I'm not sure why this book has received so many bad reviews, except to say that if you're not a fan of Shan Sa's poetic writing style, you probably won't enjoy her novels. She has a beautiful, artistic style very similar to prose, but I find that it only heightens the feelings of intense passion and agony, love and hate, that the characters themselves are feeling. It is Sa's prose that gives voice to Alexander's internal struggles after a childhood of abuse and identity crisis, and it is her descriptive, imaginative choice words that brings out both the fierceness and playfulness of the Amazon tribe.
In the end, the novel is both a love story and a study of masculinity and femininity as they exist in their extremes within both women and men. She does not portray Alexander as a monster or a weakling, instead she delves into why he feels he is sometimes both, and in fact, especially in the end, neither. The Queen of Amazons, Alestria, appears to be a victim of patriarchy and feminine weakness, until love conquers all and restores her to her rightful place as leader of the wild, independent tribe of woman warriors.
I enjoyed Shan Sa's 'Empress' very much, and was pleasantly surprised to find that I loved 'Alexander and Alexia' even more! I'm glad I didn't listen to the other negative reviews on this site, this is now on my list of all time favorite novels. If in doubt, just read the first few pages of the novel to get a feel for her writing, and go from there.