The real question is how do you survive at the same time you pose those risks? Because you need to survive. And it seems to me that you survive in community or in solidarity, with others who are taking the risk with you.
No matter whether one feels one's gendered and sexed reality to be firmly fixed or less so, every person should have the right to determine the legal and linguistic terms of their embodied lives. So whether one wants to be free to live out a "hard-wired" sense of sex or a more fluid sense of gender, is less important than the right to be free to live it out, without discrimination, harassment, injury, pathologization or criminalization - and with full institutional and community support.