Women who have sex with women lesbian report feeling significantly different and isolated during adolescence; these emotions have been cited as appearing on average at 15 years old in lesbians and 18 years old in women who identify as bisexual. 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. Anxiety disorders and depression are the
Men who have sex with men Men who have sex with men Men who have sex with men (MSM), also known as males who have sex with males, are male persons who engage in sexual activity with members of the same sex, regardless of how they identify themselves; many such men do not sexually identify as gay, homosexual or bisexual. The term "MSM" was created in the 1990s by epidemiologists to study the spread of disease among men who have sex with men, regardless of identity. The term "MSM" is often used in medical literature and social research to describe such men as a group for