Why Am I Always Cold? (A Guide For Women)

A woman wrapped in a blankets blows into her hand.

Feeling cold all the time is common in women, but while occasional cold sensitivity can be normal, persistent cold intolerance may be a way that your body is communicating certain needs to you.

Have you ever noticed that you’re the one reaching for a sweater while everyone else seems perfectly comfortable? Cold hands, cold feet, always feeling chilled… Even indoors or in mild weather?


This article breaks down the most common reasons some women feel chronically cold and how to tell when it’s normal versus worth a closer look as well as offers gentle, supportive ways to help your body restore balance.

First, Is It Normal To Feel Cold All The Time?

First, it’s important to note that women do tend to feel a bit colder than men on average (1). Estrogen influences blood vessel tone, which can reduce circulation to the hands and feet (2), and women typically have less muscle mass (3), one of the body’s main heat generators.


Occasionally feeling cold, especially in your extremities, can be completely normal. But when you feel constantly cold, chilled even after eating, or unable to warm up easily, it can be a sign that something deeper is influencing metabolism, circulation, or energy production.

The Most Common Reasons Women Feel Cold

Feeling cold when others don't is often about how efficiently your body is producing and distributing energy. This may have to do with:

1. Low Iron or Low Iron Stores

Iron plays a key role in oxygen delivery and cellular energy production. When iron levels are low (even without full-blown anemia), the body produces less heat (4).


Low iron can be especially common in women when any of the below factors are at play (5):

  • Heavy or frequent menstrual cycles
  • Pregnancy or postpartum depletion
  • Inadequate dietary intake
  • Poor absorption from increased gut permeability

Low ferritin (iron storage) can show up as cold intolerance, fatigue, shortness of breath, dizziness, or hair shedding. The best way to check iron and ferritin levels is through blood testing. 


To learn more about iron supplementation, read this article: A Guide To Iron Supplementation


Beyond iron, several other nutrients play a role in heat production and circulation, including:

  • B vitamins — support cellular energy
  • Magnesium — supportive of circulation and stress resilience
  • Iodine and selenium support thyroid hormone production
  • Protein — provides the building blocks for metabolic activity

Nutrient depletion might be especially common after pregnancy, birth, breastfeeding, illness, or periods of prolonged stress. Taking oral contraceptives has also been linked to certain nutrient depletions (6). 


To learn more, read these articles: 

2. Thyroid Function & Metabolism

Your thyroid acts as the body’s metabolic thermostat. When thyroid signaling is low, heat production can be impacted. 


Cold sensitivity related to thyroid function may come with (7):

  • Cold hands and feet
  • Low energy or sluggishness
  • Dry skin or thinning hair
  • Constipation
  • Difficulty maintaining weight

To learn more about your thyroid, read this article: The Iodine-Thyroid Connection

3. Undereating or Chronic Calorie Restriction

If your body doesn’t receive enough fuel, it shifts into conservation mode, and heat production is one of the first things to slow down.


This is common in women who:

  • Skip meals or eat very light portions
  • Exercise frequently without adequate calorie intake
  • Follow restrictive or low-carb diets long-term

To learn more about fueling your body, read this article: Fueling Workouts: Tips for Busy Parents

A piece of broccoli rests on a white plate.

4. Blood Sugar Instability

Blood sugar dips can trigger stress hormones that constrict blood vessels, especially in the hands and feet.


Potential signs blood sugar may be playing a role in your body temperature regulation include (8):

  • Feeling cold between meals
  • Shakiness or lightheadedness
  • Irritability or brain fog
  • Energy crashes 

Stable blood sugar supports steady warmth, energy, and nervous system balance! 


To learn more about balancing your blood sugar, read this article: Tips for Blood Sugar Balance Plus Dr. Green Mom’s Ginger & Apple Cider Vinegar Mocktail Recipe

5. Chronic Stress & Nervous System Load

Chronic stress keeps the body in a “fight or flight” state. In this mode, blood is prioritized for vital organs, not the skin or extremities, which is why hands and feet often feel cold.

Woman dealing with ongoing stress, poor sleep, or emotional load may notice:

  • Cold extremities
  • Difficulty relaxing
  • Digestive issues
  • Feeling wired but tired

To learn more about adrenal health, read this article: The 3 Phases of Adrenal Dysfunction

So, How Can Women Support Healthy Temperature Regulation?

