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Simon Le Vay has criticized Hirschfeld's theory of an early bisexual stage of development, calling it confusing; Le Vay maintains that Hirschfeld failed to distinguish between saying that the brain is sexually undifferentiated at an early stage of development and saying that an individual actually experiences sexual attraction to both men and women.

According to Le Vay, Hirschfeld believed that in most bisexual people the strength of attraction to the same sex was relatively low, and that it was therefore possible to restrain its development in young people, something Hirschfeld supported.

and environmental factors (including fraternal birth order, where the number of older brothers a boy has increases the chances of homosexuality; specific prenatal hormone exposure, where hormones play a role in determining sexual orientation as they do with sex differentiation; The American Psychological Association has stated that "there are probably many reasons for a person's sexual orientation and the reasons may be different for different people".

It further stated that, for most people, sexual orientation is determined at an early age.

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Of youths who had identified only as bisexual at earlier assessments, 60 to 70 percent continued to thus identify, while approximately 30 to 40 percent assumed a gay/lesbian identity over time. suggested that "although there were youths who consistently self-identified as bisexual throughout the study, for other youths, a bisexual identity served as a transitional identity to a subsequent gay/lesbian identity." By contrast, a longitudinal study by Lisa M.The American Psychiatric Association stated: "To date there are no replicated scientific studies supporting any specific biological etiology for homosexuality.Similarly, no specific psychosocial or family dynamic cause for homosexuality has been identified, including histories of childhood sexual abuse." Research into how sexual orientation may be determined by genetic or other prenatal factors plays a role in political and social debates about homosexuality, and also raises fears about genetic profiling and prenatal testing.From an anthropological perspective, there is large variation in the prevalence of bisexuality between different cultures.Among some tribes, it appears to be non-existent while in others a universal, including the Sambia of New Guinea and similar Melanesian cultures.heteroflexible, homoflexible, men who have sex with men and women who have sex with women may also be used to describe sexual identity or identify sexual behavior.Some sources state that bisexuality encompasses romantic or sexual attraction to all gender identities or that it is romantic or sexual attraction to a person irrespective of that person's biological sex or gender, equating it to or rendering it interchangeable with pansexuality.Rather, LGB individuals are often raised in communities that are either ignorant of or openly hostile toward homosexuality.Bisexuality as a transitional identity has also been examined.and the concept is one of the three main classifications of sexual orientation along with heterosexuality and homosexuality, all of which exist on the heterosexual–homosexual continuum.A bisexual identity does not necessarily equate to equal sexual attraction to both sexes; commonly, people who have a distinct but not exclusive sexual preference for one sex over the other also identify themselves as bisexual.

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