You have the hero tied up in a chair. He's been captured by the villain. The villain goes into a monologue about why he's doing what he's doing, pacing back and forth in front of the villain. Then, he takes out a knife and holds it up to our male hero.
How many of you think, "Oh my God, he's going to be raped?"
Too true, and something they at least did in the latest James Bond.
But all too often we see sloppy writing where a woman is nothing more than a way to motivate a male character.
"A faux medieval setting"! Manywriters chose to create worlds where what we know as "modern" weapons don't exist. But just because no one in my world has a gun or a bomb, that doesn't make them medieval.
It's an accepted term.
There is barely anything of the historically mediaeval in most fantasy writing. The mediaeval period was more than just taverns, wenches, and swords.
And your generalist link between "medieval" and attitude towards women has me screaming. There are many societies in our times that have an oppressive attitude towards women. Does that make them medieval?
We're talking about fantasy fiction, though, which has a tendency for a male writer to inject their modern personal and cultural attitudes of women into their writing, than any realistic depictions of gender politics in the mediaeval period.