I have a dilemma and could use your advice.  I am not out to my family - I live in Australia and they live in the US.  My sister and I are very close and she most likely knows about my being trans as she is on my facebook (sees my male appearance and name).  I am starting T on Tuesday.  The thing is, I can't hide the changes for long.  Every time I want to tell them, there's an emergency - my grandmother with Alzheimer's is moved into a home, my drug addict Aunt who lives with my grandfather falls and breaks her jaw, etc.  They know of my wife and I and undoubtedly assume I'm a butch lesbian.  I wanted to mail them a physical letter, but now my Mom has moved in with my grandfather and Aunt and has now been hooked on painkillers and has become "righteous" and a born-again Christian.  My sister, who lives in another state, has just had to look for another place to live.  I didn't want to come out via email, but I may have to with my sister.  My Mom, grandfather and Aunt have no Net access.  I feel kind of lost.