I've met transwomen who by most measures you'd way "They don't pass". Yet they are VERY happy living full-time as females. A new member of my group recently said "Eventually you get to the point where you just don't care" I tend to be on the more darker side with "Life sucks and then you die" followed by "Which pain is worse?"
I consider myself blessed in that I am not a member of the "Transition or Die" club. I somehow managed (poorly) to fumble through 40+ years of dealing with my GD. I changed my tack 5-6 years ago and the sailing has never been smoother. Yet there are still the days I look over that membership form really close with my pen out. I may want to transition, fortunately I am not (yet) at the "Have To" point. Maybe never. Maybe next week.
I didn't realized how depressed I was thanks to the GD. Slowly over the years I had to shut down more and more emotionally. Perhaps to keep feeling the GD? I slowly turned into a thing, a machine. I woke up every day, went to work, came home, ate and went to bed. No hopes, no wishes, no dreams, bar one given up on a long long time ago that I always had to keep on burying deeper and deeper.
Are you doing anything for your GD?
Having GD does not equate to having to transition. Transition is sometimes the best way to manage it but not the only. GD is a broad spectrum between cis male and cis female. There is also an infinite number of ways to manage it.