Current Sexual Health Reports

, Volume 8, Issue 4, pp 249–256 | Cite as

Sexual Fluidity in Male and Females

Current Controversies (P Kleinplatz and C Moser, Section Editors)
Part of the following topical collections:
  1. Topical Collection on Current Controversies


Sexual fluidity has been defined as a capacity for situation-dependent flexibility in sexual responsiveness, which allows individuals to experience changes in same-sex or other-sex desire across both short-term and long-term time periods. I review recent evidence for sexual fluidity and consider the extent of gender differences in sexual fluidity by examining the prevalence of three phenomena: nonexclusive (bisexual) patterns of attraction, longitudinal change in sexual attractions, and inconsistencies among sexual attraction, behavior, and identity. All three of these phenomena appear to be widespread across a large body of independent, representative studies conducted in numerous countries, supporting an emerging understanding of sexuality as fluid rather than rigid and categorical. These studies also provide evidence for gender differences in sexual fluidity, but the extent and cause of these gender differences remain unclear and are an important topic for future research.


Sexual orientation Gender differences Bisexuality Sexual fluidity Same-sex attraction 


Compliance with Ethical Standards

Conflict of Interest

Lisa M. Diamond declares that she has no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

Ethics Statement

All reported studies/experiments with human or animal subjects performed by the authors have been previously published and were in compliance with all applicable ethical standards (including the Helsinki Declaration and its amendments, institutional/national research committee standards, and international/national/institutional guidelines).


Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

  1. 1.
    Institute of Medicine. The health of lesbian, gay, bisexual, and transgender people: building a foundation for better understanding. Washington, D.C: The National Academies Press; 2011.Google Scholar
  2. 2.
    •• Diamond LM. Sexual fluidity: understanding women’s love and desire. Cambridge, MA: Harvard University Press ; 2008.This book provides an overview of previous theory and research on sexual fluidity, and presents the results of a 10-year longitudinal study tracking changes in women’s sexual attractions and identities. Google Scholar
  3. 3.
    • Diamond LM. Gender and same-sex sexuality. In: Tolman DL, Diamond LM, editors. The APA handbook of sexuality and psychology. Washington, D.C: APA Press ; 2013.This chapter provides a comprehensive review of gender differences in the expression of same-sex sexuality. Google Scholar
  4. 4.
    • Kinnish KK, Strassberg DS, Turner CW. Sex differences in the flexibility of sexual orientation: a multidimensional retrospective assessment. Arch Sex Behav. 2005;34(2):173–83. This article provides detailed data from a large internet sample of lesbian, gay, bisexual, and heterosexual individuals on their own recollections of previous change in sexual attractions. CrossRefPubMedGoogle Scholar
  5. 5.
    Weinberg MS, Williams CJ, Pryor DW. Dual attraction: understanding bisexuality. New York: Oxford University Press; 1994.Google Scholar
  6. 6.
    Office of National Statistics. New ONS integrated household survey: experimental statistics. 2010. Office of National Statistics: Newport, UK.Google Scholar
  7. 7.
    Conron KJ, Mimiaga MJ, Landers SJ. A population-based study of sexual orientation identity and gender differences in adult health. Am J Public Health. 2010;100(10):1953–60.CrossRefPubMedPubMedCentralGoogle Scholar
  8. 8.
    Gulloy E, Normann TM. Sexual identity and living conditions: evaluation of the relevance of living conditions and data collection. Norway: Statistics Norway: Oslo-Kongsvinger; 2010.Google Scholar
  9. 9.
    Chandra A, Mosher WD, Copen C. Sexual behavior, sexual attraction, and sexual identity in the United States: data from the 2006-2008 National Survey of family growth. Natl Health Stat Rep. 2011;3(36):1–36.Google Scholar
  10. 10.
    Herbenick D, Reece M, Schick V, Sanders SA, Dodge B, Fortenberry JD. Sexual behavior in the United States: results from a national probability sample of men and women ages 14-94. J Sex Med. 2010;7(Suppl 5):255–65.Google Scholar
  11. 11.
    Wells JE, McGee MA, Beautrais AL. Multiple aspects of sexual orientation: prevalence and sociodemographic correlates in a New Zealand National Survey. Arch Sex Behav. 2011;40(1):155–68.CrossRefPubMedGoogle Scholar
  12. 12.
    Sweet T, Welles SL. Associations of sexual identity or same-sex behaviors with history of childhood sexual abuse and HIV/STI risk in the United States. JAIDS Journal of Acquired Immune Deficiency Syndromes. 2012;59(4):400–8.CrossRefPubMedGoogle Scholar
  13. 13.
    Kuyper L, Vanwesenbeeck I. Examining sexual health differences between lesbian, gay, bisexual, and heterosexual adults: the role of sociodemographics, sexual behavior characteristics, and minority stress. Journal of Sex Research. 2011;48(2–3):263–74.CrossRefPubMedGoogle Scholar
  14. 14.
    Lindley LL, Walsemann KM, Carter Jr JW. The association of sexual orientation measures with young adults’ health-related outcomes. Am J Public Health. 2012;102(6):1177–85.CrossRefPubMedPubMedCentralGoogle Scholar
  15. 15.
    Gates GJ. Demographic perspectives on sexual orientation. In: Patterson CJ, D’Augelli TR, editors. Handbook of psychology and sexual orientation. New York: Oxford University Press; 2013. p. 69–84.Google Scholar
  16. 16.
    Mercer CH et al. Changes in sexual attitudes and lifestyles in Britain through the life course and over time: findings from the National Survey of Sexual Attitudes and Lifestyles (Natsal). Lancet. 2013;382(9907):1781–94.CrossRefPubMedPubMedCentralGoogle Scholar
  17. 17.
    Lhomond B, Saurel-Cubizolles M-J, Michaels S. A multidimensional measure of sexual orientation, use of psychoactive substances, and depression: results of a national survey on sexual behavior in France. Arch Sex Behav. 2013;43(3):607–19.CrossRefPubMedGoogle Scholar
  18. 18.
    Richters J, Altman D, Badcock PB, Smith AMA, de Visser RO, Grulich AE, et al. Sexual identity, sexual attraction and sexual experience: the second Australian study of health and relationships. Sex Health. 2014;11(5):451–60.Google Scholar
