Incongruence is a birth condition which is with us for life. Our circumstances dictate how we handle it, and it seems the levels of incongruence vary from person to person, as well as at different times of their lives.
My awareness at 4 years old manifested in persistent dreams where I was a girl, and a strong desire to present that way, but my circumstances prevented this from happening. My dreams and urges (I started to realise they were not desires as I wished they would go away) persisted and by my teens I realised that my incongruence was something different to what I wanted for myself in life. Of course, in the 1960's I had no terminology for this.
I found ways to reduce and tolerate my incongruence, and pursue my life goals. These included having children and securing a life for my family. In this pursuit, I was crazy busy, and had no time for incongruence (Though it was still very much there). By midlife I was happy with the life I had created, and my circumstances allowed me to take steps to deal with my persistent incongruence in that my then spouse agreed that I could present as I needed at home, and change career to work with women. This worked really well for 2 decades.
From my late 40's, my T levels started to fall (though my levels were never high) and I avoided male aging effects of hair loss on my head and gain on my body. Through my 50's, I was diagnosed with hypogonadism, and I noticed genital atrophy. In this period, my dysphoria from incongruence increased. The agreement with my wife was that I never revealed my incongruence to anyone, or made any moves to transition, and I loved my life with her.
In my 60's, my dysphoria increased to bouts of depression, and finally to affecting my immune system, causing me to become seriously unwell. At 65 my doctor talked me into trying low dose Estrogen which worked to cure me from my illness, but, fearing my wife would leave me, and transition would cost me other loved ones, I stopped Estrogen (I never needed anti androgens). Of course, my illness returned, and my wife argued for me to re start Estrogen. I had a deep fear of losing those close to me, and fell into a deep depression for months, until I came out to my family.
Fortunately, everyone was supportive of my transition, so my depression left me, but after my genital surgery, so did my wife. In reflection, I wish I never had gender incongruence. It made my life miserable and cost me my soul mate. I realise it is a medical condition I was born with, and had to deal with all my life. I had realised it was not who I was, or my 'true self', and I realised my 'true self' independent of my incongruence. I have fully transitioned, and live a comfortable life, but I don't now and will never feel authentic in myself. The presentation I currently have is not who I truly am.
Hugs,
Allie