Facebook campaign leads are good, but you need to have quality content, right targeting, even use layering campaign to make sure you got the right audience for your ads.
Are you using Advantage + placement on your campaign? Facebook might be doing something on your ads in ways that it doesn't fully reflects your gender setting, try creating a test ad with manual targeting and see if it will fix the issue.
Did you check your ad set or ads tab? also, if you are using ad credit then you might need to check on it too, lastly, check if the page you used was unpublished or got some restrictions. You can check the page restriction by going to business support home
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