As Lancaster has reported about gays in Nicaragua, “The homosexual is located outside the operational rules of normative heterosexuality, and’’he is an object of the subjectivity of machismo [18].” This causes internalized homophobia, extreme repression, and denial of sexual desires out of concern for appearing or attempting to feel “normal” or “accepted.” It has a negative effect on the definition and disclosure of one’s sexual identity, as well as on relationships with family and society.