I want you to know you’re not imagining this — perimenopause can absolutely change your gums. When estrogen levels start to drop, your gum tissue becomes more prone to inflammation, your bone can thin more quickly, and the balance of bacteria in your mouth can shift. Both major glands (parotid, submandibular, sublingual) and minor salivary glands in the cheeks, lips, and palate can be influenced by estrogen. When estrogen drops in perimenopause or menopause, saliva production can decrease, and t
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