Bisexuality

Overview

Bisexuality is a sexual orientation where a person feels attracted to more than one gender. This attraction can be romantic, emotional, or sexual, and may shift over time. It is a normal, healthy part of human identity, not an illness or disorder.

Yes, bisexuality is common. Around the world, many people identify as bisexual, and in some surveys bisexuality is one of the largest groups within the LGBTQ+ community.

Bisexuality can affect people of any gender, age, culture, or background. Some people know they are bisexual early in life, while others understand their feelings later. No one can be 'immune' to being bisexual, just as no one chooses who they are attracted to.

Symptoms

Common symptoms

• There are no medical symptoms. Bisexuality is an identity, not a disease.
• You may feel attracted to more than one gender, perhaps strongly at different times.
• You might feel unsure about labels or worry about being accepted by both straight and gay communities.
• You may feel stressed or anxious if you have experienced stigma or prejudice.

Symptoms in children

• Children and teenagers may notice attractions to more than one gender and might feel confused or scared to talk about it.
• Young people may worry that their feelings mean something is 'wrong' with them, but it is normal.
• They may need a safe, supportive adult to talk to without judgment.

Symptoms in older adults

• Older adults may have grown up in times when bisexuality was not accepted or discussed.
• Some may realize or accept their bisexuality later in life, after marriage or raising a family.
• It is never too late to be true to yourself and to seek validation and support.

Causes

Main causes

• There is no single cause of bisexuality, just as there is no single cause for being straight or gay. Sexual orientation is a natural part of who you are, shaped by a mix of genetic, hormonal, and environmental factors.
• It is not caused by anything you did, by parenting, or by past experiences.
• Bisexuality is not a choice and not a condition to be fixed.

Risk factors

• There are no risk factors for 'developing' bisexuality. However, bisexual people may face higher risks of stigma, discrimination, and stress because of societal attitudes.
• Having unsupportive friends, family, or community members can increase the risk of mental health difficulties.

When to see a doctor

See a doctor urgently if:

• You do not need to see a doctor just because you are bisexual. But seek urgent help if you are in immediate danger, are being harmed, or are having thoughts of self-harm.
• If you are in severe distress and feel you might hurt yourself, call emergency services or go to the nearest emergency room.

Book a routine appointment if:

• You may want to speak to a family doctor (GP) if you are struggling with your feelings about your identity.
• If you are experiencing anxiety, depression, or other mental health concerns that affect your daily life, see a healthcare professional.
• A doctor can also offer general sexual health checkups, which are relevant to anyone who is sexually active.

Diagnosis

Bisexuality is not a medical diagnosis, so no one can 'test' you for it. If you seek mental health support, a professional will ask about your feelings and experiences to understand your situation, not to confirm your sexuality.

Tests that may be done

• No tests, scans, or blood tests are used for bisexuality.
• A healthcare professional may assess your mental wellbeing, like anxiety or mood, if you have concerns.

What to expect at your appointment

If you talk to a GP or counsellor, they should listen with empathy and without judgment. They may ask about your support network, stress, and safety. They can refer you to LGBTQ+ friendly counselling or support services if you want that.

Treatment

There is no treatment for bisexuality, because it is not a health problem. Treatment is only needed for related concerns, such as anxiety, depression, or coping with discrimination. The goal is to help you feel safe, accepted, and well.

Self-care at home

• Surround yourself with people who accept you for who you are.
• Take your time with coming out – do it only when you feel safe and ready.
• Learn about bisexuality and LGBTQ+ history to feel more connected and confident.
• Set boundaries with people who are unsupportive, and limit exposure to prejudice where you can.

Medical treatments

There is no medication to change sexual orientation, and any attempt to 'convert' someone's orientation is harmful and unacceptable. If you need treatment for anxiety or depression, a qualified healthcare professional may recommend counselling or medication, but only after a proper assessment. No specific drug names are given here.

Living with this condition

Living with bisexuality is about being true to yourself and finding ways to thrive. You may face ignorance or erasure from others, but your identity is real. Many bisexual people live full, happy lives with meaningful relationships.

Lifestyle tips

• Connect with LGBTQ+ communities, online or in person, to share experiences and find understanding.
• Practise self-compassion. Remind yourself that your feelings are natural and valid.
• Find creative outlets, hobbies, or physical activities that reduce stress and help you feel grounded.
• Consider telling only people you trust before you come out more widely; you control your story.

Diet and exercise

Eating a balanced diet and staying physically active can support your overall mental health. Regular exercise like walking, cycling, or dancing can help ease stress and anxiety. No special diet is related to bisexuality.

Mental health and emotional wellbeing

Bisexuality itself does not cause mental illness, but experiencing stigma, discrimination, or rejection can harm mental health. Many bisexual people face higher rates of anxiety, depression, and self-harm. It is important to take your mental health seriously. If you are in crisis, contact a crisis line or emergency service right away.

Prevention

Bisexuality is not a disease, so there is nothing to prevent. However, you can help prevent unnecessary suffering by seeking support early, speaking up against discrimination, and building a strong support network.

Vaccines

Not applicable. Bisexuality does not relate to vaccines.

Screening programmes

Not applicable. There is no screening test for bisexuality. Regular sexual health checkups are still important for anyone who is sexually active.

Complications

If left untreated

• Without adequate support, bisexual people may feel isolated, ashamed, or invisible.
• They may face higher risks of depression, anxiety, and substance misuse due to stigma.
• Internalised negative beliefs about bisexuality can harm self-esteem and relationships.

Long-term outlook

With acceptance and support, you can live a very happy and healthy life. Many bisexual people build strong, loving relationships and are proud of who they are. Your identity is valid, and you are never alone.

Find support

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