Orthotics will not change the underlying structure of the adult foot. If they are not worn, abnormal function will immediately return. In a sense they are analagous to dentures, if you remove then you can no longer properly chew your food. The short answer is no. Some shoes will not fit properly with an orthotic inside.
Women have more fitting problems than men, due to shoe fashion.
You can find dress shoe that nicely fit an orthotic, but choices will be more limited. There are special dress shoe orthotics that fit more easily into fashionable shoes. Discuss with your podiatrist if these are suitable for you. After wearing my orthotics, my legs and back were sore. Some people develop discomfort in the foot, leg, or lower back when they first start to wear orthotics.