Not much of a choice for me either. Suicide is simply not an option, ever, for me, so that was totally shut down. Drinking is not an option I have been sober for decades and am a highly respected AA member. So for me the brain went into a dark place of total overload finally resulting in me reaching out to the docs for hormones, getting my letter, taking counciling. But first I called my best friend and told him, expecting rejection which would have resulted in me completely cracking up. He did not reject. He remains my best friend and a prayer partner.
I was ready and willing to be kicked out of the house, find a hotel room in a lousy area, and start looking for companionship in the bars like I did at 18, dressed under my clothes then, incredibly drunk, looking for anyone that would pick me up in the gay disco whether male or female. Get blitzed drunk, add pot if arround, and get laid... every night for years. I used to pass out before I got laid and it probably saved my life.
So long before I hit the wall at 55 I had already hit the wall. I fought this dysphoria as hard as anyone could, and the result was that it utterly crushed me.
My choices? Accept it, or allow my mind to completely and totally shut down in the worst possible breakdown imaginable.
Now, on hormones, with expert shrink help, with an understanding or at least trying to understand wife, living stealth male albeit uncomfortably but its always been that way anyway, and sharing here on Susans with you - and you are precious to me, believe me,
I have a large measure of peace and freedom. Hormones have made a huge difference for me. I remember driving early on and realizing I was actually experiencing Happiness. Not driven happiness, it was wow thats a nice field and the colors look cool happiness that comes from someplace other than escapism or horsepower or compulsive behaviours.
My option on testosterone is madness. Agony. Now the journey of self acceptance, embracing, seeing the person in the mirror that is me and not something else, honest feelings, breathing deep to release tension and actually feel my very female nerve endings, not repressing, not getting sick over it, not forced to race to forget the pain, not having to prove anything to anyone, being more valuable to those fighting booze, reaching out to the street people... restoring others. There are a host of reasons for me to be trans.
Did I have a choice? To be healthy, or to be very, very sick. Now, I am healthy. A little nervous, a little raw, and extremely vulnerable - and thank you girls for not being judgemental about me living stealth socially male in spite of my very female wiring - this is where I am now.
So reality is, no. I did not have a choice and based on the options, I was destined from birth for this crisis and this moment.