Oral health is the mirror of general health. Women are more sensitive to oral health disorders due to their hormonal changes. Menopause affects general health as well as oral health. Periodontal considerations in postmenopausal women are critical due to the complex interplay between hormonal changes and oral health. Postmenopausal women are at an increased risk for periodontal disease due to decreased estrogen levels that affect oral mucosa, salivary flow and bone density. This hormonal decline can exacerbate inflammation and bone loss, key factors in periodontal disease progression. Maintaining periodontal health in postmenopausal women requires a proactive and comprehensive strategy that considers the unique physiological changes during this life stage. By fostering collaboration between dental and medical professionals and emphasizing patient education, it is possible to signiticantly improve oral health outcomes and overall well-being for postenopausal women.