Fluidity of sexuality

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The American Psychiatric Association (APA) has stated "some people believe that sexual orientation is innate and fixed; however, sexual orientation develops across a person's lifetime". The APA also says that "most people experience little or no sense of choice about their sexual orientation". In a joint statement with other major American medical organizations, the APA says that "different people realize at different points in their lives that they are heterosexual, gay, lesbian, or bisexual". A report from the Centre for Addiction and Mental Health states: "For some people, sexual orientation is continuous and fixed throughout their lives. For others, sexual orientation may be fluid and change over time".

Gay and lesbian people can have sexual relationships with someone of the opposite sex for a variety of reasons including the desire for family with children and concerns of discrimination and religious ostracism. While some LGB people hide their orientation from their spouse, others develop a positive gay or lesbian identity while maintaining a successful marriage. Coming out of the closet to oneself, a spouse of the opposite sex, and children can present challenges that are not faced by gay and lesbian people who are not married to people of the opposite sex or do not have children.

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