Something is definitely wrong with Katy, and i do not know if it is all just mental problems.

The Khazarian Mafia has a thing for transgender / breaking people / surgical changes.
They are also from the line of homo consempus (cone heads), so we really do not know what their normal body looks like.

If you look at Katy's history, it is weird to the point of being messed up that she got picked up by a record label. I am pretty sure Katy is a made woman.