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How secure/confident you feel with your transgender feelings. Let's say you decide to pursue NBE. Six to twelve months later, your growth becomes noticeable. How do you think you would feel when other people notice and comment on your growth? What about when you go to the doctor and they have to listen to your heart or otherwise examine your chest? Would you feel mortified or hesitant to lift up your shirt? Or would it not be an issue for you? From a medical standpoint, bear in mind males having breast development is not the norm and not desirable for the majority of males. Unless you're upfront with your doctor, your doctor may assume you don't want to have feminine breasts and would rather have a flat masculine chest. I think the important point in all of this is by telling your doctor or anyone else that in the very least you're not bothered by your breast development, you're indirectly expressing your transgender identification.

I don't think I'd mind anybody knowing at all for the short term because I really just want a small taste of it to see how I react. My original idea was to just try PM and achieve some small scale effects then from there determine if I want to carry on with it, but if that is enough to sterilize me for the rest of my life, I definitely should think it over some more. Thank you so much for your detailed response, it really means a lot!