Why Are Women More Likely To Bear The Hidden Burden of Invisible Illness?

  • Invisible illness is a health condition without observable physical symptoms.
  • Women are more likely to develop invisible illnesses, hormones and increased stressors play a role.
  • There are no tailored healthcare options for dealing with invisible illnesses.
  • More research, funding, better overall policies, and an increase in support groups can be solutions to be explored.

Invisible illness, while not easily observable, puts a heavy physical, psychological, and social toll on women’s lives. For many women, having conditions with no overt symptoms means that they have to go day in and day out without being able to experience relief, let alone openly talk about it. Yet, the burden of the symptoms constantly reminds them of their persistent struggles.

What is an invisible illness?

Invisible illness is a health condition (often chronic) that does not have evident physical symptoms. Symptoms can include:

  • Pain
  • Fatigue
  • Reproductive health-related concerns
  • Neurocognitive difficulties
  • Mood symptoms

… among a few.

For women, common conditions that can have persistent yet invisible symptoms include PCOS, PMDD, endometriosis, hypothyroidism, chronic fatigue syndrome, lupus, and mental health conditions.

These illnesses, in essence, are invisible because women may appear to be healthy, but are unable to prove how severe their symptoms are. 

For many of these conditions, such as PCOS and endometriosis, diagnosis can take years, where tests, biomarkers, and even screenings may come back negative. This can result in a woman feeling failed by the system and even neglecting her own symptoms. 

This invisibility further contributes to stigma, misunderstandings, and sometimes dismissal by social circles or even healthcare providers.

Why are women more likely to suffer from invisible illness?

Over the years, women have, by social constructs, become accustomed to dealing with symptoms such as pain, mood changes, or persistent fatigue. It is frequently overlooked and is rarely a reason to pay some money to visit the doctor. Even with irregular periods, it can take years before a woman reassures herself that she needs to get checked by a doctor. 

The normalizing of symptoms such as pain, drastic mood changes, and exhausting fatigue has, in reality, normalized suffering for women. Biologically, hormones and the added stresses women face increase their likelihood of developing these health conditions. 

However, admitting to an inability to perform expected societal tasks challenges traditional ideals of womanhood, prolonging the required care they need to take for their health.

What support is required for people suffering from invisible illness?

Several crucial steps are required to limit the stigma and make progress in accommodating women suffering from invisible illnesses. 

  1. Education and awareness

Openly discussing health conditions is the first step to creating awareness. Women require safe spaces where they can talk about their health to receive adequate care they deserve. Basic awareness of invisible illness helps improve a woman’s quality of life drastically.

  1. Multidisciplinary care

Validated care, which is not a one-size-fits-all, improves a woman’s wellbeing. Treatment should not be standardized, but instead be provided by an ecosystem of healthcare professionals that tailor treatment to symptom progression, covering aspects of both mental and physical health.

  1. Psychosocial support

Peer support groups help to reduce the isolation that women might experience due to their underlying illness. Such groups also provide the best recommendations for counseling, therapy, and pain management. Support groups encourage women to advocate for their invisible illness in homes, workspaces, and within communities.

  1. Policy and workplace accommodation

It is essential to have policies that acknowledge invisible illnesses in workplaces, schools, and social settings. This can include something as simple as better sick leave policies, flexible schedules, and the ability to receive help when required (eg, daycare, assistance with professional tasks). Health insurance policies also require better coverage, especially for multidisciplinary care options.

  1. Research and investment

Women’s health research is significantly underfunded. Women, while allowed now, are still relatively absent in clinical trials. This means that conditions affecting only women are more likely to be neglected in studies, limiting the development of tailored solutions. Actively taking this up and funneling adequate resources is crucial to improving a woman’s quality of life.


References:

  1. Light, R. S., Chilcot, J., & McBride, E. (2020). Psychological Distress in Women Living with Polycystic Ovary Syndrome: The Role of Illness Perceptions. Women’s Health Issues, 31(2), 177–184. https://doi.org/10.1016/j.whi.2020.11.003 
  2. Calvi, C., Sherman, K. A., & Pham, D. (2023). Loneliness and perceived social support in endometriosis: The roles of body image disturbance and anticipated stigma. International Journal of Behavioral Medicine, 31(3), 433–444. https://doi.org/10.1007/s12529-023-10230-w
  3. Vakili, F., Nasiri, M., Jahanfar, S., Alamolhoda, S. H., Hamzehgardeshi, Z., Salehi, F., & Fini, M. H. (2025). A communicative model of premenstrual syndrome with social determinants of health: a path analysis. BMC Women’s Health, 25(1). https://doi.org/10.1186/s12905-025-03745-9