Qualitative research articles exploring experiences of autistic women were systematically reviewed through searches on five electronical databases, alongside backward citation searches. A total 10 articles encompassing 226 participants were identified. A thematic synthesis revealed four main themes: interpersonal relationships which included four subthemes of friendships, intimate relationships, sexual exploitation/abuse, and camouflaging and mimicry; diagnosis; vocation and education which included three subthemes of school, employment, and bullying; and service provision. The lived experiences reported across these themes reflected a long-term journey for these individuals, towards realising their identities. These journeys were coloured with difficult relationships, problematic school/work lives, and ineffective service provision. Such experiences largely emanated from others' expectations, based on gender or diagnosis stereotypes. Research and practice implications are discussed.