Disclaimer: I never had an issue with internalized ableism wrt my gender, so this post may be wrong. I'm going by what other neurogender ppl have said. If you have any experience on this subject and want to contribute to the post, please do.
For those who don't know, neurogenders are genders associated with neurodiversity. These include things like autgender (for autism), bordergender (for BPD), etc.
I noticed some neurogender ppl seem to treat their gender feels like they aren't real. This stems from ableism. Those ppl believe their gender feels are invalid because they're caused by their neurodivergence. This is like saying sensory overload is invalid because it's caused by autism, and ignoring what's actually causing the sensory overload.
If you identify with a neurogender, you shouldn't dismiss your gender feels. Your identity is just as valid as an NT's. Gender is something you feel, and what you feel is perfectly valid. You're allowed to change your life based on how you feel.
If you do decide to transition, please don't feel pressured into doing things you don't want to do. But please do the things you want to do. And remember, transition can be any combination of HRT, surgery, masc/fem clothes, etc, or even just one of those things.