  19. 19.
    Dahlhamer JM, Galinsky AM, Joestl SS, Ward BW. Sexual orientation in the 2013 National Health Interview Survey: a quality assessment. Vital Health Stat. 2014;2(169)Google Scholar
  20. 20.
    Elliott MN, Kanouse DE, Burkhart Q, Abel GA, Lyratzopoulos G, Beckett MK, et al. Sexual minorities in England have poorer health and worse health care experiences: a national survey. J Gen Intern Med. 2015;30(1):9–16.Google Scholar
  21. 21.
    Gorman BK, Denney JT, Dowdy H, Medeiros RA. A new piece of the puzzle: sexual orientation, gender, and physical health status. Demography. 2015;52(4):1357–82.Google Scholar
  22. 22.
    • Copen CE, Chandra A, Febo-Vazquez I. Sexual behavior, sexual attraction, and sexual orientation among adults aged 18–44 in the United States: data from the 2011–2013 National Survey of family growth. National Health Statistics Reports. 2016;7(88):1–13. This report provides the most up-to-date and reliable statistics on the population prevalence of sexual orientation in the United States. Google Scholar
  23. 23.
    Chivers ML, Bailey JM. A sex difference in features that elicit genital response. Biol Psychol. 2005;70(2):115–20.CrossRefPubMedGoogle Scholar
  24. 24.
    •• Chivers ML, Rieger G, Latty E, Bailey JM. A sex difference in the specificity of sexual arousal. Psychol Sci. 2004;15:736–44. This article presents the results of a groundbreaking study demonstrating differences between women and men in the degree to which their sexual arousal was specifically targeted to their preferred gender. Google Scholar
  25. 25.
    Chivers ML, Seto MC, Blanchard R. Gender and sexual orientation differences in sexual response to sexual activities versus gender of actors in sexual films. J Pers Soc Psychol. 2007;93(6):1108–21.CrossRefPubMedGoogle Scholar
  26. 26.
    Diamond LM. The evolution of plasticity in female-female desire. Journal of Psychology & Human Sexuality. 2006;18(4):245–74.CrossRefGoogle Scholar
  27. 27.
    Kuhle BX, Radke S. Born both ways: the alloparenting hypothesis for sexual fluidity in women. Evol Psychol. 2013;11(2):304–23.CrossRefPubMedGoogle Scholar
  28. 28.
    •• Baumeister RF. Gender differences in erotic plasticity: the female sex drive as socially flexible and responsive. Psychol Bull. 2000;126(3):347–74. This article presents a sweeping review of social scientific research suggesting general sex differences in the overall plasticity of female sexual response. CrossRefPubMedGoogle Scholar
  29. 29.
    Fine M. Sexuality, schooling, and adolescent females: the missing discourse of desire. Harv Educ Rev. 1988;58(1):29–53.CrossRefGoogle Scholar
  30. 30.
    Tolman DL. Dilemma of desire: teenage girls and sexuality. Cambridge, MA: Harvard University Press; 2002.Google Scholar
  31. 31.
    Tolman DL. In a different position: conceptualizing female adolescent sexuality development within compulsory heterosexuality. In: Diamond LM, editor. Rethinking positive adolescent female sexual development. San Francisco: Jossey Bass; 2006.Google Scholar
  32. 32.
    Baumeister RF, Twenge JM. Cultural suppression of female sexuality. Rev Gen Psychol. 2002;6(2):166–203.CrossRefGoogle Scholar
  33. 33.
    Rich A. Compulsory heterosexuality and lesbian existence. Signs. 1980;5(4):631–60.CrossRefGoogle Scholar
  34. 34.
    Kitzinger C. The social construction of lesbianism. London: Sage; 1987.Google Scholar
  35. 35.
    Faderman L. Surpassing the love of men. New York: William Morrow; 1981.Google Scholar
  36. 36.
    Twenge JM, Sherman RA, Wells BE. Changes in American adults’ sexual behavior and attitudes, 1972-2012. Arch Sex Behav. 2015;44(8):2273–85.Google Scholar
  37. 37.
    • Twenge JM, Sherman RA, Wells BE. Changes in american adults’ reported same-sex sexual experiences and attitudes, 1973–2014. Archives of Sexual Behavior. 2016. This article presents research demonstrating recent historical changes in the population prevalence of same-sex behavior in the United States. Google Scholar
  38. 38.
    Gartrell NK, Bos HMW, Goldberg NG. New trends in same-sex sexual contact for American adolescents? Arch Sex Behav. 2012;41(1):5–7.CrossRefPubMedGoogle Scholar
  39. 39.
    Kuyper L, Vanwesenbeeck I. High levels of same-sex experiences in the Netherlands: Prevalences of same-sex experiences in historical and international perspective. J Homosex. 2009;56(8):993–1010.CrossRefPubMedGoogle Scholar
  40. 40.
    Laumann EO, Gagnon JH, Michael RT. The social organization of sexuality: sexual practices in the United States. Chicago: University of Chicago Press; 1994.Google Scholar
