There are many of us that feel fear and many things that hold us back,and many of what you named.But there is some things i wish for you to look at and this is from someone who is VERY mentally and emotionally unstable.(This is due to an accident during birth that caused brain damage)
1) Our Birth : Regardless of how we are born,we are.We dont look at our gender,our hair color,our eye color or even our skin color,our age or any such things.ALL we see and feel is life running through our body.even if that body was the wrong one,the one thing that matters here is.*YOU are alive,YOU were created,YOU are a rare and one of a kind* This is where you need to be confident and realize *I may not have had the body/life i should have had but because i AM alive,i can change that*
2) Our Teen years : For ALL human beings,regardless of race,gender,or mind set,it IS a hard time.we ALL deal with the same things,the puberty,the emotions,the push downs,the outcasting for many reasons.Yes this is normally when alot of people find their selves and notice rightfully *something isnt right* and that is when they are lucky enough to do something about it *with supportive parents* but without,then they are *forced* to keep it all in.this isnt the fault of the teen,not in
anyway.So think *even as i should have been,would i want to relive all that over agian? going to high school,then being made to feel bad about myself,being pushed around or other issues i have dealt with before* I can say without a doubt,i would NEVER want to relive that agian.Yes i know how i should have been born but for ME,it was hell on earth and im glad its over.
3) Personally : On a personal level,i can honestly say that all anyone can do is give you encourgment,let you know you are not alone but this is a battle YOU must face head on.What terms are you willing to go by and what lines are you willing to bend for what makes YOU happy? its not a death but rebirth for MANY of us,yes there will be alot of pain along the way just as our mothers had while giving birth but after its over,the pain is gone and the happiness consumes us because we are finally free.I know the feeling of fear when it comes to loss,i have already dealt with enough that i have nothing to live for,AT ALL.but im still here and i want to remain here because i know in my heart the future is bright for ME,not how i was born,not how people treated me in school,not how people think i should be.
I suggest taking time alone and draw your own personal lines,your own breaking points,your own *do or die's* that involves family,friends,work,all situations and come to an agreement with yourself.once you have it all on the table,then you will be able to see the puzzle coming together.but i wish you luck and keep your head high.