 In terms of medical issues with regard to lesbian sexual practices, the sexual identification of women who consult a medical professional is usually not sought nor volunteered, due to the misconceptions and assumptions about sexuality and the hesitancy of some women in disclosing their accurate sexual histories even to a physician.Lack of differentiation between lesbians and heterosexual women in medical studies that concentrate on health issues for women skews results for lesbians and non-lesbian women.Many women who do not participate in heterosexual activity do not go to see a physician because they do not require birth control, which is the initiating factor for most women to seek consultation with a gynecologist when they become sexually active.