It definitely morphs and changes over time.
I used to never have any dysphoria from having a beard.
Later, the slight hair growth I got in between laser sessions made me feel hopeless.
Now, I don’t love my facial hair but also feel sort of good at being more visibly trans when my facial hair is having its bad/intense days.
It’s also common for folks to not have genital dysphoria for a long time, only developing it years into transition when everything else is dealt with.
I wonder if your brain is finally accepting that things will change and the impatience is manifesting as dysphoria.
I hope it gets better soon!
To be fair, player characters at level 17+ are basically walking deities, regardless of class.