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In fact, most people with mental health issues struggle in this way. Sexual identity is not the same as sexual desire or performance, although it can be affected by both of these things.Sexual identity refers to how we think of ourselves when it comes to sex with quality sex toy: how we feel about our own bodies and what we like doing sexually with women rose clitoral stimulators; whether we identify as heterosexual, homosexual or bisexual; if we are transgender (trans). It also includes things like whether someone has a gender preference for partners (or neither) and their preferred pronouns (he/him/his; she/her/hers).