Ok now explain Lesbianbutchdikeism.
Lesbian, Butch, or Dyke. The Arabs are no longer allowed to even whisper the term without the possibility of being beheaded.
OK, not being any kind of "expert" in the area, and no, I didn't spend the night at a holiday Inn Express last night, and basing this on "common sense," I'd say it is a choice. And not a good one. If one accepts that "lifestyle" as normal, you have a mental disease. Even if you worship "Mother Nature" or "Giea" or another man made god, you are a damaged individual and actual biology (or what ever Ogy you want to apply,) and natural selection will kill you.
PCOS