Feeling persistently cold can be a reflection of how well the body is producing energy and distributing blood flow.


For many women, support starts with consistent nourishment. Regular meals with adequate protein, carbohydrates, and fats signal to the body that fuel is available to use for heat production.


Nutrient status also matters. Iron, B vitamins, magnesium, iodine, selenium, and protein all support cellular energy and circulation. Nutrient needs are higher during pregnancy, postpartum, breastfeeding, illness, and chronic stress, and it may take time to replenish stores after times of increased need.


Stable blood sugar helps keep circulation steady, while chronic stress can pull blood away from the extremities. Supporting nervous system regulation through rest, sleep, and recovery often improves warmth over time.

Summary

Feeling cold all the time is common in women, but while occasional cold sensitivity can be normal, persistent cold intolerance (often feeling cold when others do not) may be a way that your body is communicating certain needs to you.


In many cases, chronic coldness reflects a state of energy conservation. When fuel intake is inconsistent, nutrient needs aren’t met, or the body is under ongoing stress, heat production may be downregulated as a protective response. This does not mean something is deeply wrong, but it can be a sign to give your body a little extra nourishment and TLC. 

PRODUCTS MENTIONED IN THIS ARTICLE

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References:

  1. Vellei, M., Pallubinsky, H., Khovalyg, D., Carter, S., & Chinazzo, G. (2025). Do women feel colder by nature? A systematic literature review and meta-analysis of sex differences in physiological and subjective thermal responses. Building and Environment, 277, 112936. https://doi.org/10.1016/j.buildenv.2025.112936 
  2. Fardoun M, El Ghawi O, Dib C, Jaradi L, Chaddad MT, Dehaini H, Eid AH. Cold responses and hormonal echoes: a comprehensive view of Raynaud's vascular dysfunction. Inflammopharmacology. 2025 Jul;33(7):3637-3651. doi: 10.1007/s10787-025-01792-0. Epub 2025 Jun 12. PMID: 40506673; PMCID: PMC12354549.
  3. Bredella MA. Sex Differences in Body Composition. Adv Exp Med Biol. 2017;1043:9-27. doi: 10.1007/978-3-319-70178-3_2. PMID: 29224088.
  4. Brigham D, Beard J. Iron and thermoregulation: a review. Crit Rev Food Sci Nutr. 1996 Dec;36(8):747-63. doi: 10.1080/10408399609527748. PMID: 8989508.
  5. Brittenham, G. M., Moir-Meyer, G., Abuga, K. M., Mitra, A., Cerami, A., Green, R., Pasricha, S., & Atkinson, S. H. (2023). Biology of Anemia: A Public Health Perspective. Journal of Nutrition, 153(1). https://doi.org/10.1016/j.tjnut.2023.07.018 
  6. Prasad AS, Oberleas D, Moghissi KS, Stryker JC, Lei KY. Effect of oral contraceptive agents on nutrients: II. Vitamins. Am J Clin Nutr. 1975 Apr;28(4):385-91. doi: 10.1093/ajcn/28.4.385. PMID: 1168019.Zamwar UM, Muneshwar KN. Epidemiology, Types, Causes, Clinical Presentation, Diagnosis, and Treatment of Hypothyroidism. Cureus. 2023 Sep 30;15(9):e46241. doi: 10.7759/cureus.46241. PMID: 37908940; PMCID: PMC10613832.
  7. Zamwar UM, Muneshwar KN. Epidemiology, Types, Causes, Clinical Presentation, Diagnosis, and Treatment of Hypothyroidism. Cureus. 2023 Sep 30;15(9):e46241. doi: 10.7759/cureus.46241. PMID: 37908940; PMCID: PMC10613832.
  8. Mizoguchi T, Aoyama N, Jinnouchi Y, Inoue M, Eguchi E, Ohira T. Associations of fluctuations in blood glucose and insulin with hypoglycemic symptoms. Sci Rep. 2025 Apr 4;15(1):11579. doi: 10.1038/s41598-025-91544-5. PMID: 40185804; PMCID: PMC11971238.
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