Goethe University Frankfurt am Main carried out tests on 20 brands of mineral water and came to some revealing conclusions.
- From the researchers' point of view, the mixture of different hormone-active substances proved to be particularly problematic.
- Samples of twelve mineral waters contained chemicals that activate the human receptor for oestrogen.
In an interview, Martin Wagner explains that the samples found in the mineral waters had an effect equivalent to that of 18 mg of the natural hormone estrogen dissolved in one liter of water. 13
Water from PET bottles was particularly frequently contaminated. Part of the hormonal contamination probably comes from the plastic packaging, which releases microplastics. Bisphenol A, an oestrogen-like hormone-active substance, appears to be problematic here. A Swiss study also examined mineral water for hormonal contamination and came to very similar conclusions. 14
Hormones in water: What happens to the environment?
The exact consequences of this exposure for humans have not yet been fully researched. However, research into contaminated fish stocks provides a good insight into the effects of oestrogens. German anglers, for example, are familiar with the effect that entire fish stocks near sewage treatment plants become feminized - due to the high hormonal load of oestrogen.
As part of the aforementioned study, researcher Martin Wagner explained:
Quote
"Such an oestrogen load - as contained in a liter of mineral water - leads to the complete feminization of actually male fish in the environment, for example."
Zoologists from Tyrol and Spain have even demonstrated this effect in high mountain lakes. The environmental toxin hexachlorobenzene (HCB) and other chemicals that are difficult to break down apparently find their way there via the air.15
In fact, such hormone contamination in surface waters is now not uncommon. The German Nature and Biodiversity Conservation Union (BUND) has been working intensively on hormone pollution in water and the consequences for fish and amphibians and has been sounding the alarm for years.
- artificial estrogens such as alpha-ethinyl estradiol,
- Clofibric acid,
- Phytoestrogens (plant-based active ingredients)
- and industrial chemicals.7
How to remove hormones from drinking water?
Unfortunately, hormones in drinking water cannot be detected without special scientific measuring devices - LC-MS detectors (liquid chromatography-mass spectrometry). However, if you want to be on the safe side (and not have your Tapwater tested in a laboratory), you can filter your drinking water. But which filter method is the right one for hormones?
Hormones can be effectively removed from Tapwater using activated carbon filters, reverse osmosis or distillation. Although reverse osmosis and distillation are highly efficient, they are cost-intensive. With distillation, the container used must also be thoroughly cleaned. Filtering with an ion exchanger is not sufficient to filter pharmaceutical residues and hormones from the water.
Good to know
High-quality activated carbon filters offer effective protection against endocrine disruptors in drinking water. The activated carbon block filter adsorbs residues of medicines and hormones. The filter cartridge only needs to be replaced every four months. Find out more in the Guidebook on water filters for hormones
Conclusion: Hormones in drinking water
There are therefore good reasons to take protective measures against contamination with hormone-like substances. There are plans at a political level within the EU. However, until these are substantiated, we can only take our own measures. For a better understanding, it is important to know how the problematic substances get into our water and where they can be found.
Such substances are not filtered in sewage treatment plants, so they end up in rivers and surface water. In contrast to nitrates, endocrine disruptors are hardly broken down. In the end, oestrogens, endocrine disruptors and other hormones find their way into drinking water.
FAQs
Is there estrogen in Tapwater ?
Oestrogen, which is absorbed via the contraceptive pill or other medication, for example, cannot be completely broken down by the human body and enters the water cycle through excretions. As a result, it can find its way into our drinking water.
How many hormones are in Tapwater?
There is no general answer to this question: it depends on how many hormones or endocrine disruptors, e.g. from the chemical industry or drug residues, enter the water cycle and thus the drinking water.
Can hormones be filtered out of the water?
Activated carbon filters can filter endocrine disruptors from drinking water. The activated carbon reliably adsorbs residues of medicines and hormones. You can find out more about this in the Guidebook on water filters for hormones.
How can hormones get into drinking water?
The main cause of hormones in Tapwater is the incorrect disposal of medicines in the toilet or sink. Other sources include industrial waste (chemical industry) and female urine (birth control pills).
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References
- https://www.gesetze-im-internet.de/trinkwv_2023/TrinkwV.pdf
- https://www.gesundheitsinformation.de/welche-aufgaben-haben-die-hormone.html
- https://de.wikipedia.org/wiki/Kampf-oder-Flucht-Reaktion
- https://www.zeit.de/sport/2018-02/doping-ddr-sport-dopingopfer-kinder-folgen-hilfe
- https://www.ukw.de/medizinische-klinik-i/endokrinologie/schwerpunkte/erkrankungen-des-salz-und-wasserhaushalts/
- https://www.spiegel.de/gesundheit/ernaehrung/wie-schokolade-auf-den-koerper-wirkt-a-859176.html
- https://www.bund.net/fileadmin/user_upload_bund/publikationen/fluesse/fluesse_hormonaktive_substanzen_hintergrund.pdf
- https://www.who.int/iris/bitstream/10665/78101/1/9789241505031_eng.pdf
- https://de.wikipedia.org/wiki/Endokrine_Disruptoren
- https://www.umweltbundesamt.de/sites/default/files/medien/461/publikationen/4188.pdf
- https://www.aerzteblatt.de/archiv/64313/Stoerungen-der-Pubertaetsentwicklung
- A. C. Gore, V. A. Chappell, S. E. Fenton, J. A. Flaws, A. Nadal: EDC-2: The Endocrine Society's Second Scientific Statement on Endocrine-Disrupting Chemicals. In: Endocrine Reviews. Vol. 36, No. 6, December 2015, pp. E1-E150
- https://www.ernaehrungs-umschau.de/fileadmin/Ernaehrungs-Umschau/pdfs/pdf_2011/02_11/EU02_2011_083_085.qxd.pdf
- https://www.blv.admin.ch/dam/blv/de/dokumente/lebensmittel-und-ernaehrung/lebensmittelsicherheit/verantwortlichkeiten/hormonaktive-substanzen-in-abgepacktem-mineralwasser.pdf.download.pdf/hormonaktive-substanzen-in-abgepacktem-mineralwasser.pdf
- https://www.uibk.ac.at/ipoint/news/2015/fische-in-hochgebirgsseen-verweiblichen.html.de