Explanation: Alex has hormone issues that primarily involve lack of testosterone due to the medical condition and as a result he has multiple bodily issues such as underdeveloped genitalia which likely means sterility and the infamous Kallmann tits, this also has likely negatively affected his mental health and intelligence due to probable neurological issues. I should also note the hormone replacement therapy for this condition came too late and as a result it only made him more sexually depraved.

Edit: I also forgot to mention that the same thing can happen with giving hormones to kids in general.

Explanation: Alex has hormone issues that primarily involve lack of testosterone due to the medical condition and as a result he has multiple bodily issues such as underdeveloped genitalia which likely means sterility and the infamous Kallmann tits, this also has likely negatively affected his mental health and intelligence due to probable neurological issues. I should also note the hormone replacement therapy for this condition came too late and as a result it only made him more sexually depraved.

Explanation: Alex has hormone issues that primarily involve lack of testosterone due to the medical condition and as a result he has multiple bodily issues such as underdeveloped genitalia which likely means sterility and the infamous Kallmann tits, this also has likely negatively affected his mental health due to probable neurological issues. I should also note the hormone replacement therapy for this condition came too late and as a result it only made him more sexually depraved.