For Me the reasons were that I was living with my folks and I was trying to please them, I was also scared and I didn't want to admit to myself that I was anything more than just a Cross dresser , but then I reach my 32nd Birthday and I felt I could not live my life this way any more and decided that I had to start living my life as a woman or kill myself (Which, thank god I didn't), since doing this I have left home, lost weight, gained confidence, I am a lot more social, I am doing better in job interviews, I am happier, overall I am now a better person, my sister, my uncle who lives close to town, my friends, my sister's friends, friends of the family, and other people in town all seem to agree with this.
Hugs Sharon