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Transmission of specific sexually transmitted diseases among women who have sex with women depends on the sexual practices women engage in.

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When women do seek medical attention, medical professionals often fail to take a complete medical history.

In a recent study of 2,345 lesbian and bisexual women, only 9.3% had claimed they had ever been asked their sexual orientation by a physician.

On the whole, women tend to work through developing a self-concept internally, or with other women with whom they are intimate.

Women (heterosexual or otherwise) also limit who they divulge their sexual identities to and more often see being lesbian as a choice, as opposed to gay men, who work more externally and see being gay as outside their control.

Since medical literature began to describe homosexuality, it has often been approached from a view that sought to find an inherent psychopathology as the root cause.

Much literature on mental health and lesbians centered on their depression, substance abuse, and suicide.

Bacterial vaginosis occurs more often in lesbians, but it is unclear if BV is transmitted by sexual contact; it occurs in celibate as well as sexually active women.

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