I am nearly 30 years old. I am severely balding, have a full beard, I've put on a lot of weight in recent years, and I'm pretty much an alcoholic at this point.

I've come to the point I recognize I wish I could be a woman, but I just can't be. There's no way someone like me could ever pass as female. I am a distinctly male and disgusting creature.

What do I do? I am perfectly fine continuing to live my life as a man and accepting who I am. But I also know that I would much prefer to be a woman and that I feel "spiritually female" in many ways. Where do I go from here?