Why Do Women Die? Top Causes of Female Mortality and How to Prevent Them
Women's health has advanced significantly over the past few decades, yet millions of women around the world still die from preventable or treatable conditions every year. The reasons why women die are multifaceted, rooted in both biological and social factors. From cardiovascular disease to reproductive complications, understanding the causes of female mortality is essential for effective prevention and policy reform.
This article explores the top medical, societal, and environmental causes behind female deaths, highlighting how healthcare systems, lifestyle, stigma, and access inequalities contribute to the problem—and how to reduce the risks moving forward.
1. Cardiovascular Disease: The #1 Killer of Women
Heart disease remains the leading cause of death among women globally, often underdiagnosed due to gender bias in medical research and symptom recognition. Unlike men, women may experience subtler symptoms such as fatigue, nausea, jaw pain, or shortness of breath.
Why it happens:
- High blood pressure and cholesterol
- Smoking and diabetes
- Post-menopausal hormonal changes
- Family history and sedentary lifestyle
Prevention strategies: Regular health screenings, exercise, a heart-healthy diet, quitting smoking, and managing stress.
2. Cancers: Breast, Cervical, and Ovarian
Breast cancer is the most commonly diagnosed cancer among women worldwide. Cervical cancer is a significant killer in low- and middle-income countries due to limited access to HPV vaccines and screening.
Key causes:
- Genetic predisposition (BRCA1/2)
- HPV infection (in cervical cancer)
- Environmental and lifestyle factors
Preventive steps: Routine mammograms, Pap smears, HPV vaccinations, and early detection through awareness and self-exams.
3. Complications in Pregnancy and Childbirth
Maternal mortality remains alarmingly high in parts of Sub-Saharan Africa, South Asia, and even marginalised populations in high-income countries like the U.S. and UK.
Common causes:
- Haemorrhage during labour
- Pre-eclampsia or eclampsia
- Sepsis or infections
- Unsafe abortions
Why it persists: Inadequate prenatal care, lack of skilled birth attendants, poor emergency transport, and restricted reproductive rights.
What helps: Universal access to maternal healthcare, antenatal visits, skilled delivery care, and emergency obstetric services.
4. Mental Health and Suicide
Women experience higher rates of depression and anxiety, which—when unaddressed—can lead to self-harm and suicide. Adolescent girls and post-partum women are particularly vulnerable.
Contributing factors:
- Hormonal fluctuations (postnatal, premenstrual, menopausal)
- Gender-based violence
- Social stigma around mental illness
- Lack of access to mental health services
Preventive action: Counselling, crisis support, community outreach, and increased access to psychiatric care.
5. Respiratory Diseases
Chronic Obstructive Pulmonary Disease (COPD) and lung infections like pneumonia are significant female health threats, especially among women exposed to indoor air pollution from cooking stoves in developing nations.
Primary causes:
- Smoking (active and passive)
- Biomass fuel exposure
- Inadequate ventilation
How to prevent it: Smoking cessation programmes, clean cooking fuel access, and improved indoor air quality.
6. Diabetes and Obesity-Related Illnesses
Rising rates of obesity among women are contributing to increased deaths from type 2 diabetes, heart disease, and stroke. Polycystic Ovary Syndrome (PCOS) also increases risk for metabolic disorders in women.
Risk factors:
- Poor diet and lack of physical activity
- Hormonal imbalances
- Family history and insulin resistance
Solutions: Balanced diets, regular exercise, blood sugar monitoring, and public health awareness.
7. Gender-Based Violence and Femicide
In some regions, violence is one of the leading causes of female mortality. Femicide, intimate partner violence, and honour-based killings are still prevalent in parts of the world.
What contributes to it:
- Cultural norms that tolerate abuse
- Legal systems that don’t protect women
- Lack of access to safe shelters or legal aid
Action required: Legislative reforms, education, community mobilisation, and victim support networks.
8. Infectious Diseases
Women in low-income areas face disproportionate risk from diseases such as HIV/AIDS, malaria, tuberculosis, and hepatitis—often exacerbated by lack of access to care or social stigma.
Contributing factors:
- Limited education and reproductive rights
- Healthcare inequality
- High-risk sexual behaviour and poor prevention access
Prevention tools: Safe sex education, antiretroviral therapy (ART), insecticide-treated nets, and targeted outreach for at-risk women.
Global Inequities in Female Health
Women in lower-income countries are at greater risk of dying due to lack of access to quality healthcare, education, nutrition, and sanitation. Even within wealthy nations, racial and socioeconomic disparities result in preventable deaths.
Key challenges include:
- Inadequate investment in female-specific research
- Stigma around menstruation, fertility, and mental health
- Underrepresentation in clinical trials
- Legal and cultural barriers to reproductive autonomy