Hi Alex.... hugs to you
I like and agree with Joanne and Dena on this one, big time...
Accepting that you are transgender certainly answers a lot of your internal turmoil and gives a sort of peace on recognising who you are, but often it unlocks a bunch of other questions, fears and need to's....
I knew from a 4 yo that I wanted/should have been born a girl... but nowhere to go with it... at 5 when I realised the physical differences then Dysphoria kicked in. But over time it got buried... well controlled... then when at mid forties I realised that what I had been suffering was a condition I was elated... but then like you despair set in... how, what should I do, what do I tell my loved ones... career, home, blah, blah... they all took their toll, oh I am 62...
I am not kidding myself, that now, when I do deal the final cards will I have solved everything, absolutely not, but I know I'll be happy moving into the final stages of my dream and life, but for me any misgivings will have been the wasted years, the possible loss of family contact... dunno... maybe work may also be a problem.. But I must do it, I will be strong because I have been strong holding off all of these years. I will be a wreck if only I let myself be a wreck, after 58 years of being in the wrong body, I will be released, may even give me a longer life because of self peace.
Work out what you want, make a list, tick off each little milestone, you will be amazed at how much better your life and journey will be with ticking off those milestones.
Hope that helps a little
Katy xx