Miss Tennesee USA Justice Hope Enlow is Using Her Sash to Fight Endometriosis

Nashville native Justice Enlow dealt with extreme fatigue, pelvic pain, and painful periods for ten years until she underwent surgery for endometriosis following her diagnosis in 2018. Now, Justice is using all of her resources to fight back by making it her life’s aim to help as many women as possible by helping them find their diagnosis, sharing resources on social media, and volunteering with the Endometriosis Foundation of America.

Although endometriosis has played a major role in her life, she doesn’t let that define her. In addition to being the hometown queen of Miss USA 2020, she is a graduate of the Fashion Institute of Design and Merchandising in Los Angeles. She currently works as the Director of Media and Marketing for her parent’s non-profit Organization RESTORE7. In Febraury 2020, Justice created Justice for Women, a non-profit organization that creates a society in which all women are valued in “all aspects of their personhood.”

Justice competes for the Miss USA crown tonight and you can watch her compete LIVE on the FYI network at 8/7c.


1) I went dune-buggying in Dubai. Followed the adventure with dinner in a Bedouin camp.

2) I started a nonprofit for women after my personal battle of overcoming endometriosis.

3) I’ve been sewing since I was 8 years old and during covid I used my skills to lead a group of women in sewing hundreds of masks for the local children’s hospital.

Favorite food: Peruvian Pollo Saltado 

Interesting hobby: I collect coins!

Favorite color: Pink

Last song you listened to: Voice of God by Dante Bowe

Last book you read: Mastering Logical Fallacies 

Dream career: United States Senator (She has our vote!)

What inspired you to compete for Miss USA? I’ve been inspired by women like Harriet Tubman and Susan B. Anthony who faced insurmountable challenges but were determined to make a change. I want to see the world become a more just place for women and pageantry allows me to use my voice to begin inspiring other women to do the same.

How does it feel to be the hometown queen? Amazing! I’m so honored to wear TENNESSEE across my chest. We’re a beautiful state with some of the best people. It’s a dream to represent us all!

Tell us about Justice for Women and the story behind it:  For 10 years I suffered from the symptoms of undiagnosed endometriosis. Eventually I became so sick that I was spending weeks out of the month in bed and on prescription pain medication. When I finally found a specialist who validated the pain I had been experiencing and gave me hope for my future, I was told that insurance does not consider the surgery medically necessary. I had to raise 40k to cover the cost of all my bills. While recovering from my life-changing surgery I started Justice for Women to help educate other women on the disease and the treatment that gave me back my life. Now, I’ve launched a line of ethically sourced merchandise that helps fund the same surgery I had for other women! 

What are some signs and symptoms that women should look out for that could be endometriosis? My symptoms did not become obvious until I was 22, but looking back I can see the signs from as early as my first period. Endometriosis can cause a vast array of symptoms and the severity doesn’t always correlate with the amount of pain experienced. I had painful periods with an occasional period from hell (leading me to the hospital for pain management) and then eventually every period was so excruciating that I had to stay in bed for an entire week on prescription pain meds. I also dealt with digestive issues, fatigue, anxiety and depression, a thyroid autoimmune disease, and several ovarian cysts. Your period should not interrupt your life! If it does, you need to find a doctor who validates you and will help you get to the root of the issue rather than just medicating symptoms. 

What are you looking forward to the most tonight?  I have a love/hate relationship with on stage question. It’s one of my favorite areas of competition because I have to opportunity to show that as women we can be beautiful, sexy, AND intelligent. But it’s also a lot of pressure on a very short time! *fingers crossed* I get a chance to answer in the top 5.

What would your legacy be if you are crowned Miss USA tonight?  As Miss Tennessee USA, Miss USA, Miss Universe, or whatever capacity God chooses to use me, I hope to inspire people to dedicate their lives to loving and serving others. There is nothing more rewarding than knowing that you are making someone else’s life better and helping affirm another person’s value. I believe if each of us truly knew how important we are that we would have a generation or world changers, doctors who cure cancer, politicians who usher in justice, and women who lead in every facet of their lives.

Keep up with Justice:

Instagram: @justiceforwomen.us   @justicehopeenlow @misstnusa 

Website: justiceforwomen.us

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