The problem we have is as we come out is a severe problem with being selfish in our drive to discover our true selves. Often, we are so frenetic in our approach, we have a tendency to forget those around us. All of a sudden, we are stuck between a rock and a hard place. The rock is family, finances and friends the hard place is the fact we really don't have a choice. The pressure increases if you are considering hormone replacement therapy. Unless you are on a radically different regiment than I am, you can say goodbye to most sex lives as you knew it. The prospect didn't bother me as much as some because in my own way, I had approached sex to me as being between two women anyway. Which did not meet with success in the bedroom with my wife.
As selfish as all that was, it was the only way I could save my own life. I can't tell you how many times I wished I could just cross dress every now and then to decrease my desires. It just didn't work that way with me.
All of this led me to massive fights with my wife, especially on the occasions when she caught me breaking our pre approved cross dressing curfews. I remember vividly the day she told me to be man enough to be a woman and leave our relationship behind. As you can tell, she was wiser and I was stubborn. I had yet to realize being a woman was not a choice with me. Once I did, she had passed away before I made a total Mtf gender transition.
If you are a better person than I, try to look into your soul and take the gender path which is the most natural to you.