I have had tinnitus (ringing/noise in my ears) for about 1 year. Sound comes like teee it is more similar to ringing sound. It is regular from my both ears.It started in my left ear, but now I hear it in my right ear as well. Sometimes I also feel the sound coming from the middle of my head. My symptoms get worse when cold air or water enters my ears face and head. The noise becomes louder. Stress and anxiety also make the tinnitus worse. When my symptoms become very severe, I can hear the noise from the center of my head too. Sweating and mild sunlight sometimes make the noise feel a little less noticeable. About 2 months before my tinnitus started, a bomb/firecracker exploded near my ear. I have also been suffering from depression, anxiety, and panic attacks for the last 4–5 years. I do not tolerate cold weather well. My tinnitus is usually worse in winter. During cold weather, I often feel increased ear pressure, ear pain, and louder tinnitus. These symptoms can occur in summer too, but they are usually less severe. I frequently have mucus (phlegm) in my throat. I feel that I may also have a sinus problem. I often have to pull and clear mucus from my throat. The mucus is present most of the time. Exposure to cold air or wind increases mucus production. It is worse during winter, but it is also present during summer. My nose usually feels dry, and I rarely have a runny nose or nasal discharge. Since childhood, I have had a strong wish to be a woman. I often imagine myself as female and feel a desire to live in a feminine way. Even after marriage, these feelings remain strong, although I have never acted on them or been able to fulfill this wish. Over the last 10-12 years, I have experienced many betrayals and disappointments from people. These experiences have made me fearful and less trusting of others. Since childhood, I have suffered from significant nervousness and lack of confidence. I used to feel nervous about going to school, taking admission to college, visiting new places, meeting new people, or starting any new task. Because of this nervousness, I often avoided situations or found them difficult to handle. I also have a strong tendency toward perfectionism. I want things to be done exactly the way I imagine them. When others cannot meet my expectations, I often end up taking on most of the work myself. This perfectionist nature creates extra stress and workload for me. Since childhood, I have had a strong desire to be a woman. I often imagine myself in a feminine role and have a long-standing wish to live as a woman. Even after marriage, these feelings remain strong, although I have never been able to fulfill this desire.