Until after my divorce, I had thought it was just the clothes and makeup.
Post divorce, I was able to dress as often as I wished, and that turned out to be any time I wasn't involved in earning a living. And my hunger kept growing.
More, more, I always wanted just a little more; something seemed to be missing, but I couldn't put my finger on it. I even began to self medicate, and it felt
good, and I was getting "ma'amed" quite often, even though I was in drab, (musta been the hair.

)
It all came to a screeching halt when my roommate packed up and moved to AZ. I moved back in with my elderly parents (I was in my early 40's at that point) who were far more ill than I'd suspected; they required as much time as I could find for them, and my dressing went by the wayside very abruptly.
I was amazed at how easily I shed my fem side, after three or four years of daily dressing, and now really question my original feelings. After my parents were dealt with, I packed up and moved out west to a small town, and resumed dressing, but no longer on a daily basis. After a couple years out there, I had a heart attack and a quad bypass; that pretty much killed my urges to dress.
Another move brought me to a place in isolation, with no neighbors, and no pavement, living in the woods. After ten years, my urges to cross-dress are almost completely gone,
but I still think about it every day. Put me back in an urban environment, and I suspect I'd be out shopping within a couple weeks.