Found an article written by the man I referred to above:
I have isolated hypogonadotropic hypogonadism (IHH), a condition in which the brain never sends the signal to start puberty. Without medical help I would have stayed forever pre-pubescent. My story is not just my personal history; it is a warning.
In the 1980s, my classmates shot up in height, their voices broke and they started dating and becoming independent. I did not. My legs grew long but the rest of me stayed childlike. I looked like a stretched-out little boy. I still played with He-Man figures in secret because emotionally and mentally I felt years younger than my peers. The social gap widened every year. I spent my whole school career in special education; reading is still, decades later, brutally hard for me.
At fifteen I remained at Tanner Stage 1, with no secondary sexual characteristics at all. After months of scans and tests at UCSF, the diagnosis was clear: my brain was not producing the hormones needed to trigger puberty. This was not “delayed” puberty that would eventually arrive; it was absent puberty. Without intervention, I would have had a child’s body for life. I would have had brittle bones and no sexual function, as well as the emotional maturity of someone much younger.
Doctors finally gave me testosterone in a bottle. My peers had crossed that bridge gradually years earlier. I sprinted across it as a teenager, clutching prescriptions, trying to catch a train that had already left.
What I’ve learned since is that when the adolescent brain is starved of sex hormones during the critical window, the damage is permanent. Autism is five times more common in people like me, ADHD several times higher, and severe intellectual disability nearly eighteen times more likely. A quarter of us never become sexually active, and three-quarters of us never have children. Executive function, attention, and processing speed are all measurably lower. I live with ADHD and learning disabilities that no amount of therapy will ever fix.
That same biochemical state—profound suppression of the hormonal axis—is now deliberately created in healthy children with drugs like Lupron. The Dutch protocol, on which the entire gender-affirming model rests, induces exactly what my body did naturally.
genspect.org/frozen-in-time-when-puberty-doesnt-happen/