I wish saying I'm a lesbian would be sufficient

I wish that people who aren’t cis women who sleep exclusively with other cis women would stop calling themselves “lesbians” so that when I go to the doctor and say “I’m a lesbian” my doctor would immediately understand what that means for my sexual health and tailor their recommendations accordingly. And I wish saying that I’m a lesbian would be sufficient to opt out of invasive and humiliating pregnancy tests (for which I’m then billed) prior to a medical procedure, so when I say “there is NO POSSIBLE WAY I COULD BE PREGNANT” they accept me at my word.