| 1 |  Annemiek Van Vleuten (P-B) | Movistar Team | 4:24:25 |
| 2 |  Lotte Kopecky (BEL) | Team SD Worx | 0:01 |
| 3 |  Silvia Persico (ITA) | Valcar - Travel & Service | mt |
| 4 |  Liane Lippert (ALL) | Team Dsm | mt |
| 5 |  Cecilie Uttrup Ludwig (DAN) | Fdj Team - Suez - Futuroscope | mt |
| 6 |  Arlenis Sierra Cañadilla (CUB) | Movistar Team | mt |
| 7 |  Juliette Labous (FRA) | Team Dsm | mt |
| 8 |  Katarzyna Niewiadoma (POL) | Canyon - Sram Racing | mt |
| 9 |  Elise Chabbey (SUI) | Canyon - Sram Racing | mt |
| 10 | Elisa Longo Borghini (ITA) | Trek - Segafredo | mt |
| 11 |  Ashleigh Moolman Pasio (AFS) | Team SD Worx | mt |
| 12 |  Niamh Fisher-Black (NZL) | Team SD Worx | mt |
| 13 | Marlen Reusser (SUI) | Team SD Worx | 0:11 |
| 14 | Marianne Vos (P-B) | Team Jumbo - Visma | 0:13 |
| 15 |  Alexandra Manly (AUS) | Team Bikeexchange - Jayco | mt |
| 16 |  Pfeiffer Georgi (G-B) | Team Dsm | mt |
| 17 | Sofia Bertizzolo (ITA) | Uae Team Adq | mt |
| 18 |  Alison Jackson (CAN) | Liv Racing Xstra | mt |
| 19 | Justine Ghekiere (BEL) | Plantur - Pura | mt |
| 20 | Ricarda Bauernfeind (ALL) | Canyon//sram Generation | mt |
| 21 | Brodie Chapman (AUS) | Fdj Team - Suez - Futuroscope | mt |
| 22 | Simone Boilard (CAN) | St Michel - Auber 93 | mt |
| 23 |  Veronica Ewers (E-U) | EF Education - TIBCO - SVB | mt |
| 24 | Ellen Van Dijk (P-B) | Trek - Segafredo | mt |
| 25 |  Margarita Victoria García Cañellas (ESP) | Uae Team Adq | mt |
| 26 | Anna Shackley (G-B) | Team SD Worx | mt |
| 27 | Amanda Spratt (AUS) | Team Bikeexchange - Jayco | 1:25 |
| 28 |  Paula Andrea Patiño Bedoya (COL) | Movistar Team | 4:50 |
| 29 |  Eri Yonamine (JPN) | Human Powered Health | mt |
| 30 | Ane Santesteban González (ESP) | Team Bikeexchange - Jayco | mt |
| 31 | Silvia Zanardi (ITA) | Be Pink | 4:57 |
| 32 | Noemi Rüegg (SUI) | Team Jumbo - Visma | mt |
| 33 |  Carina Schrempf (AUT) | | mt |
| 34 | Julie De Wilde (BEL) | Plantur - Pura | mt |
| 35 | Grace Brown (AUS) | Fdj Team - Suez - Futuroscope | mt |
| 36 | Floortje Mackaij (P-B) | Team Dsm | mt |
| 37 | Olivia Baril (CAN) | Valcar - Travel & Service | mt |
| 38 | Leah Thomas (E-U) | Trek - Segafredo | mt |
| 39 |  Mari Hole Mohr (NOR) | Team Coop - Hitec Products | mt |
| 40 | Ella Wyllie (NZL) | | mt |
| 41 | Évita Muzic (FRA) | Fdj Team - Suez - Futuroscope | mt |
| 42 |  Ursa Pintar (SLO) | Uae Team Adq | mt |
| 43 | Julie Van De Velde (BEL) | Plantur - Pura | 5:01 |
| 44 |  Olga Zabelinskaya (UZB) | Roland Cogeas Edelweiss Squad | 7:37 |
| 45 | Dominika Wlodarczyk (POL) | Atom Deweloper Posciellux.pl Wroclaw | mt |
| 46 | Leah Kirchmann (CAN) | Team Dsm | mt |
| 47 | Riejanne Markus (P-B) | Team Jumbo - Visma | 7:39 |
| 48 | Elena Cecchini (ITA) | Team SD Worx | mt |
| 49 | Elisa Balsamo (ITA) | Trek - Segafredo | mt |
| 50 | Anna Henderson (G-B) | Team Jumbo - Visma | mt |
| 51 | Shirin van Anrooij (P-B) | Trek - Segafredo | mt |
| 52 |  Jelena Eric (SRB) | Movistar Team | mt |
| 53 | Marie Le Net (FRA) | Fdj Team - Suez - Futuroscope | mt |
| 54 |  Omer Shapira (ISR) | EF Education - TIBCO - SVB | 9:30 |
| 55 | Anne Dorthe Ysland (NOR) | Uno-X Pro Cycling Team | 9:32 |
| 56 | Eugenia Bujak (SLO) | Uae Team Adq | mt |
| 57 | Romy Kasper (ALL) | Team Jumbo - Visma | mt |
| 58 | Sarah Roy (AUS) | Canyon - Sram Racing | 9:54 |
| 59 |  Rasa Leleivyte (LTU) | Aromitalia - Basso Bikes - Vaiano | 9:58 |
| 60 | Marta Jaskulska (POL) | Liv Racing Xstra | 12:07 |
| 61 | Kristen Faulkner (E-U) | Team Bikeexchange - Jayco | mt |
| 62 |  Julia Borgström (SUE) | Nxtg by Experza | mt |
| 63 | Elena Hartmann (SUI) | | 12:23 |
| 64 | Agnieszka Skalniak-Sójka (POL) | Atom Deweloper Posciellux.pl Wroclaw | 12:42 |
