Dysgeusia in Pregnancy – What It Is and How to Cope

By Midwife Lily - your online midwife

If you’ve been noticing some very strange tastes in your mouth lately—maybe everything tastes metallic, bitter, or just “off”—you’re not imagining it. What you might be experiencing is something called dysgeusia. It’s a common and harmless part of pregnancy, but I know it can be really uncomfortable and even affect your enjoyment of food. Let’s talk it through together.

What Is Dysgeusia?

Dysgeusia is the medical term for a change in your sense of taste. During pregnancy, many women describe it as:

• A metallic taste in the mouth

• Food tasting more bitter or sour than usual

• Or sometimes, a lingering “strange” taste even when you’re not eating - it can taste horrible and feel like there's no getting rid!!

  
  

It can come and go, and for some, it’s one of the earliest signs of pregnancy (if you're reading this and you don't know you're pregnant... do a test if you're experiencing this!)

Why Does Dysgeusia Happen in Pregnancy?

Your body is working so hard right now, and hormonal changes are the main reason for dysgeusia. In particular:

• Estrogen levels rise and fluctuate in early pregnancy, and estrogen is closely linked to how we perceive taste.

• Progesterone can also alter the way your taste buds and sense of smell respond.

• Your heightened sense of smell (thanks to pregnancy hormones) can make tastes seem stronger or different.

• Even small changes in your oral environment—like increased saliva or mild dehydration—can contribute (you might of noticed some pregnant people need to constantly spit?!)

It’s your body’s way of adjusting to this new stage, even though it can feel frustrating (and horrible!)

So... when Will It Stop?

The good news is that for most people, dysgeusia tends to ease up:

• It’s most common in the first trimester, when hormones are surging.

• Many women find it improves by the second trimester.

• For some, it lingers until later in pregnancy, but it usually fades as your hormones settle (I am hoping x 10000 this is not your case).

  
  

What Can You Do to Help?

Here are some gentle tips that might make things more manageable:

• Citrus to the rescue: Sucking on lemon wedges or drinking lemon water can help refresh your palate.

• Sugar-free mints or gum: These can mask that metallic taste.

• Cold, crunchy foods: Fresh fruits and vegetables often taste better chilled.

• Season smartly: Adding herbs, vinegar, or mild spices may improve flavour.

• Stay hydrated: Sipping water throughout the day can wash away unpleasant tastes.

• Oral care: Regular brushing, tongue cleaning, or even rinsing with a mild saltwater solution can reduce lingering tastes.

And remember—this isn’t forever. It’s one of those quirky, temporary pregnancy symptoms (urgh! i know!)

A Gentle Reminder

Dysgeusia may be annoying, but it’s not harmful to you or your baby. If it’s affecting your appetite, try small, frequent meals and experiment with foods that feel more tolerable. And if you ever feel you’re struggling to eat enough or losing weight, do check in with your midwife or healthcare provider—we’re here to support you.

You’re doing beautifully, even on the tougher days. If dysgeusia has been part of your journey, you’re not alone—many expectant parents nod in recognition when they hear the words “metallic taste.” This too shall pass, and before you know it, you’ll be tasting your favorite foods again with joy.

Lots of love, Midwife Lily (follow on IG and TT for more: @frombumpstobabies)