After a bit of therapy, talking with some close friends and my very supportive wife, I've come to a very important conclusion...
I'm a girl. I've probably been one since forever.
I wasn't sure before, but every step on this journey for me so far has felt very liberating. I feel happier. I'm starting to feel more like I can express myself to others.
My wife recently got me my first girl clothes. It's really kind of funny how affirming and winderful some pieces of cloth can actually be. She'll be getting a dress for me soon, once I've decided on one.