Thanks for your response.
If I understand you correctly, really you feel pretty comfortable being a woman and being in a woman's body, but it hurts when family and/or social expectations for what a woman "should" be or "should" do or "should" wear conflict with what you want to be or do or wear. It sounds like such experiences might even be trigger-like for you, bringing up the pain of rejection and isolation that you felt as a child.
On the other hand, though, you also said at first that you can be confused about your gender and sexuality. Would you be willing to share more about the times when that confusion seems particularly prominent, and what it feels like for you when it does become so prominent?