The first step is to go and see your doctor and get yourself diagnosed. Then the ball can start rolling on the proper procedures - namely, starting on hormones and beginning to live your life as a woman. Because that's how you'll be seen in the end - as a woman. You have to be certain that this is what you want, and most medical authorities will have you live for a year or so as a woman to test this.
Please don't buy or take hormones from websites offering them at heavily discounted prices. Taking any serious medication without being supervised by a doctor is a recipe for disaster; it can lead to (amongst other things) blood clots, which I'm sure you know are bad news. Only take hormones prescribed to you by a doctor.
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