The very proper and on-going functioning of their ego depends on the goodwill and the collaboration of their human environment. True, besieged and consumed by pernicious guilt feelings - the Narcissist seeks to be punished. But even then it is within the traditional social allocation of roles. To ensure social opprobrium, the Narcissist exaggerates these roles to the point of caricature. Yet, again these are traditional social roles.
Men are likely to emphasize intellect, power, aggression, money, or social status.
Another difference is in the way that they react to treatment. Women are more likely to resort to therapy because they are more likely to admit their psychological problems. Women are also more likely to ask for help than men. Children happen to be more available to the feminine Narcissist due to the still prevailing prejudiced structure of our society and to the fact that women are the ones to give birth. It is easier for a woman to think of her children as her extensions because they once were her physical extensions and because her on-going interaction with them is both more intensive and more extensive.