Longevity has become one of the defining cultural fixations of our time. Biohackers are tracking every heartbeat, billionaires are sequencing their genomes and wellness influencers are touting the latest “life-extending” protocols as if they’re new commandments. Yet for all its promises, the modern longevity movement remains built on a narrow foundation: men’s health.
The paradox is hiding in plain sight. Women live, on average, five to seven years longer than men, but far fewer of those years are spent in good health. While women make up half the population, the frameworks shaping the future of aging rarely center on their biology or lived reality. Instead, women spend six to eight of their later years in poorer health, often cycling through unanswered symptoms, inadequate treatments and delayed or missed diagnoses.
Women are diagnosed an average of four years later across hundreds of diseases, and nearly three-quarters say they have felt dismissed, disbelieved or “medically gaslit” by the healthcare system. They are also 50 percent more likely than men to experience adverse drug reactions, a reflection of decades of dosing studies based almost exclusively on male physiology. This is not longevity. It’s a prolonged wait for the care women should have received earlier, and equitably, in the first place.
Men built this, women paid the price
The roots of these inequities are not solely theoretical; they’ve been baked into the system. Women were not required to be included in U.S. clinical trials until 1993, decades after many of the physiological baselines that still inform diagnostics, treatment protocols and risk models were established. “Normal” lab ranges, diagnostic checklists and predictive algorithms were built around male bodies and male aging patterns. The consequences are ongoing. Even now, women experiencing a heart attack are more likely to be misdiagnosed than men, in part because symptoms such as nausea, fatigue or jaw pain do not match the male-coded archetype of chest pain. Today’s longevity sector risks repeating this history by designing testing, biomarkers and interventions that default, again, to the male body. The leadership demographics of the field make this imbalance difficult to ignore: roughly 85 percent of decision-makers in healthcare are men.
The effects compound over a lifetime. Nearly two-thirds of Alzheimer’s patients are women, not simply because women live longer, but because hormonal, mitochondrial changes and immune differences unique to women meaningfully affect aging at the cellular level. Autoimmune diseases, which overwhelmingly impact women, remain among the most underfunded and least understood areas of medical research.
Ironically, the very biology that makes women distinct is also deeply relevant to longevity itself. Estrogen, for example, is not just a reproductive hormone; it plays a key role in enhancing mitochondrial energy production, antioxidant defense, bone density, cardiovascular health, cognitive function and immune regulation. When estrogen declines during menopause, biological aging accelerates across multiple systems at once—cardiovascular, neurological, metabolic and immune. Ovarian aging, in particular, is one of the earliest and most predictive indicators of whole-body aging. Yet it remains absent from most mainstream longevity models, which prioritize metrics like muscle mass, VO₂ max, or epigenetic clocks without accounting for sex-specific biological timelines.
We’ve made progress, but not enough
There are signs of momentum. Investment in women’s health technology is growing. Menopause is finally entering public conversation. Researchers are increasingly vocal about sex-specific data gaps. But progress remains fragile and incomplete. As longevity pivots toward A.I.-driven insights and predictive analytics, the risk of embedding historical bias into advanced systems grows. Algorithms trained on male-dominant datasets will inevitably generate male-default recommendations. Without intervention, the future of health will replicate the inequities of the past, only faster and at a greater scale.
Another force still shaping this landscape and distorting priorities is cultural stigma. Entire domains of women’s health—hormones, menopause, vaginal health—are still marginalized or treated as niche or taboo concerns. The clitoris was not fully mapped until 2005. Only a small fraction of biomedical R&D funding is directed toward female-specific conditions.
This imbalance persists despite market realities. Analysts project the global longevity market will exceed $500 billion by 2030, but women-focused solutions currently capture less than one percent of that total investment. Even the vaginal microbiome, which influences fertility, immune function, preterm birth and gynecologic cancers, rarely features in discussions about systemic aging, despite its clear relevance to lifelong health.
A new blueprint for longevity
We now stand at a critical inflection point. With billions flowing into aging research, biotech and consumer health tools, there is an unprecedented opportunity to build longevity systems that include women from the ground up. That requires concrete shifts:
- Sex-specific clinical trials that reflect the diversity of female physiology across life stages.
- A.I. and wearable technologies trained on menstrual cycles, menopause trajectories and sex-specific biomarker patterns.
- Standardized measurement of ovarian aging treated as a core healthspan metric.
- Major investment in female-specific research, including autoimmune diseases, ovarian aging and the vaginal microbiome.
- Medical education reforms that mandate sex-specific diagnostic criteria and symptom recognition.
Most importantly, it requires reframing the goal itself. Women do not simply need longer lives, but better and healthier ones—lives defined by clarity rather than confusion, care rather than dismissal and dignity rather than decades of uncertainty.
Longevity was never meant to be a mirror of the past. It was meant to be a blueprint for a healthier future. But that future will remain incomplete until women’s biology is treated not as an exception, but as a foundation. It’s time to reclaim longevity, not as a male-coded aspiration, but as a universal right that finally places women at its core.
Priyanka Jain and Kayla Barnes-Lentz
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