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A lesbian is a homosexual woman who is romantically or sexually attracted to other women.   The term lesbian is also used to express sexual identity or sexual behavior regardless of sexual orientation , or as an adjective to characterize or associate nouns with female homosexuality or same-sex attraction.  
However, Ellis conceded that there were "true inverts" who would spend their lives pursuing erotic relationships with women. These were members of the " third sex " who rejected the roles of women to be subservient, feminine, and domestic.  Invert described the opposite gender roles, and also the related attraction to women instead of men; since women in the Victorian period were considered unable to initiate sexual encounters, women who did so with other women were thought of as possessing masculine sexual desires. 
Lesbians in Western cultures in particular often classify themselves as having an identity that defines their individual sexuality, as well as their membership to a group that shares common traits.  Women in many cultures throughout history have had sexual relations with other women, but they rarely were designated as part of a group of people based on whom they had physical relations with. As women have generally been political minorities in Western cultures, the added medical designation of homosexuality has been cause for the development of a subcultural identity.