Sexuality refers to how you feel and act in terms of sex. There are some related terms that may be confusing to understand. Gender identity is different from sexuality. This refers to how you view yourself in terms of gender. You may see yourself as male or female.
LGBT Youth | Lesbian, Gay, Bisexual, and Transgender Health | CDC
Most adolescents and adults identify themselves as heterosexual. However, paediatricians and other health care providers must be aware of the significant psychological, social and medical issues that face young people who are gay, lesbian or bisexual. Almost all of these issues arise from the stigmatization that these youth face, rather than from the orientation itself 1 , 2. Rather, the practitioner must create an environment in which the adolescent can discuss any questions or worries that they have, whether they identify themselves as homosexual, have found that they are attracted to people of the same gender, have had a sexual encounter with someone of the same gender or are confused about their feelings.
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It may be quick and easy for some, or longer and more difficult for others. Feelings of being "different" emerge throughout childhood, although it may not be clear to the child what the feelings means. Children may begin exploring gender and relationships before kindergarten, so "coming out" and sharing these feelings of being different with others may happen at any time.