If I do nothing, I will lose the ability to be accepted as a female forever, and within about five years. That choice is already being made for me. It is ten years from now. It will never, ever change. Suddenly the entire world is devoid of gender.
All people are hermaphrodites, utterly androgynous in personality and form.
The culture reflects this, as does all human interaction. I am still me. One of the following things is stopping me from being my preferred gender. I am unsure. I fear what others will do.