Macklemore and Ryan Lewis's hit song Same Love, which has become an unofficial anthem of the pro-gay marriage campaign in the US, reflects how many gay people feel about their sexuality.
It mocks those who "think it's a decision, and you can be cured with some treatment and religion - man-made rewiring of a predisposition". A minority of gay people disagree, maintaining that sexuality is a social construct, and they have made a conscious, proud choice to take same-sex partners.
But scientific opinion is with Macklemore. Since the early 1990s, researchers have shown that homosexuality is more common in brothers and relatives on the same maternal line, and a genetic factor is taken to be the cause. Also relevant - although in no way proof - is research identifying physical differences in the brains of adult straight and gay people, and a dizzying array of homosexual behaviour in animals.
But since gay and lesbian people have fewer children than straight people, a problem arises.