| 65 | Spela Kern (SLO) | Massi - Tactic | mt |
| 66 | Lina Marcela Hernandez Gomez (COL) | Colombia Tierra de Atletas - GW Shimano | mt |
| 67 | Ingvild Gåskjenn (NOR) | Team Coop - Hitec Products | mt |
| 68 | Coralie Demay (FRA) | St Michel - Auber 93 | mt |
| 69 | Diana Carolina Peñuela Martinez (COL) | Dna Pro Cycling Team | mt |
| 70 | Elizabeth Holden (G-B) | Le Col - Wahoo | mt |
| 71 | Marta Bastianelli (ITA) | Uae Team Adq | mt |
| 72 | Franziska Koch (ALL) | Team Dsm | 15:51 |
| 73 |  Nina Berton (LUX) | Andy Schleck - CP Nvst - Immo Losch | mt |
| 74 | Hayley Preen (AFS) | | mt |
| 75 | Heidi Franz (E-U) | Instafund Racing | mt |
| 76 | Nathalie Eklund (SUE) | Massi - Tactic | mt |
| 77 | Julie Norman Leth (DAN) | Uno-X Pro Cycling Team | mt |
| 78 |  Katerina Nash (RTC) | | mt |
| DNF | Katrine Aalerud (NOR) | Movistar Team | - |
| DNF | Natalia Franco Villegas (COL) | Wcc Team | - |
| DNF |  Safia Al Sayegh (EAU) | Uae Team Adq | - |
| DNF | Lourdes Oyarbide Jimenez (ESP) | Movistar Team | - |
| DNF | Georgia Baker (AUS) | Team Bikeexchange - Jayco | - |
| DNF | Rebecca Koerner (DAN) | Uno-X Pro Cycling Team | - |
| DNF | Caroline Andersson (SUE) | Team Coop - Hitec Products | - |
| DNF | Magdeleine Vallieres Mill (CAN) | EF Education - TIBCO - SVB | - |
| DNF |  Danait Fitsum (ERI) | | - |
| DNF | Gladys Verhulst-Wild (FRA) | Le Col - Wahoo | - |
| DNF |  Marina Varenyk (UKR) | | - |
| DNF | Mieke Kröger (ALL) | Human Powered Health | - |
| DNF | Yanina Kuskova (UZB) | Tashkent City Women Professional Cycling Team | - |
| DNF |  Jaruwan Somrat (THA) | Thailand Women's Cycling Team | - |
| DNF |  Ana Vitória Gouvea Vieira Almeida Magalhães (BRE) | | - |
| DNF | Elynor Backstedt (G-B) | Trek - Segafredo | - |
| DNF | Karolina Kumiega (POL) | Valcar - Travel & Service | - |
| DNF | Henrietta Christie (NZL) | Human Powered Health | - |
| DNF | Josie Talbot (AUS) | | - |
| DNF | Maude Le Roux (AFS) | Wcc Team | - |
| DNF | Lauren Stephens (E-U) | EF Education - TIBCO - SVB | - |
| DNF | Jade Wiel (FRA) | Fdj Team - Suez - Futuroscope | - |
| DNF | Emma Langley (E-U) | EF Education - TIBCO - SVB | - |
| DNF | Idoia Eraso Lasa (ESP) | Laboral Kutxa - Fundación Euskadi | - |
| DNF | Aude Biannic (FRA) | Movistar Team | - |
| DNF |  Wing Yee Leung (HKG) | | - |
| DNF |  Luciana Roland (ARG) | Wcc Team | - |
| DNF | Emma Cecilie Norsgaard Jørgensen (DAN) | Movistar Team | - |
| DNF | Sandra Alonso Domínguez (ESP) | Ceratizit - Wnt | - |
| DNF | Chaniporn Batriya (THA) | Thailand Women's Cycling Team | - |
| DNF | Sara Martín Martín (ESP) | Movistar Team | - |
| DNF | Jesse Vandenbulcke (BEL) | Le Col - Wahoo | - |
| DNF | Daryna Nahuliak (UKR) | | - |
| DNF | Lea Lin Teutenberg (ALL) | Ceratizit - Wnt | - |
| DNF | Tereza Neumanová (RTC) | Liv Racing Xstra | - |
| DNF |  Nesrine Houili (ALG) | | - |
| DNF | Skylar Schneider (E-U) | | - |
| DNF |  Nora Jencusova (SVK) | Be Pink | - |
| DNF |  Valantine Nzayisenga (RWA) | Canyon//sram Generation | - |
| DNF | Nicole Koller (SUI) | | - |
| DNF | Marta Lach (POL) | Ceratizit - Wnt | - |
| DNF | Valerie Demey (BEL) | Liv Racing Xstra | - |
| DNF | Vittoria Guazzini (ITA) | Fdj Team - Suez - Futuroscope | - |
| DNF | Mikayla Harvey (NZL) | Canyon - Sram Racing | - |
| DNF | Courteney Webb (AFS) | | - |
| DNF | Alice Towers (G-B) | Le Col - Wahoo | - |
| DNF | Hanna Nilsson (SUE) | Ceratizit - Wnt | - |
| DNF | Edseth Marte Berg (NOR) | | - |
| DNS | Demi Vollering (P-B) | Team SD Worx | - |
| DNS | Christina Schweinberger (AUT) | Plantur - Pura | - |
| DNS | Kathrin Schweinberger (AUT) | Ceratizit - Wnt | - |
