Hey DRC,
Thank you for trusting us with so much of your story. It takes real courage to lay all of that out, and I want you to know you're in good company here.
First, I have to say - your wife sounds like an absolute treasure. "It's still you, you are the person I married on the inside" - that kind of love and acceptance is beautiful, and having that foundation makes such a difference as you navigate everything ahead.
Your journey resonates with so many of us here. The childhood memories, the shame that got layered on top of something that was just... you being you,
Crossdressing became a way to self-soothe through trauma. These are threads we see woven through so many stories in this community. You've carried a lot, and you've built a life through sheer perseverance despite not getting the support you deserved growing up. This says a lot about who you are.
Now to your practical questions, because they're good ones:
Regarding the changes becoming harder to hide - yes, after 2+ years on HRT, and especially now that your estrogen is finally in therapeutic range, you're likely going to notice more visible changes picking up pace.
Breast development is the big one that's hardest to conceal, though a good compression sports bra or layering with looser clothing and flannels/jackets can buy you time. Skin softening, fat redistribution, and facial changes tend to be more gradual and people around you often don't notice as quickly as you'd think - they see you every day so the changes kind of sneak past them.
You may have more time than you fear, but it's wise to be thinking about it now rather than being caught off guard.
Regarding your family doctor - this one is important and I'd encourage you not to put it off too long. Your family doctor needs to know what medications you're on for your overall health management. HRT affects cardiovascular health, liver function, bone density, and lab work interpretation. If your family doctor is running bloodwork without knowing you're on estrogen and an anti-androgen, they could misinterpret results or miss something important.
You don't have to make it a big dramatic reveal - you can simply let them know you're being prescribed HRT through another provider and you want to make sure your care is coordinated. Most doctors are far more matter-of-fact about it than we fear. And if your doctor reacts poorly, that tells you something important about whether they should remain your doctor.
The "one foot in, one foot out" place is one of the hardest parts of transition, honestly. You're changing on the inside and increasingly on the outside, but the world around you doesn't know yet. It can feel like holding your breath. Give yourself grace during this time. There's no rule that says you have to come out on anyone's timeline but your own.
You've already shown you know how to build a life through hard times. You've got this too - and you don't have to do it alone anymore.
With love and support!
—Susan💜