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In a longitudinal study about sexual identity development among lesbian, gay, and bisexual (LGB) youths, Rosario et al."found evidence of both considerable consistency and change in LGB sexual identity over time".In other words, someone does not have to be exclusively homosexual or heterosexual, but can feel varying degrees of both.Sexual orientation develops across a person's lifetime–different people realize at different points in their lives that they are heterosexual, bisexual or homosexual." Sexual attraction, behavior and identity may also be incongruent, as sexual attraction or behavior may not necessarily be consistent with identity.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.

Bisexuality as a transitional identity has also been examined.

Bisexual activist Robyn Ochs defines bisexuality as "the potential to be attracted—romantically and/or sexually—to people of more than one sex and/or gender, not necessarily at the same time, not necessarily in the same way, and not necessarily to the same degree." ..development of a lesbian, gay, or bisexual (LGB) sexual identity is a complex and often difficult process.

Unlike members of other minority groups (e.g., ethnic and racial minorities), most LGB individuals are not raised in a community of similar others from whom they learn about their identity and who reinforce and support that identity.

Magnus Hirschfeld argued that adult sexual orientation can be explained in terms of the bisexual nature of the developing fetus: he believed that in every embryo there is one rudimentary neutral center for attraction to males and another for attraction to females.

In most fetuses, the center for attraction to the opposite sex developed while the center for attraction to the same sex regressed, but in fetuses that became homosexual, the reverse occurred.

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