Sexual orientation
Often, sexual orientation and sexual orientation identity are not distinguished, which can impact accurately assessing sexual identity and whether or not sexual orientation is able to change; sexual orientation identity can change throughout an individual's life, and may or may not align with biological sex, sexual behavior or actual sexual orientation.&lt;ref name="Concordance/discordance in SO"&gt;&lt;/ref&gt; Sexual orientation is stable and unlikely to change for the vast majority of people, but some research indicates that some people may experience change in their sexual orientation, and this is more likely for women than for men. The American Psychological Association distinguishes between sexual orientation (an enduring attraction) and sexual orientation identity (which may change at any point in a person's life). Scientists and mental health professionals generally do not believe that sexual orientation is a choice.