Yes it does. Are you kidding? Have you hit with and without one? Some don't fit well for players of certain sizes), some block view of certain pitches.
I would wear a helmet but would not wear a cage over my face even after seeing the Baylor incident. Only when boys wear them will I change my mind. It was just stitches. If that was a baseball, her eye would have been damaged, yet no one tells the college boys to wear one.
I would say the only difference is boys don't mind scars on their faces and girls do. A boy would wear that scar with pride.