Snowsong,
I don't know if this is helpful or not, but I can tell you that I spent twenty years not discussing my issues for external reasons. At the age of 32, I finally realized that that calculus of factors can always be skewed in a way that leads to a conclusion that bottling up your feelings is a positive move (for example, valuing others' happiness and comfort over your own). I realized that, while I could adjust the relative value I placed on different factors, that the truth of my gender dysphoria was unwavering.
You have to calculate the cost benefit analysis for yourself, but, if you can, try not to assign coefficients with the goal of justifying a predetermined conclusion.
Maddy