ʻIke ʻia ka moekolohe wahine ʻo lesbianism (ʻaʻole i ʻike nui ʻia ʻo sapphism a i ʻole tribadism). Loaʻa ka huaʻōlelo mai ka mokupuni Helene ʻo Lesbos, kahi i hānau ʻia ai ka haku mele Helene kahiko ʻo Sappho, nona nā mele e pili ana i ke aloha ma waena o nā wahine. Ke hoʻohālikelike ʻia me ka moekolohe kāne, ʻaʻole i aʻo nui ʻia ka moekolohe wahine. ʻO ka pilina o ke kāne like ma waena o nā wahine he mea luku ʻole ia a he liʻiliʻi loa nā pilikia, no laila ʻaʻohe pono e kālele i nā hana noiʻi ma kēia wahi. Eia nō naʻe, ʻo ka ʻike liʻiliʻi e pili ana i nā wahine e komo ana i nā pilina o ke kāne like e pena ana i kahi kiʻi mamao loa mai ka rosy. ʻOi aku ka nui o ka pilikia o nā wahine homosexual a me bisexual i nā maʻi psychiatric a hōʻike i nā pilikia pili i ke ʻano o ka nohona, me nā pilina pōkole, ka waiʻona, ka paka, a me ka hoʻohana ʻana i nā lāʻau lapaʻau , ka hana ʻino a ka hoa, a me ka piʻi ʻana o ka pilikia o nā STI. ʻOi aku ka nui o ka pilikia o nā lesbians kahiko i ka momona a me ka maʻi ʻaʻai umauma ma mua o ko lākou mau hoa heterosexual, a ʻoi aku ka nui o ka hōʻike ʻana i ka arthritis, ka hānō, ka hōʻeha puʻuwai, ka hahau ʻana, ka piʻi ʻana o nā maʻi maʻi, a me ke olakino maikaʻi ʻole.