It's the opposite of the modern world we live in. the social norms, customs, and the tradition that many modern people already abandoned lives in that era. In a way, it gives another layer of the external struggle for the character to adapt and survive. Does MC hate dresses? She gets to wear dresses. unless she was ot stick like a sore thumb. It's a good contrast and background for an individual who never lived much less been born in a time like that.
There's also the thing because most isekai MCs are female and in that period, they aren't 'equal' to men. So, they have to depend on ML and their wits. And the age of chivalry where knights can also be brutes and not some fairy tale looking dude.