Hot hands and feet may be caused by physiological factors, perimenopausal syndrome, autonomic nerve abnormalities, hyperthyroidism, diabetic peripheral neuropathy, Raynaud’s syndrome and other causes. 1. Physiological factors: wearing thick shoes, wearing gloves for a long time, etc. leads to a lack of ventilation and insufficient heat dissipation in the hands and feet, excessive warmth or high temperatures, which may lead to physiological hot hands and feet. 2. Perimenopausal syndrome: As women age, ovarian function begins to decline physiologically, entering the perimenopausal period. At this time, ovarian secretion of estrogen decreases, and the capillary diastole and contraction of the ends of the limbs are abnormal, which can lead to hot hands and feet. 3. Autonomic nerve abnormality: parasympathetic inhibition and sympathetic hyperfunction, resulting in excessive contraction of skin capillaries, skin blood flow is reduced, heat dissipation is reduced, so the hands and feet hot. 4. Hyperthyroidism: thyroid hormone large role in the body’s metabolism hyperactivity, increased heat production, so the hands and feet hot. 5. Diabetic peripheral neuropathy: long-term high blood sugar levels lead to peripheral nerve dysfunction, hands and feet and other parts of the sensory abnormalities, burning sensation, numbness, tingling and other symptoms. 6. Raynaud’s syndrome: the arteries at the end of the limbs contract and spasm under emotional excitement or high temperature, resulting in coldness, burning sensation, numbness and other symptoms in the hands and feet. Women with hot hands and feet may be related to a variety of factors, it is recommended to seek early medical care to clarify the diagnosis.