Gynecologic Oncologists are sometimes consulted to care for patients who present with diverse gender identities or sexual orientations. Clinicians can create more helpful relationships with their patients if they understand the etiologies of these diverse expressions of sexual humanity.
Sexual orientation is an enduring pattern of romantic or sexual attraction or a combination of these to persons of the opposite sex or gender , the same sex or gender, or to both sexes or more than one gender. These attractions are generally subsumed under heterosexuality , homosexuality , and bisexuality ,   while asexuality the lack of sexual attraction to others is sometimes identified as the fourth category.
Sexuality and gender play a profound role in shaping identity, but for much of human history how they are determined has remained obscure. How does sexual orientation develop?
Are our sexual preferences acquired through social learning or are some people literally born gay? What are the genetic and prenatal hormone contributions of sexual orientation?
The distinction is not always clear. Exploring the scientific evidence for the biological origins of sexual orientation and gender identity must continue to both enhance patient care and fight discrimination.
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