If you can no longer keep it inside then it’s time to come out, make sure it’s what you want because it not easy, it’s caused me lots of problems, and I still struggle even now, but it is worth it to save your soul and become who you really are, it does get easier every day, we live in a social climate that is becoming more tolerant and accepting, not so when I was younger, regrettably for me I kept my secret for years, find a submissive doctor and discuss your options,