My earliest memories include a desire to express a feminine self which was not allowed to blossom because of the sex I was born as. Dysphoria can be manageable for a time but the longer you ignore it, the more insistent it becomes. Hitting my early forties was my breaking point after which I could go no further and sought help at the hospital gender clinic thinking naively that I could be cured. That was 15 years ago, and I am no longer the same person.
Full blown transsexualism is no doubt even worse and commands your attention like nothing else. For someone like my friend Sherry, transition was not a choice; it simply had to happen.
Finding a solution that works for you is pivotal and without one your mind will not rest. Whether that be transition or not is up to you.