Meaning of altered

(adj) changed in form or character without becoming something else; "the altered policy promised success"; "following an altered course we soon found ourselves back in civilization"; "he looked...with clouded eyes and with an altered manner of breathing"- Charles Dickens

having testicles or ovaries removed

changed in order to improve or made more fit for a particular purpose; "seeds precisely adapted to the area"; "instructions altered to suit the children's different ages"