I have been 'on this side of the fence' since 1974, age 24, initially "deep stealth" for 15 or 20 years and "semi-stealth" since and I will share my thoughts on the matter.
From earliest childhood pretty much everybody knew I was "different" - there was no hiding it! By the beginning of public school, I was fighting against being miss-gendered and being difficult about it. By puberty I was trying to find medical help and to avoid being institutionalized for 'my delusion' and by my mid teens I was actively trying to educate doctors (and others) about a condition known as transsexualism and to force open doors to treatment and acceptance.
I was never interested in girls (except as friends), never dated, never married, and fought for understanding of the difference between transsexual and Gay. I lived part time en femme, whenever I could, when it was totally unacceptable and illegal (if found out), and couldn't pass as a boy even when trying. I was "out", I was militant, I was vocal, and I was pushy (to the medical establishment). In most cases, I was the first transsexual that most doctors and/or clinics had ever seen and usually educated the medics in return for treatment (or at least consideration).
By my early 20s my strength was pretty much gone - I had fought as long and as hard as I could and my fate lay in the hands of others. Thankfully by then there were
others, two doctors in particular, who had come to see the necessity for medical (surgical) support and, thanks to them, I found my escape, thought it cost me everything I had - money, family, friends - that's just the way it was back then.
After SRS/transition, I didn't care about "the fight" - I had done my part and it nearly cost me my life. I hung around the 'gender clinic' (that I had helped establish) for a short time, just long enough for them to see the changes (at which they were astounded) and then the highest priority (for me) was to get on with my life - THAT is what the whole war had been about - being able to live a normal life.
I never had any fear of being outed - I just wanted to be left alone to make my own way, just as any other girl, and the only time my medical history was ever a concern was medically (where it could effect my health) or if a relationship was becoming serious. My medical history DID become gossip (as a result of a demented clinic worker) but I was firmly entrenched in my community and it had little effect. I was so comfortable and accepted in my new life that the rumours were dismissed as untenable. Now, after 37 years, many of my closest friends know a little (or a lot) about my childhood and it doesn't bother me because I know who and what I am and they simply can't imagine me any other way (not that I ever
was any different!). It is pretty much a non-issue.
I fought in the war, I was there to liberate the beaches, I did my part, and I feel no obligation to return to the fray, thank you very much. The war I fought was to live a normal life, not "life with an asterisk"! If someone feels I owe some continuing obligation to the cause .....
TOUGH!