I'm not sure what your drive is but from where I was living in rural West Virginia it was well over 2 hours to either DC or Pittsburgh to a gender clinic.
It was also a good 90 miles to get to the closest, and only, support group nearby. I danced with the Trans-Beast all my life. A few years back I knew I needed to take on the beast for real. I also had a very well entrenched "Male" life that included a wife whose health was failing, a career I loved doing that paid well, as well as a lot of other non-gender aspects that made me ME. My dysphoria was generally not to the point of needing, nor even wanting, to risk all that for say 20% of what I am.
Though for about all my life I lived within 15 minute drive of Times Square I never got involved with anything TG. However, I cannot describe the state of shock I was during for some time after I made that 90 minute drive to my first ever TG Support group meeting. I was not prepared at all for the experience of being in a room filled a dozen or more women "introducing" themselves whose life stories and feelings for all intents and purposes practically mirrored my own.
Being a logical engineering type I said to myself; "Self, this may be a fluke. See how you feel after next month's meeting". Well, pretty much the same. By the end of the my 3rd meeting I knew it was almost too late to tell my wife what is up if I was to have any hope of keeping things together.
My wife knew from about day 1 of my gender issues and even of my history of 2 failed transition "experiments" which eventually led to myself resigning to a fate of "Just a CD". I had my monthly or so "escapes" from maleness which came at a high price. For days or longer all she could see was "Joanne" when she looked at me. Any sort of intimacy was out for sure. Plus my own guilt over such a self-indulgence when there was plenty of other things that needed doing.
Even in my case dropping the T-Bomb was no easy undertaking. Her visceral emotional response for the longest time was betrayal. Also her BIG hot button issue. The betrayal, or lying, or what have you is debatable. I wanted to be just a CD, and pulled it off for well over 30 years