A transsexual committed suicide while waiting for the gender reassignment surgery to change her into a woman, an inquest heard.
Kerry Milward, who had changed her name from Kenneth in 2010, was found slumped in a Land Rover Discovery.
The 37-year-old was found to have died from carbon monoxide poisoning.
A Sheffield inquest heard Kerry had been for a consultation about surgery at the Porterbrook clinic in Nether Edge 18 months ago.
But blood tests diagnosed leukaemia - and that, along with a ‘delay’ in the surgery, and the death of Kerry’s mother from a brain tumour - affected her depression.
A statement from wife Nicola Milward, read out to the court, said Kerry had been told the surgery had been authorised but a date had not been set.
She had talked previously about taking her life, and also self-harmed.
Kerry had seemed down in the days before her death and, on the morning of November 9, tearfully handed a note to a friend. Police were called when, about half an hour later, the friend read the note which said, ‘I’m sorry, I love you’.
Kerry, of Kingswood Crescent, Hoyland, Barnsley, was found in the car on Wentworth Road, Blacker Hill, Barnsley, at around 12.20pm.
She was taken to Barnsley Hospital but pronounced dead.
Coroner Christopher Dorries, who recorded a verdict that Kerry took her own life, said the leukaemia and bereavement were ‘significant factors’, and gave his sympathies to the family.