The name is literally DUNGEONS and dragons. Not "man" colored quests. Its just part of the game, yes some modules are more urban and have more decoration but what new adventurer starts out in fancy areas. Those that play the game in pen and paper form "at least from my experience" don't ask what colors are the mural and how well is it drawn.
DDO is more visual but is still based off the pen and paper beginnings. Much of the lower-level content is from an older time in DDO history so there is more from the roots of the games namesake.
Blaming it on male or female is just interjecting that opinion on the topic. (ironically in my opinion)