* 36 The Society of Obstetricians and Gynaecologists of Canada Gender-inclusive language policy: SOGC to promote LGBTQ+ inclusivity. Although our focus in this commentary is on cisgender women who seek sexual and reproductive health care, we acknowledge that people of other genders, and particularly trans men and non-binary people, will also access these services. There are unique considerations in the delivery of appropriate care to these groups that are unfortunately beyond the scope of our commentary; however, we invite the interested reader to refer to SOGC's forthcoming Gender-Inclusive Language Policyfor more information.

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Sexual minority women(including, but not limited to, women who self-identify as lesbian, bisexual, or another non-heterosexual identity and/or engage in same-sex sexual behaviour) have specific sexual and reproductive health needs that are relevant to the practice of obstetrics and gyneacology.However, there has been very little study of sexual minority women relative to heterosexual women in the field of obstetrics and gynaecology, and the SOGC's most recent policy statement on sexual orientation was published in 2000.The title of this statement, “Lesbian Health Guidelines,” points to another significant limitation in our knowledge about the sexual and reproductive health needs of sexual minority women: the focus of existing research, practice, and policy in this area has almost exclusively been on lesbian-identified and/or female-partnered women, to the exclusion of bisexual women. This focus, while reflective of the field of medicine as a whole,represents a serious gap, considering that across a variety of population-based surveys in a number of countries, there are more bisexual women than there are lesbians.For example, data from the Canadian Community Health Survey (2003 and 2005) indicate that 0.8%, or 71 000 Canadian women self-identify as lesbian, compared with 0.9%, or 85 000 Canadian women who self-identify as bisexual.Further, this is an especially serious gap among women of reproductive age or potential considering that many more bisexual women than lesbian women desire and/or have children.For example, one US-based survey found that 59% of bisexual women reported having children, compared with 31% of lesbians.The objectives of this commentary are, therefore, to increase knowledge and awareness about bisexuality among providers of sexual and reproductive health care, share information about health disparities for bisexual women, and provide strategies for integrating this knowledge into clinical practice.