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Published on: 2/1/2026
Sexual orientation is a normal spectrum of emotional, romantic, and sexual attraction that can evolve over time, described by the related parts of attraction, behavior, and identity, with common terms like heterosexual, gay, lesbian, bisexual, pansexual, asexual, and queer, and it is distinct from gender identity. There are several factors to consider; see complete details below on how orientation develops, key myths and facts, mental and emotional health, trauma resources, and when to seek medical or counseling support, which may influence your next steps in care.
Sexual orientation refers to a person's enduring pattern of emotional, romantic, and/or sexual attraction to other people. When people ask, "What is sexual orientation?" they are usually asking how attraction works, how it develops, and how it fits into a person's identity over time.
Sexual orientation is about who you are drawn to, not what you do, how you dress, or how you identify your gender. It is a deeply personal aspect of human experience that can be clear early in life for some people and take time to understand for others.
Medical and psychological organizations such as the American Psychological Association and the World Health Organization recognize sexual orientation as a normal variation of human sexuality, not a disease or disorder.
Sexual orientation is often described through three related but distinct components:
These components do not always line up perfectly. For example, someone may feel attraction to one gender but not act on it, or they may choose not to label their orientation at all.
Understanding basic terms can make conversations about sexual orientation clearer and less confusing.
Heterosexual (Straight)
Attraction to people of a different gender
Gay
Attraction to people of the same gender (often used for men, but also used broadly)
Lesbian
Women who are attracted to other women
Bisexual
Attraction to more than one gender (not necessarily equally or at the same time)
Pansexual
Attraction to people regardless of gender
Asexual
Little or no sexual attraction to others (this does not mean a lack of relationships or intimacy)
Queer
An umbrella term some people use to describe a non-heterosexual orientation; not everyone is comfortable with this word
These terms are tools for communication, not rules. People may change the words they use as they learn more about themselves.
Rather than fitting neatly into fixed boxes, sexual orientation exists on a spectrum of attraction. Research has shown that attraction can vary in:
Some people experience stable attraction throughout life. Others notice shifts as they age, enter new relationships, or better understand themselves. These changes are not a sign of confusion or instability—they reflect the complexity of human sexuality.
A common source of confusion is the difference between sexual orientation and gender identity.
For example, a person can be transgender and heterosexual, gay, bisexual, or any other orientation. These are separate aspects of identity, though they can influence one another in personal ways.
There is no single cause of sexual orientation. Current medical and psychological research suggests it develops through a combination of factors, including:
Importantly, sexual orientation is not a choice, and there is no credible medical evidence that it can or should be changed. Attempts to do so, often called "conversion efforts," are widely considered harmful by medical professionals.
For many people, understanding their sexual orientation is a neutral or positive experience. For others, it can bring stress, especially if they face:
If someone has experienced unwanted or abusive sexual experiences, it may affect how they understand attraction or feel about intimacy. In those cases, using a free Sexual Trauma symptom checker can help determine whether professional support might be beneficial and guide next steps toward healing.
Exploring sexual orientation should not feel overwhelming or unsafe. Supportive counseling and medical care can make a meaningful difference.
Myth: Sexual orientation is a phase
Fact: While understanding can evolve, sexual orientation itself is not a temporary trend
Myth: Trauma causes sexual orientation
Fact: Trauma does not create sexual orientation, though it can affect comfort with relationships or sexuality
Myth: Asexual people are "broken" or unhealthy
Fact: Asexuality is a recognized orientation and not a medical problem
Myth: You must label yourself
Fact: Labels are optional. Some people prefer no label at all
While sexual orientation itself is not a medical issue, certain experiences connected to sexuality may require professional care. Consider speaking with a doctor or mental health professional if you experience:
A licensed healthcare provider can help determine whether symptoms are related to mental health, physical health, trauma, or stress—and guide you toward appropriate care.
If anything feels severe, overwhelming, or potentially life-threatening, it is essential to speak to a doctor as soon as possible.
Understanding what is sexual orientation is not about fitting into a category—it is about respecting yourself and others. Healthy relationships are built on:
No sexual orientation is inherently better or healthier than another. What matters most is that relationships are safe, respectful, and supportive of overall well-being.
If you are questioning, learning, or supporting someone else, remember that curiosity and compassion go a long way. When health concerns arise—physical or emotional—do not hesitate to speak to a doctor or qualified healthcare professional.
(References)
* Shively, M. G., & D'Augelli, A. R. (2014). An exploration of the current understanding of sexual orientation: Definitions, determinants, and development. *Journal of Homosexuality*, *61*(4), 481-499. PMID: 24397341.
* Rosario, M., Schrimshaw, E. W., & Hunter, J. (2007). The sexual identity development of lesbian, gay, and bisexual youths: Recalled childhood and adolescent milestones. *Journal of Adolescent Research*, *22*(5), 450-482. PMID: 18079979.
* Savin-Williams, R. C., & Ream, G. L. (2000). The Kinsey scale and the assessment of sexual orientation. *Archives of Sexual Behavior*, *29*(5), 455-467. PMID: 10998835.
* Knopp, M. E., & Diamond, L. M. (2023). A Developmental Framework for Understanding Bisexual Identity and Fluidity. *Journal of Homosexuality*, *70*(7), 1335-1351. PMID: 35848529.
* Meyer, I. H. (2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. *Psychological Bulletin*, *129*(5), 674–697. PMID: 12974067.
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