Feeling cold and chilly all over before menstruation
Mar 26, 2023
Source: Cainiu Health
Dr. Zhao Xiaodong
Introduction
Feeling cold and chilly before menstruation may be caused by changes in estrogen and progesterone levels, influenza, anemia, hypothyroidism, rheumatoid arthritis, or other reasons. Appropriate treatment should be determined based on the underlying cause. It is important to maintain proper warmth before menstruation. If symptoms such as chills and coldness frequently occur during menstruation, medical evaluation is recommended to identify the cause and receive appropriate treatment.
Feeling cold and chilly before menstruation may be caused by factors such as fluctuations in estrogen and progesterone, influenza, anemia, hypothyroidism, or rheumatoid arthritis. Appropriate treatment should be based on the underlying cause.
1. Estrogen and Progesterone Changes
Before menstruation begins, the body is in the luteal regression phase, during which estrogen and progesterone levels drop rapidly. This hormonal shift can lead to symptoms such as sensitivity to cold and chills. This is generally a normal physiological phenomenon that does not require special treatment. Symptoms can be relieved by wearing warmer clothing or increasing fluid intake.
2. Influenza
Immunity tends to be relatively weaker before menstruation. Infections caused by pathogens such as bacteria or viruses can result in chills and a sensation of coldness, often accompanied by symptoms like sore throat and cough. Maintaining warmth is recommended. If body temperature exceeds 38.5°C, it's advisable to take medications such as ibuprofen sustained-release capsules, acetaminophen tablets, or loxoprofen sodium tablets under medical guidance to control fever and prevent disease progression.
3. Anemia
In individuals with pre-existing anemia, iron levels in the blood may be low before menstruation, leading to reduced hemoglobin. This can impair circulation and lower metabolic activity, resulting in insufficient heat production and symptoms such as cold sensitivity, dizziness, and fatigue. Follow a doctor’s advice to take medications such as ferrous succinate tablets, compound ferrous sulfate and folic acid tablets, or vitamin C tablets to correct anemia and relieve symptoms.
4. Hypothyroidism
When thyroid hormone secretion is reduced, the body's basal metabolic rate declines, impairing energy and heat production. Before menstruation, this may cause feelings of coldness, possibly accompanied by anxiety, decreased appetite, and other symptoms. It is recommended to take thyroid hormone replacement medications such as levothyroxine sodium tablets or thyroid tablets as prescribed to support metabolism.
5. Rheumatoid Arthritis
This condition may disrupt normal blood flow. Before menstruation, when circulation is slower, body temperature regulation may become unstable, making individuals more prone to feeling cold. This may be accompanied by joint pain and discomfort. Follow medical advice to take medications such as methotrexate tablets, sulfasalazine enteric-coated tablets, or tofacitinib citrate tablets to slow or control disease progression.
Prior to menstruation, ensure adequate warmth and avoid consuming spicy or cold foods. If symptoms such as persistent chills or cold sensitivity frequently occur during the menstrual period, seek timely medical evaluation to identify the cause and receive appropriate treatment.
