The one thing a person needs to do is see a gender therapist. Then let that therapist refer them to a psychiatrist and them go from there. One thing that really needs to be done is knowing yourself. I have been back and forth when I was younger quite a few times but the woman was always. Eventually it became to much. But no matter what only the individual can decide and fear should not be an aspect. I am kind of lucky and will admit that. Gynecomastia, something else not growing through puberty. But I have gone back and forth.
DID, that I believe used to be called MPS. In Multiple Personality Disorder the different personalities don't even recognize or aware of the others.
I am a firm believer in knowing yourself. I am also a firm believer in holding off until you know totally for sure. So maybe do the woman or man thing for a year or more with Low Dose HRT and see before you fully commit. Buy a good wig and makeup and women's clothing or vice versa and go out of town and out and see how you feel, preferably in a trans friendly place though.
None of it is easy and all of it will be scary but facing fear is a way to overcome and one step closer to knowing you. Sometimes desire to be you trumps fear but little things at a time. Piercing both ears, plucking brows, shaving legs and wearing shorts in public, a little makeup that is so subtle or whatever else.
I am comfortable with it even though not on HRT. I have the small boobs and don't have to tuck but it is always scary because I know who and what I am. There are no magic pills or cures. OMG I have prayed for them since I was 4 but it was all on me. It is hard work but don't let that turn you off from it because it is so satisfying. Am I intersexed slightly, maybe but don't know don't care. Am I transgender? Oh yeah. Am I female? Hell yeah.
The only thing that I can do is relay my own experiences. Other's experiences will be different. But who wants to be the exact same as everyone else. I did that for four years and had to find an outlet and did.
I know a lot of people hate stereotypes, societal norms and so on but they can work in your favor if you learn how to be a stereotypical female. The voice, the behavior, the movements the actions and reactions and so on. That is where the work come in. The fear comes in with the look and the clothing in public and smooth legs and underarms and even chest and face.. If you have short hair, most women have longer hair so invest in a decent wig and one with bangs screams feminine.
So it takes a lot of work and there are plenty of MTF and FTM turtorials on youtube to change vocal tones and intonation, to move and walk and a tutorial isn't worth a crap without practice and that is where the work come into play. Then go out of town for the weekend and go out even if on your own and preferably to a place that is trans accepting and that is where the fear comes in. The pain in the ass comes in with the daily shaving, the plucking, the makeup and so on. Also matching clothing and shoes with your makeup. Guys have it so easy but not really because they have to put up with women and all the pain in the ass stuff I mentioned. It is life. I think a lot of people overlook that little aspect of the situation. I have a boyfriend and he is ready in less than half an hour to go out. It takes me about an hour and a half to get ready to go out and then I constantly bug him about my looks and clothes and my shoes. It does sound stereotypically female but as long as I have been this has been the norm.
I would not change a thing though. Well one thing and that is if I would have been born a girl. I had no control over that but I would rather enjoy being feminine even if no boobs because that is me and my self identity, emotions and all.
Damn I talk a lot but in all seriousness, no medication will ever make you who you truly are inside. You may be both and go back and forth. Nothing wrong with that either. Just do it and follow it but never be angry about it. In The Human Condition there is not a one size fits all.
I am a trans woman and present as female and nature kind of took care of a little of the HRT part but I have no desire for SRS. I have a boyfriend that says he loves me and is attracted to me and he is not gay. Not too many have been to be honest. the ones that were seemed to break up faster than those that were straight.
Mods please feel free to remove this part or whatever you need to remove from my post. Just PM if you do so I will know why.
Everything I have done and all the choices I have ever made in my life has revolved around being trans except trying to prove something when I joined the Army and that didn't last too long because I decided to live off post overseas and in the US. I could have been a cop with a pension and really high up but I still chose to drive a truck because the bug bit and I could not be a male. So now I won a business and pretty well off on paper but sometimes paid more than average and sometimes less. But I am happy though more or less. I chose to do whatever I did to make myself feel real??? Driving trucks I could shave, have long hair, dress how I wanted and so on. If I would have stayed in the Army that was out of the question. Being a cop? Yes I could have been but in a small town probably not as trans. Driving a truck? I have been pulled over in full female mode and never got a bad word from the trooper or DOT. Treated with nothing but respect. Shaving in the sleeper sucked though. But sometimes the choice isn't ours, we just have to choose according to who we are. It sounds simple but it isn't. It is hard but rewarding.
I really don't know how to say it other than being trans will always be hard. There will always be a lot of work to it even if that work means being stereo typical but it is worth it even if you go back and forth. I think that is why I chose driving because companies don't care as long as you drive safely and get the loads to point b on time. Actually they could care less if I was a shaved gorilla wearing a tu tu and making them a profit. Now I am the same way.
So we can't choose how we are born or who we are born too but we can choose who we are in life. And life is so precious yet sometimes it sux. But accepting who we are makes it a little sweeter and less sucky.
I know that is pretty deep and maybe hard to understand but we should look past a penis or vagina always and see the person for who they really are.
Truly sorry for the long post.