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Is red-green color blindness rare in females?

Color blindness, also known as color vision deficiency, is a condition that affects a person’s ability to perceive colors properly. The most common type of color blindness is red-green color blindness, where people have difficulty distinguishing between red and green colors.

In the general population, red-green color blindness affects about 1 in 12 men and 1 in 200 women. So while it is rather common in males, it is quite rare in females. In this article, we’ll take a closer look at the prevalence, causes and symptoms of red-green color blindness specifically in women.

Overview of Red-Green Color Blindness

Red-green color blindness occurs when there is an issue with the red or green photopigments in the light-sensitive cone cells of the retina. These cone cells are responsible for detecting color and passing signals to the brain to allow color perception.

There are different types of red-green color blindness:

  • Protanopia – inability to perceive any red light, due to missing or abnormal red cones
  • Deuteranopia – inability to perceive any green light, due to missing or abnormal green cones
  • Protanomaly – reduced sensitivity to red light
  • Deuteranomaly – reduced sensitivity to green light

The most common type is deuteranomaly, which makes it hard to distinguish between reds, greens, browns, and oranges. This is because of reduced green cone activity. Protanomaly, caused by reduced red cone activity, is rarer.

Prevalence in Females

In females, red-green color blindness is very uncommon, affecting only about 1 in 200 women. Here are some key statistics on the prevalence:

  • About 0.5% of women have some type of red-green color vision deficiency
  • Deuteranomaly affects 0.5% of women
  • Protanomaly affects 0.01% of women
  • Complete deuteranopia or protanopia is extremely rare in women (1 in 10,000 or less)

In comparison, red-green color blindness affects about 8% of men, with deuteranomaly occurring in 5% of males.

This table summarizes the prevalence in the female population:

Type Prevalence in Females
Deuteranomaly 0.5%
Protanomaly 0.01%
Deuteranopia Very rare (1 in 10,000 or less)
Protanopia Very rare (1 in 10,000 or less)

Clearly, red-green color blindness is quite uncommon in women compared to men. But why is this the case?

Genetic Causes

The main reason red-green color blindness is rarer in females is because of the specific genetic cause:

  • It is linked to mutations on the X chromosome
  • Females have two X chromosomes, while males have one X chromosome

The genes for the red and green cone photopigments are located on the X chromosome. Mutations in these genes lead to the photopigments not working properly, causing the color vision problems.

For a female to be color blind, both of her X chromosomes would need to carry the mutation. Having one unaffected X chromosome is enough to produce some functioning photopigments and provide normal color vision. On the other hand, males only have one X chromosome. So if there is a mutation in the photopigment gene, they will definitely be color blind.

Genetic variations can also lead to less severe color deficiencies like protanomaly and deuteranomaly in females, if one X chromosome carries a mutation.

Other Causes

While genetics is the main factor, there are some other potential causes of color blindness in females:

  • Diseases that affect the retina, like diabetes, glaucoma and macular degeneration
  • Eye injuries damaging the retina or nerves
  • Side effects of certain medications like chloroquine
  • Toxic levels of chemicals like styrene or organic solvents
  • Nutritional deficiencies affecting vision

However, these causes are relatively uncommon. Genetics remain the predominant reason why females rarely exhibit red-green color deficiencies.


The symptoms of red-green color blindness that females may experience include:

  • Difficulty distinguishing between reds, greens, browns and colors in between
  • Confusing red and green traffic lights
  • Issues identifying red berries among green leaves
  • Inability to discern color-coded systems
  • Difficulty with occupations requiring color perception
  • Confusion between purple and blue or yellow and pink

In the less common protanomaly and protanopia types, red hues appear darkened. While in deuteranomaly and deuteranopia, greens look faded or closer to grey.

The severity can range from mild difficulties in limited situations, to more pervasive issues with color perception.


Red-green color blindness is typically diagnosed using a simple screening test called the Ishihara test. This test uses a series of color plates with colored dots in different numbers or patterns.

Those with normal color vision can discern the patterns, numbers or shapes clearly. But someone with color blindness may see a different number or pattern, or nothing at all.

Other methods to diagnose color vision deficiencies include:

  • Arranging colored caps in order
  • Identifying colored yarns
  • The HRR pseudoisochromatic test
  • The Farnsworth D15 test
  • Testing genes for photopigment mutations

When multiple tests are used, they can identify the exact type of color blindness a person has.

Is More Research Needed?

While we know red-green color blindness is very rare in females, some researchers argue more studies are needed on the prevalence and genetics in women:

  • Many studies have smaller sample sizes of female participants
  • Screening tests may miss milder color vision deficiencies
  • Exact genetic causes and mutations require further study
  • Interactions between genes and environmental factors unclear
  • Data on rarer types like protanopia limited

Broader, more detailed studies on larger female populations could provide new insights into the mechanisms of color blindness. This can help us understand why women are protected from this condition.

Living with Color Blindness

For the small proportion of women with color blindness, there are ways to adapt and cope with the difficulties:

  • Using an app or glasses that converts colors for easier identification
  • Relying on other visual cues besides color
  • Asking others for help distinguishing colors when needed
  • Labeling clothing tags, food items, wires and other coded items
  • Choosing careers that require less color perception
  • Bringing someone else for tasks like painting rooms or matching outfits

Many women with mild deficiencies may not notice or be bothered by the effects in daily life. But those with stronger color blindness can utilize supports and strategies to enhance their color identification abilities.


In summary, red-green color blindness is quite rare in females, affecting only about 0.5% of women. This is in contrast to the much higher prevalence in males of around 8%.

The main reason for the gender difference is the genetics – color vision genes are on the X chromosome. Women have two X chromosomes while men have only one. Mutations in both X chromosomes are needed for a female to have color blindness.

While more research can enhance our understanding, the core genetic mechanism of X-linked inheritance means red-green color deficiencies will remain very uncommon in women. Women with color blindness use a variety of adaptive strategies to manage in their daily lives.