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A significantly less happy surprise came when I began dating someone coming out as trans and others declared I was no longer a lesbian.

“You’re bisexual now,” or “No, you’re just hetero-flexible,” or even the occasional, “Are you sure you’re even queer?

The lack of a standard definition of lesbian and of standard questions to assess who is lesbian has made it difficult to clearly define a population of lesbian women.

How and where study samples were obtained can also affect the definition.” That is to say, being a lesbian is complex and as such, the term is subjective and ever changing.

For instance, The Committee on Lesbian Health Research Priorities and the Institute of Medicine site: “The term lesbian has been used to describe women who have sex with women, either exclusively or in addition to sex with men (i.e., behavior); women who self-identify as lesbian (i.e.