well, lost...it's not likely you'll ever convince yourself it isn't real. it is real and it is you. you may not want to "come out" to anyone, honey, but you can no more turn yourself into a man then you can drive your car to the moon...it ain't gonna happen.
if you were born a woman, you will die a woman. what you do about it is entirely up to you. some people do go through life without doing anything of a physical nature and live reasonably good and happy lives. you just have to come to the terms with it that are right for you.
you do continue on with your therapist, keep looking, keep searching and keep an open mind. circumstances change and options follow. one thing you always have, it's yours if you want it....that's hope.