I identify with lots of thoughts in this thread. I'm in my early thirties and sort of unsure of what to do. I start slipping into depression if I 'ignore' actively working on figuring out who I am though. I found myself slipping into it again and have started with a therapist to work on what next. Like others I just don't want to keep burying it and let year after year pass by. I feel like my wife and I have a certain amount of our lives on hold because she doesn't know if she'll stay with me if I transition (lately I'm thinking she won't, but I don't know for sure).
I just don't think it's healthy for me, or for her to have this hanging over our heads. I feel that if today I feel transgender, and it hasn't gone away for 30 years, that I doubt it's going away in the future. Being a girl has honestly been my single biggest desire for as long as I can remember - and yet I still doubt. There's not a single day I haven't thought about it and had it weigh on my spirit. And yet, I am scared to death to lose the woman I love, and produce a disruption in the life of my family and friends. Not to mention the financial and social challenges that must be overcome.
Still, when I don't move forward I slip into despair. I need to decide once and for all if I will find increasingly creative ways of distracting myself, burying the issue, or maybe becoming a super fem-guy or something for the sake of all those around me, or if I continue with the next step, which is to add "E" to the mix.
There are lots of us that are struggling with this, both on the MTF and FTM sides of things. I can easily see why they say it's the most difficult thing one can do in life. I'm barely holding together emotionally at the thought of losing my marriage over this, but I just don't know what else to do but keep moving forward.