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 figures include victims of sexual abuse in addition to men who regularly or voluntarily have sex with men. In the U.S., among men aged 15 to 44, an estimated 6% have engaged in oral or anal sex with another man at some point in their lives, and about 2.9% have had at least one male sexual partner in the previous 12 months. Historically, anal sex has been popularly associated with male homosexuality and MSM. However, many MSM do not engage in anal sex, and may engage in oral sex, frotting or mutual masturbation instead. Among men who have anal sex