Your post is really resonating with me. I read it the yesterday and have been pondering it since. Please PM me if you want to talk about it
Let me count the similarities.
1) I do not desire the operation on my genitals for various reasons. I'm okay with my male genitalia too. If science advances and I could have a stem cell grown vagina from my own cells I would probably do that, otherwise to me the operations they now have seem too dangerous for me to attempt. Doctors freak me out because what they do is practice medicine... I don't want to be practiced on in such a sensitive spot.
2) I would kill to have my adams apple fixed, I too have issues with a choking feeling, and the protrusion actually looks un natural even for male. I was in a fight where I was almost choked to death and have issues since. When swallowing I can feel a click.
3) My libido has caused a lot of trouble in relationships too. Except for the one girlfriend in my 20s that was a nymphomaniac, all the others just can't keep up with my bodes desire for sex. I decided that taking care of "things" myself was my best option and have been single for about 8 years. Happily single I might add. I would gladly turn down the dial on the sex drive but would never want to switch it to Off. I might even be able to have a meaningful relationship if my sex drive was not turned on so high.
3) I started getting boobs because of illness and lowered T and WOW it makes me happy looking down and seeing them. I hope they keep puffing out, they just feel right. I wish some fat would fill in in other girly areas but I am naturally skinny and high metabolism. My body just looks like it would fill in nicely if I had more estrogen in my system.
4) Body hair, not an issue I have none. Face hair is minimal but I HATE how it feels. It feels wrong, when it is stubbly it just makes me feel awful when I touch it. I will have to zap it one day! I love love love my hair on my head, which is long and has been for 30 years. If I start balding I will go into panic mode for sure.
5) Voice, well yeah I hate my voice. I would love a female voice as long as it was not ditzy or made me sound unintelligent. (Please don't take this personal anyone with female voices) In my line of work I can not sound like a cute girl or sexy woman, no one would listen to me they would be too distracted by cuteness... Maybe a nerdy girl voice is what I seek, but I know not where to begin that journey. The feminine voice training I have looked up all seems to point to a musical, cutesy, rhythmic style I have a hard time emulating. I need a girl to talk nerdy to me!
6) I too need a therapist (maybe) , I had one but I was too complex for her and she referred me to one in the big city... 2 hour drive and a bad part of that city.

So I am again looking for someone closer. I actually don't feel I need a therapist, they have never helped me in the past, and when I am completely honest with them they usually say they can't help me because I don't have issues they understand or the things I want to discuss are too complex for them. I also don't feel I need the permission of a therapist to know who I am. I am sure many people benefit from a therapist but I know I don't need one to feel whole, or to help me make these decisions. I trust myself completely. A therapist for me just mucks up the works.
sam1234 said "I'm I correct in that your libido causes you problems because you get a visible erection that shows through your clothes? Thats a tough one. "
In my case it is not the visibility thru cloths (altho it would be nice to wear some things that I can't with the current bulge). It is the fact that I wake up hard, and am hard a lot of the time and turn to master-bating or sex to alleviate it. Partners can't keep up. It is less than when I was younger but it is still a problem that is uncomfortable if not taken care of. Probably TMI
I still need more tests from the Drs and to look into what illness is causing changes. Would HRT help me or would it hurt me? I have Lymes Disease and those pesky buggers eat and grow on testosterone and perhaps might eat the estrogen too. Anyway I have to submit my self as a lab rat for the Doctors to poke around and see whats going on with my biology. I hate doctors. I am not "not transitioning" I am just trying to be me and trying to be happy with what I have. Maybe some minor surgeries and hair removal is in my future, maybe HRT. What I do know is that I am okay with it and the changes that would come from it. I also have supportive family and friends so that makes it all so much better.
Again PM me if you want.
P.S. I find the comment by Randi very interesting. My doctors are saying I may have secondary hypogonadic issue being caused by my Lymes disease and my age and that I may have even been living with primary hypogonadic condition because I could actually be intersex. New/more tests are needed. I refuse T treatment. I am trying to convince them to try E and see if it helps me. I am waiting for the doctors to decide it was their idea to try E, then they will help me.

Just like testing for Lymes, I told them what it was, I had the tick that made me sick, they had to test a bunch of OTHER things before deciding, "I have an idea, lets check for Lymes Disease..."

so yeah, all very interesting stuff. Thanks for making me think

-Jade