The comment above is a good one - but got me to thinking. Just what kind of quality of life improvement is enough?... if your quality of life has stayed the same or improved maybe go with the flow for a while ...
I do think of myself as better off in many ways these days. I'm far more stable psychologically. I'm more present, and have moments of ... dare I say it ... actually happiness at times. Don't laugh, but when it started happening, it was so novel that I didn't exactly know what it was until my wife pointed it out, also that it's normal! ... To which I replied, quite genuinely and innocently, "really?"
But depression still creeps in. I have my "Anne" days (see Anne2345's latest thread). I have a looming collision over physical changes from HRT with the male world in which I still live. There are the effects on my wife and marriage, which are considerable. The inner monologue goes on. The desire to be is still there. And now I know, of course, what the problem was that screwed up my life to-date.
So is THIS an improved quality of life? Frankly, on the whole, no. It's analogous to now knowing I have terminal cancer as opposed to simply being miserable and sick. (Not that I'd run TOO far with that analogy.) The treatment is helping, but the problem is still there. As Anne put it, it is still the issue to rule them all. There's no retreating from HRT. I'm certain that would be one of my last decisions.
So what's good enough? Or is the concept itself completely screwy? Maybe the idea is inapplicable to TSs?