  41. 41.
    Laumann EO, Mahay J. The social organization of women’s sexuality. In: Wingood GM, DiClemente RJ, editors. Handbook of women’s sexual and reproductive health. New York: Academic/Plenum; 2002. p. 43–70.CrossRefGoogle Scholar
  42. 42.
    • Diamond LM, Rosky CJ. Scrutinizing immutability: research on sexual orientation and U.S. legal advocacy for sexual minorities. Journal of Sex Research. 2016;53(4/5):363–91. This article reviews research on the immutability of sexual orientation and examines the legal and political implications of scientific research on this topic. CrossRefPubMedGoogle Scholar
  43. 43.
    Mock SE, Eibach RP. Stability and change in sexual orientation identity over a 10-year period in adulthood. Arch Sex Behav. 2012;41(3):641–8.CrossRefPubMedGoogle Scholar
  44. 44.
    Ott MQ, Corliss HL, Wypij D, Rosario M, Austin SB. Stability and change in self-reported sexual orientation identity in young people: application of mobility metrics. Arch Sex Behav. 2011;40(3):519–32.Google Scholar
  45. 45.
    Savin-Williams RC, Ream GL. Prevalence and stability of sexual orientation components during adolescence and young adulthood. Arch Sex Behav. 2007;36(3):385–94.CrossRefPubMedGoogle Scholar
  46. 46.
    •• Savin-Williams RC, Joyner K, Rieger G. Prevalence and stability of self-reported sexual orientation identity during young adulthood. Arch Sex Behav. 2012;41(1):103–10. This study presents some of the most reliable findings on change over time in sexual attractions, among a large representative sample of young adults in the United States. CrossRefPubMedGoogle Scholar
  47. 47.
    Dickson N, Paul C, Herbison P. Same-sex attraction in a birth cohort: prevalence and persistence in early adulthood. Soc Sci Med. 2003;56(8):1607–15.CrossRefPubMedGoogle Scholar
  48. 48.
    Dickson N, Roode T, Cameron C. Stability and change in same-sex attraction, experience, and identity by sex and age in a New Zealand birth cohort. Arch Sex Behav. 2013;42(5):753–63.Google Scholar
  49. 49.
    Hu Y, Xu Y, Tornello SL. Stability of self-reported same-sex and both-sex attraction from adolescence to young adulthood. Arch Sex Behav. 2015;45(3):651–9.CrossRefPubMedGoogle Scholar
  50. 50.
    APA Task Force on Appropriate Therapeutic Responses to Sexual Orientation. Report of the task force on appropriate therapeutic responses to sexual orientation. Washington DC: American Psychological Association; 2009.Google Scholar
  51. 51.
    Priebe G, Svedin CG. Operationalization of three dimensions of sexual orientation in a national survey of late adolescents. Journal of Sex Research. 2013;50(8):727–38.CrossRefPubMedGoogle Scholar
  52. 52.
    Hegna K, Larsen CJ. Straightening out the queer? Same-sex experience and attraction among young people in Norway. Culture, Health & Sexuality. 2007;9(1):15–30.CrossRefGoogle Scholar
  53. 53.
    Starks TJ, Nadler JT, Sagrestano LM, Sarvela PD. Examining discrepancies among sexual orientation components in a representative sample of men at risk for HIV/AIDS. Journal of Gay & Lesbian Mental Health. 2009;13(4):234–52.Google Scholar
  54. 54.
    Currin JM, Hubach RD, Crethar HC. Multidimensional assessment of sexual orientation and childhood gender nonconformity: implications for defining and classifying sexual/affectional orientations. Journal of LGBT Issues in Counseling. 2015;9(4):240–55.CrossRefGoogle Scholar
  55. 55.
    McCabe J, Brewster KL, Harker Tillman K. Patterns and correlates of same-sex sexual activity among U.S. teenagers and young adults. Perspect Sex Reprod Health. 2011;43(3):142–50.CrossRefPubMedGoogle Scholar
  56. 56.
    Matthews DD, Blosnich JR, Farmer GW, Adams BJ. Operational definitions of sexual orientation and estimates of adolescent health risk behaviors. LGBT Health. 2014;1(1):42–9.Google Scholar
  57. 57.
    Mustanski B, Birkett M, Greene GJ, Rosario M, Bostwick W, Everett BG. The association between sexual orientation identity and behavior across race/ethnicity, sex, and age in a probability sample of high school students. Am J Public Health. 2014;104(2):237–44.Google Scholar
  58. 58.
    Dempsey D, Hillier L, Harrison L. Gendered (s)explorations among same-sex attracted young people in Australia. J Adolesc. 2001;24(1):67–81.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2016

Authors and Affiliations

  1. 1.Department of PsychologyUniversity of UtahSalt Lake CityUSA

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