Why are women far more likely to have long covid?
The leading hypothesis is the same one that explains why women get more autoimmune disease generally. Women mount stronger immune responses than men - protective in acute infection (men had worse acute COVID outcomes), but it comes at a cost: women are the large majority of lupus, MS, Hashimoto's and RA cases. If long covid is substantially autoimmune/inflammatory, as the autoantibody findings in the OP article suggest, the group already primed for autoimmunity is the one you'd expect to be hit hardest. Proposed drivers: immune-regulating genes on the X chromosome (e.g. TLR7) and estrogen being immunostimulatory where testosterone is suppressive.
Some speculation is the pill. Some kind of unmapped interaction.
I've heard things hypothesized to be either differences in hormone levels, or the one that's more fascinating to me is it could be because an issue came up with suppressing the second X chromezone.
Perhaps because it involves immune system dysregulation.
Or maybe it's documented more because they complain more?
Are they though?
~ https://www.anu.edu.au/news/all-news/more-than-half-of-long-...and from that study:
~ https://www.cambridge.org/core/journals/epidemiology-and-inf...