I seem to do something like that before a big event where I want to look my best also! Mostly break a nail, but sometimes a scratch on the leg or arm that is painfully obvious when presenting as a woman. Not fun, so I understand that dilemma. Going to a doctors office, especially if it is a new one to you is easy though. I just walk up and introduce myself as Dana while handing over my ID, or if it did not register with the person I will sometimes ask the receptionist or check in person to call me by the name Dana as if it is a nickname or preferred name I go by (which is true while dressed) even if my ID says otherwise. Normally you will have a form to fill out and you can annotate it on there as well. Treat it as no big deal and the folks won't pick up on anything other than a woman in for an office visit. Like everything if you own it and treat this as a daily thing, pretty much everyone else will also. I even tease the person who checks my weight with a non-disclosure agreement on what the number actually is! Have fun and it will be a positive experience.