What it is
Burning mouth syndrome causes a persistent burning or tingling of the tongue, lips, or palate, sometimes with a metallic taste or dry mouth. It disproportionately affects women after menopause.
What's causing it
Low estradiol
Alters oral mucosa, saliva, and taste-nerve function.
B vitamin, iron, and zinc deficiency
Classic reversible causes that are frequently overlooked.
Dry mouth and reflux
Both irritate the oral lining.
Candida or thyroid disease
Should be ruled out.
Nutrients commonly involved
What actually helps
- Full nutrient panel — B12, folate, iron, zinc — before assuming it's hormonal
- Hormone balance and saliva support
- Avoiding acidic, spicy, and alcohol-based mouthwashes
Questions women ask about this
Why does my mouth burn during menopause?
Burning mouth syndrome is most common in postmenopausal women and is linked to falling estradiol's effect on oral mucosa and taste nerves. Deficiencies in B12, folate, iron, and zinc cause the same symptom and are worth testing first.
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More skin, hair & appearance symptoms
This page is educational and is not a substitute for individual medical advice, diagnosis, or treatment. Symptoms can have multiple causes — proper testing and a licensed clinician's review come first.
