Endocrine disorders associated with sewage effluents have been documented in aquatic species from various regions of the world and sewage treatment works (STWs) are now widely recognized as one of the major discharge source of endocrine disrupting compounds. Steroid estrogens usually emerge as the main contributors to the endocrine disrupting capacity of municipal sewage effluents. Because human wastes are believed to be the primary source of release of steroid estrogens in watercourses, the presence of these compounds in aquatic systems is likely to constitute a pervasive ecological problem. In spite of that, the endocrine disrupting impact of sewage effluents has rarely been investigated in South America. In this paper, we used Johnson and Williams' predictive model to estimate the concentration of steroid estrogens in effluents released from 38 municipal STWs of central-southern Chile and to assess steroid estrogen concentrations in rivers. In STW effluents, we estimated the estrogen concentrations to range from 9.35 to 739.92 ng/L for estrone, 1.03 to 81.74 ng/L for estradiol and 0.38 to 30.56 ng/L for ethynylestradiol. Overall, the predicted estrogen concentrations are significantly higher than those reported for STW effluents in the literature. This can be explained by demographic and sewage flow differences between Chile and industrialized western countries. Predicted steroid estrogen concentrations at river sites indicate that endocrine disruption in fish is likely to occur in the Itata catchment. However, future research is needed to attest this and to evaluate the real impact of the STW discharges into central-southern Chile's marine and freshwater environments.