I think so many people get messed up on this fear of fetish thing. I had it. It psyched me out. I found out a lot about how untrue it was when I went out in public and was perceived to be female. I loved it. I wasn't embarrassed as I thought I would be, I was on cloud 9. HRT helped with dysphoria and lessened the sex drive, but it didn't remove my need to be female. I think it needs to be understood that trans folks have sexual urges that are natural like everyone else, but because their gender is not right, those sexual desires get squeezed and it could be misinterpreted as a fetish. Of course, there are those who might have a true fetish. Someone who only wants to wear panties, or likes the feel of certain materials would be more fetishistic. For trans folk who might not want to transition once on HRT, one must consider the 'why.' Sure one could think they back off because they aren't truly trans. The thing is, transition essentially blows up your existing life, is very difficult, and can cause you to lose loved ones. These things could certainly cause someone to want to bail on transition even when they are really trans.
I know transition is not for everyone. I admire anyone who tries to figure out their gender issues. If they start transition and find it isn't right, great. I suspect that there are a whole lot more who don't attempt a needed transition because of a fear that it is a fetish. That is a shame.
Moni