Let me assure you that it isn't, and if you're not a TERF then transphobe will do fine, you're certainly earning that and then some.
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There are straight married middle aged ftms. But, I already fit into society- I was in my 30s, married, had the same job I have now, etc. To the extent there were life effects, they were negative, but I wouldn't want to overstate that side of things.
I came very close to losing my marriage. Professionally I think it's seen by some as slightly foolish and undermines my seriousness. But, to me, it made no sense not to seek treatment for a medical condition, or to put weird moral ideas on it.