Can Hormonal Changes (Menopause) Cause Dry Mouth and Other Oral Complications?

Hi everyone

In today's episode, I’m going over the question.....

Can Hormonal changes (specifically menopause) cause Dry Mouth and other changes in the oral cavity?

I'm Dr. Anna

and In the next few minutes you are going to learn…

How Hormonal changes cause Dry Mouth and other complications in the oral cavity including periodontitis, oral pain, and burning mouth syndrome?

Head over to to get the

Free Dry Mouth eBook and other resources to help you with dry mouth. 

With that being said

👉👉 Are you going through menopause and started to notice dry mouth and or other changes in your oral health?  Let me know in the comments. And don’t forget to like this video and share it with anyone you think can benefit from it.

There are several stages of life which are marked by hormonal changes such as during puberty, menses, pregnancy and menopause, and yes these hormonal changes can affect the oral cavity 

Today I will focus more on menopause and how it can contribute to dry mouth and other complications in the oral cavity.

What is menopause?

It is a physical process in a woman’s life which typically occurs in a woman’s 5th decade of life and which marks the end of the reproductive phase.  Women go through a series of endocrine (hormone) changes especially of sex hormones. Some of the side effects of menopause include hot flashes, mood swings, tiredness, joint and muscle pains, irritability and insomnia among others.

Additionally there are oral manifestations of menopause which include increased chances of xerostomia (dry mouth), lichen planus, pemphigoid, burning mouth syndrome (BMS) and gum disease. 

Why is the oral cavity affected by hormone changes?

Hormones are chemical messengers which tell our body tissues/organs etc. what to do.  Studies show that oral mucosa, gums and salivary glands have sex hormone receptors. You can think of receptors as tiny policemen that live in your oral mucosa, gums and salivary glands that are on the lookout for any changes in these hormones. So if there is a specific change, like in estrogen level for example, the receptors will pick that up and tell the salivary glands to produce less saliva.  

What are some of the effects of hormonal changes on the oral cavity?

DRY MOUTH (Xerostomia):

 It is a subjective sensation of oral dryness and is usually associated with decreased production of saliva. 

Some studies have shown that

  • Postmenopausal women have lower salivary flow than menstruating women, largely due to hormone changes.
  • If no other disease exists, women experience dry mouth by 25-50% more than men.
  • Oral discomfort was significantly higher in perimenopausal and postmenopausal women (43%) than in premenopausal women (6%) (17). This discomfort in the oral cavity also activates our body to switch to a “panic mode” (sympathetic activation) which also in itself causes the body to produce less saliva. I discuss the effect of stress on dry mouth in another video.

Dry mouth has been associated with increased risk of cavities, candidiasis (thrush), dental plague which causes gum disease, bitter taste, bad breath, TMJ problems, ulcerations and some nutritional deficiencies.

To find out more about dry mouth go to for more information.

Another possible consequence of hormonal changes are:


Decrease in estrogen, for example, can badly affect the activity of our bone cells making them not work as well, causing the bone not be as strong. Osteopenia and osteoporosis are common conditions which patients experience because of menopause. Osteopenia occurs when your bones are weaker but not at a point where they are more prone to breaking. Osteoporosis occurs when bone becomes fragile enough to increase the chance of bone fracture.

The jawbone is also affected by menopause in the same way. Periodontitis occurs when there is loss of jawbone which supports the teeth resulting in loosening and even loss of teeth.  

Another possible consequence of hormonal changes is: 


It is a condition where patients typically report a burning sensation of the tongue, roof of the mouth and tissues of the lower lip. It usually gets worse over the day and it can last for months and even years.  BMS has been reported to occur during perimenopause (which occurs several years before menopause up to the point when ovaries stop releasing eggs). The gingiva may bleed easily and may appear “shiny” and often dry mouth can also occur alongside.  BMS in post-menopausal women has been directly related to decreased estrogen production. Also a link between BMS and anxiety and depression has been suggested. 

👉👉 Are you going through menopause and started to notice dry mouth and or other changes in your oral health?  Let me know in the comments. And don’t forget to like this video and share it with anyone you think can benefit from it.


For more information

Read more here about dry mouth: "What Causes Dry Mouth. Dry Mouth Symptoms and Home Remedies"

Head over to to get the more information on Dry Mouth and its management as well as FREE Resources.

😍 Useful Links 😍



✔️ Read about Dr. Anna and the Mission of Smile Genius:


1 comment

  • I started with burning mouth syndrome once in awhile. Then I started getting really dry mouth my mom is worried about her so I went on it went away after about a year and then returned. My tongue gets really dry and thick 2. I’ve been using dry mouth rinses and lozenges with minimal relief. I’m very concerned about my teeth as my dry mouth is worse at night with mouth breathing. Right now I’m trying a head chin guard to keep my mouth closed at night. Not very comfortable I end up taking it off in my sleep. Every couple hours I wake up to rinse my mouth with the dry mouth rinse. My gynecologist put me on hormone replacement therapy even though I don’t have any hot flashes or anything. The dry mouth lozenges seem to be giving me gas and slight diarrhea. This is very annoying I can’t imagine having to deal with this for the rest of my life


Leave a comment

Name .
Message .

Please note, comments must be approved before they are published