Dry mouth and strange taste

A dry mouth or an unusual taste is more common during menopause than many women realise. Hormonal fluctuations can affect saliva production and taste perception, making food taste different (such as metallic or bitter) and causing your mouth to feel drier. Fortunately, there are numerous ways to address this.

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Summary

  • Declining oestrogen levels lead to reduced saliva production and drier mucous membranes, making your mouth feel dry and more sensitive.
  • Reduced saliva production also alters your sense of taste. Many women suddenly experience bitter, metallic, or less intense flavours.
  • Additionally, the function of taste buds diminishes with age, which can change how flavours are perceived.
  • Stress, certain medications, smoking, alcohol, and caffeine can worsen dryness and intensify unusual tastes.
  • Proper oral care and healthy lifestyle choices can help. Supplements may also provide support.
I’ve been in menopause for a while and haven’t had many complaints, but recently everything tastes strange. My mouth feels dry and metallic, and I no longer enjoy my coffee.
Tanja50 years

What happens in your body?

Oestrogen plays a role in saliva production and maintaining healthy, moist mucous membranes in the mouth. When oestrogen levels drop during menopause, saliva production decreases, leading to a drier mouth. Another consequence of declining oestrogen levels is reduced collagen production, which can make mucous membranes thinner and more sensitive. A dry mouth caused by insufficient saliva is medically known as "xerostomia."

Reduced saliva can also change how flavours are perceived. Many women report experiencing salty, bitter, or metallic tastes, making food less enjoyable. Saliva breaks down food into small particles (chemicals) that your taste buds detect as different flavours. When the mouth becomes drier, taste perception changes.

There is limited research on how many women experience dry mouth during menopause. In one study of over 2,000 women, 40% reported noticing changes in their mouth, but almost none were aware that hormones could play a role.

Another small study shows that taste perception declines further after menopause. Dry mouth and unpleasant tastes become more common. This is likely due not only to menopause but also to ageing. As you age, taste buds function less effectively, and flavours are perceived less intensely.

Close-up of the same woman holding a glass of water, looking calmly at the camera in warm indoor light.

Other causes

Stress and feelings of anxiety or depression can also cause dry mouth. Your mood can influence the nervous system, which in turn affects saliva production. Additionally, dry mouth can be a side effect of certain medications, such as antidepressants. Smoking can also contribute to a dry mouth.

What other oral symptoms might you notice?

  • Burning mouth: Reduced saliva production and drier mucous membranes can cause a burning sensation in the mouth.
  • Mouth infections: Saliva has a protective function for the mouth. With less saliva, the mucous membranes become more prone to irritation and infections.
  • Bleeding gums: Hormonal changes can also make gums more sensitive, causing them to bleed more easily.

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What treatments can help?

There are various ways to effectively address dry mouth and unusual tastes. You don’t have to live with it. You can support your body naturally with healthy nutrition, sufficient exercise, and rest. Supplements can also contribute to overall health.

Nutrition and lifestyle: getting the basics right

When your hormone levels change during menopause, it can affect your energy levels, sleep, digestion, and metabolism. Healthy nutrition, regular exercise, and rest can help prevent or alleviate symptoms. Small adjustments can make a big difference in how you feel.

If you’re taking medications or supplements, a balanced lifestyle supports your body in absorbing nutrients and processing medications, making supplements and medications more effective. Experts recommend the following for dry mouth and/or unusual taste:

  • Take good care of your mouth. Brush your teeth twice a day to prevent dry mouth and plaque build-up. Mouthwash is not necessary. Use interdental brushes and, if needed, a tongue scraper. Visit your dentist or dental hygienist twice a year. There are also oral care products specifically designed for dry mouth.
  • Avoid smoking and alcohol. These dry out the mouth and damage taste buds. Caffeine can also contribute to dryness.
  • Drink plenty of water. Excessive sweating, for example due to hot flushes, can make you more prone to dry mouth.
  • Eat more probiotics. These support healthy bacteria in the mouth and gut. Examples include kimchi, kombucha, sauerkraut, tempeh, kefir, yoghurt, and buttermilk. Also, choose foods with high water content and avoid spicy, acidic, and salty foods.
  • Try oil pulling. In the morning before brushing your teeth, take a tablespoon of high-quality plant-based oil, swish it around your mouth for a few minutes, and spit it out. This can bind bacteria and support the mucous membranes. Brush your teeth after rinsing.
  • Exercise daily for at least 30 minutes to stimulate blood circulation, including in the mucous membranes. This helps saliva production.
  • Watch for potential deficiencies. A zinc deficiency can cause dry mouth or altered taste. Zinc supports the production of a protein that helps create new taste buds. Deficiencies in B vitamins, iron, copper, or folic acid can also cause a metallic taste.

Supplements

During menopause, your body’s processes for generating energy, building muscle, and repairing skin change. You can support these processes naturally with high-quality supplements. Magnesium, vitamin D, and omega-3 are recommended for all women in menopause. Supplements can also target specific symptoms such as hot flushes, poor sleep, and dry mouth or unusual taste.

The effectiveness of supplements varies from person to person. It depends on factors such as your lifestyle and health. The quality of the product also determines how well it works. Choose high-quality supplements without unnecessary fillers.

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FAQ

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