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INTRODUCTION Both health care professionals and the medical research establishment have historically ignored the so-called sexual minorities, including lesbians. Much of what was known was derived from anecdotal experience and volunteer surveys. As a basic principle, most health concerns of lesbians are no different from those of heterosexual women. However, there are unique factors in four areas. A person’s sexual orientation and preferences are often considered to be unchanging over time, but this is often not the case.
The etiology of lesbianism is not known, just as the etiology of heterosexual identity is not understood. Genetic, prenatal, hormonal, and early childhood influences each may have a role. Child abuse and emotionally distant parents have not been found to play a role. Except for activities that require a penis, lesbians have available to them the same potential repertoire of sexual practices as heterosexual couples. 5, 6, 7 The use of sex toys, including vibrators and dildos is common.
Compared to gay men and heterosexual couples, lesbians as a group appear to have less frequent sex, and fewer lifetime partners. Before discussing the various specific health issues, it is important to recognize the challenges inherent in doing research among stigmatized, minority populations such as lesbians and other sexual minorities.