you should direct your question to a shrink, for they are the doctors that follow the path of a transgeder and try to access their deepest insight. To my humble opionion, and I'm no doctor here, if your only memories about your sexuality and body are those of discomfort, probably it means that you don't really fit in the body you are born with. Gender figure also plays a great deal in this, what other people in you society expect your gender to be like, to behave like. That's where shrinks come in, digging their way through their mind and emotions and trying to figure it all out. The undeniable truth is that it is a long and painful and difficult path, no one decides to be a transgender overnight or just because he fancies high heels nad beads. Another truth is that transgenders are taxpayers too, just like everyone else, they work and study, they graduate and contribute to the country wellness just like everyone else, I don't see why they shouldn't access to the medical care they need just like everyone else.