Why Do Lesbian, Bisexual, and Gender Nonconforming Women Statistically Present

Why do lesbian, bisexual, and gender nonconforming women statistically present later for gynecological concerns and are at greater risk for gynecological cancers? (Select all that apply.)

A) Belief that routine gynecological care is not necessary if one is not seeking contraception
B) Falsely assumed low risk for sexually transmitted infections
C) Fear of discrimination by health care providers and staff
D) Having decreased body mass indices and lower rates of smoking and alcohol intake
E) Lack of engagement with genitals and menstrual cycle