I'm a long time lurker and sometimes I poke my head up to chime in...
This whole topic of "does it every go away?" and its evil twin "does it just get worse?" has been at the bottom of my struggles for a very long time. I've known since I was 5 that I was born with the wrong body. But through a combination of denial, stubbornness, fear and lack of information (because I could never bring myself to Google any of my problems) I managed to keep myself from ever finding out what words like Gender Dysphoria and Transgender really meant. Seven years ago I accidentally read a magazine article about Transgender people and their struggles. I say accidentally because normally I would have seen the title, averted my eyes and then clicked to the next article on the screen as quickly as possible. I didn't look away that particular day and, as they say, my bell went off. I've been a mess to one degree or another now for the last seven years.
In one way that was a really great turning point in my life because it enabled me to really understand myself for the first time - and hey, who wouldn't like that. So that part was good. But, within a day or two of the denial lifting came the question about what to do about this. What to do? And this is the point where I really started to focus on the question about whether this will ever go away and also whether it will just get worse. Sadly, in looking back I can see that I was still very much in denial mode and that kept me for a long time from thinking the right way about the answers to those questions.
I was 37 when I read that article and had my breakthrough. If I had allowed myself to think it through the right way, the question of whether it ever will go away would have been clear, at least in my personal case. The answer is no. Maybe NO is the better way to type it. I had struggled with this since the age of 5, so at that point it had already been 32 years. 32 years! Other than eating, sleeping etc. there aren't many other threads that have run that long through my life. It should have been clear to me then, but it still took about 5 more years to really make peace with the fact that this just will never go away. And why should it? It's who I am.
The other question was a little harder to think through: will it get worse? When I had that breakthrough seven years ago, it got tremendously worse. But, my usual blend of denial, stubbornness and god knows what else led me to the conclusion that while it was worse at the time it would get better once the shock went away. It just HAD to, right? Nope. It's true that in the last seven years (or the last 39 years really) I've had some stretches where it subsides a tiny bit, but never all the way. Mostly it is torture. And, it seems to just get stronger each year.
I'm 44 now and in the last year I've made peace with two things: this will be with me until the day I die and it will probably keep on getting worse since that has been the trend for like forever. I'm past those questions now, and that's a big achievement for me. Now I'm on to this question: how will I feel about all of this on my death bed if I do nothing about this? Happy thought LOL. I don't mean it in a morbid way. It's really just the next natural question to ask. If it won't go away and it will likely keep on getting worse, will it inevitably be something I think about on that last day? And, if it is, what will my thoughts and feelings be? Ok - so it is a little morbid... Sorry. My job now is to try to take this particular issue off the list of regrets I have on my last day - lord knows it will be a long enough list by then anyway. What I do to accomplish that is still unknown. I'm obviously slow in working through all of this stuff.
Who knows - maybe this thought of my death bed and what I'll think about all of this if I do nothing is the main reason why it continues to get worse for me. The powerful fear of potential future regret.
We're all unique people and so this, like everything, affects people in different ways. But, from my own experience and my years of lurking on this forum, I can say that for me and many others it does get worse if you don't do something. I just hope that me, you and everyone else in this boat can find the "something" we each will need in order to be happy in the end.
Ok - that's me poking my head up and chiming in. This is why I don't post very often, I just end up writing a rambling book and probably don't even really contribute much in the end.