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heteroflexible, homoflexible, men who have sex with men and women who have sex with women may also be used to describe sexual identity or identify sexual behavior.Some sources state that bisexuality encompasses romantic or sexual attraction to all gender identities or that it is romantic or sexual attraction to a person irrespective of that person's biological sex or gender, equating it to or rendering it interchangeable with pansexuality.Kinsey studied human sexuality and argued that people have the capability of being hetero- or homosexual even if this trait does not present itself in the current circumstances.

On this scale, someone who was A3, B9 would be weakly attracted to the opposite sex and very strongly attracted to the same sex, an A0, B0 would be asexual, and an A10, B10 would be very attracted to both sexes.

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.

Le Vay compares Hirschfeld's scale to that developed by Kinsey decades later.

Sigmund Freud believed that every human being is bisexual in the sense of incorporating general attributes of both sexes.

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