The notebook draws a frowny face with a tear next to this.
That sounds like a really tough set of problems!
First, I just want you to know that if you need to get out, that's something the Spirit can provide. Even if you choose to remain in this universe, you would not need to stay in your current situation to be safe. Your destination options don't include a way to bring along someone else on an inter-dimensional trip as your first step, but I'm also certain that if you left this universe you would arrive somewhere where you could go back for your sister right away.
Second, forgive me if I'm wrong, but is it the case that you are gay, and afraid of expressing that? Or are you scared that if you let yourself present in a more feminine way, other people will believe that you're gay and react negatively? In either case, we can work to make sure that, whatever you choose, it will have only the consequences you want, and none of the consequences you're afraid of.
Actually, how about I provide you with the usual preamble to the list of powers the Spirit can provide. I would wait to say it until you're ready to go through that list, and include the list with it, but I think it might be more needed here.
In a more formal, print-like text (though still cute and glittery):
These powers are offered under an aegis of metanarrative protection. Anytime you might expect a power to have obvious negative side effects, like glowing eyes making it harder to see, it simply won't—you'll be able to see just fine anytime it actually matters, while having dramatically hazy vision at cool, narratively appropriate moments. This doesn't apply to your own preferences about the explicitly described effects of the power; if you don't want to be Well Endowed, the metanarrative cannot protect you from choosing that option and having to live with it.
Then it switches back to its normal handwriting.
Finally, in that vein: you don't need to be afraid now. Not of prison, not of Hell, not of anywhere else. For this to permanently ruin your life (or afterlife) would go against the very core of how the Spirit operates. If there was any chance that it choosing you would have such disastrous consequences, we wouldn't be talking right now. I know you're scared, and overwhelmed, and worried, and that makes sense. I think anyone in your position would feel that way. But it isn't necessary anymore. When you feel ready, you can put that burden down.