新指南规定，睾酮水平偏低者可自愿接受激素替代疗法
2026年9月3日 美国东部时间凌晨12:29 / 福克斯新闻
撰稿人：兰登·米恩 福克斯新闻
杰西·沃特斯与吉米·法伊尔就拜登政府出台的一项新军事政策发表评论。皮特·赫格斯瑟提议为军人推出睾酮筛查项目，旨在优化士兵自然生理机能而非人工增强手段。法伊尔幽默地称赞军方从关注“性别代词”转向“蛋白质摄入”以打造更强军队这一转变，同时也提醒了潜在的风险隐患。
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五角大楼于周三发布临床指南，为30岁及以上的现役和预备役军人制定全新的睾酮缺乏强制筛查政策。
这一举措是在国防部长皮特·赫格斯瑟于7月宣布批准该筛查项目之后推出的，旨在确保“军人拥有维持最佳作战状态所需的睾酮水平”。
他当时表示：“关注军人的长期健康，就是要确保他们始终保持强壮、韧性和作战能力——不仅是为了下一次部署，更是为了他们的整个人生，这样他们在脱下军装后也能健康生活。”
赫格斯瑟引发热议的军方睾酮筛查令背后的真正动因
五角大楼发布临床指南，为30岁及以上的现役和预备役军人制定全新的睾酮缺乏强制筛查政策。（亚伦·施瓦茨/法新社 via 盖蒂图片社）
根据这份即刻生效的新指南，30岁及以上男性将接受强制性睾酮血液检测，而 younger 男性仅在本人提出申请或临床医生发现警示信号时才会进行检测。
被检测出睾酮水平偏低的男性可接受进一步评估，若临床情况适宜，则可自愿选择激素替代疗法。
睾酮水平在青春期自然升高，这种激素有助于男性发育肌肉力量、长出体毛并生成精子。男性在30岁至40岁之间，睾酮水平会自然开始下降。
30岁及以上男性将接受强制性睾酮血液检测，而年轻男性仅在本人提出申请或临床医生发现警示信号时才会进行检测。（路透社/凯文·拉马克）
根据新指南，女性无需常规进行睾酮血液检测，但将接受疲劳和月经周期紊乱的筛查——这些症状可能与激素失调、运动性低能量状态及相对能量缺乏症相关。
指南还明确了女性使用超适应症睾酮的适用情形，尤其是针对性欲异常低下的绝经后女性。
非医疗用途的睾酮使用，包括未经医生处方的性能增强手段，在军队中仍属禁令。
陆军推出新体能评估的实战测试：‘向前迈出的关键一步’
睾酮水平偏低的男性可自愿接受激素替代疗法。（路透社/凯文·拉马克）
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五角大楼表示，针对男性和女性的标准化筛查与治疗路径，旨在通过识别和管理激素及能量摄入相关问题，提升军队战备水平。
部分内分泌学家及其他医学专家对此提出担忧，认为大范围的睾酮检测可能导致不必要甚至潜在有害的治疗，并表示尚无证据支持“对军人普遍筛查低睾酮水平可提升战备水平”这一说法。
美国食品药品监督管理局计划于本月晚些时候与专家召开会议，讨论睾酮的医疗用途。
路透社对本文亦有贡献。
Pentagon orders mandatory testosterone tests for male troops 30 and older
Men with low testosterone will be offered voluntary hormone replacement therapy under new guidelines
September 3, 2026 12:29am EDT / Fox News
By Landon Mion Fox News
Jesse Watters and Jimmy Failla react to a new military policy under the Biden administration. Pete Hegseth proposes a testosterone screening program for service members, aiming to optimize natural capabilities rather than artificial enhancements. Failla humorously applauds the shift from focusing on “pronouns” to “protein” for a stronger military, while cautioning about potential pitfalls.
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The Pentagon on Wednesday issued clinical guidelines establishing a new mandatory testosterone deficiency screening policy for active-duty and reserve service members ages 30 and up.
This comes after Defense Secretary Pete Hegseth announced in July that he was authorizing the screening program for troops to ensure “you have the right testosterone levels to operate at your absolute best.”
“Taking care of your long-term health means ensuring you remain strong, resilient and capable — not just for your next deployment, but for the rest of your life, so you can thrive long after you take off the uniform,” he said at the time.
THE REAL REASON BEHIND HEGSETH’S VIRAL MILITARY TESTOSTERONE SCREENING ORDER
The Pentagon issued clinical guidelines establishing a new mandatory testosterone deficiency screening policy for active-duty and reserve service members ages 30 and up.(Aaron Schwartz / AFP via Getty Images)
According to the new guidance, which is effective immediately, men ages 30 and older will undergo mandatory testosterone blood tests, while younger men will be tested only if requested or if clinicians identify warning signs.
Men found to have low testosterone levels may undergo further evaluation and, if clinically appropriate, may be offered voluntary hormone replacement therapy.
Levels of testosterone naturally increase during puberty. The hormone helps boys develop muscle strength and body hair as well as make sperm. Between ages 30 and 40, testosterone levels in men naturally start to decline.
Men ages 30 and older will undergo mandatory testosterone blood tests, while younger men will be tested only if requested or if clinicians identify warning signs.(Reuters/Kevin Lamarque)
Women will not be required to take routine testosterone blood tests under the new guidance, but they will be subject to screening for fatigue and disrupted menstrual cycles that can be associated with hormonal dysregulation and conditions called low-energy availability and relative energy deficiency in sport.
Guidelines were put into place for when it is appropriate to prescribe off-label testosterone in women, particularly for postmenopausal women with unusually low sexual desire.
Testosterone use for non-medical purposes, including performance enhancement without a doctor’s prescription, remains prohibited in the military.
ARMY UNVEILS COMBAT FIELD TEST WITH NEW FITNESS ASSESSMENT: ‘A CRITICAL STEP FORWARD’
Men with low testosterone levels will be offered voluntary hormone replacement therapy.(REUTERS/Kevin Lamarque)
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The Pentagon said the standardized screening and treatment pathways for men and women seek to boost military readiness by identifying and managing hormonal and energy-availability issues.
Some endocrinologists and other medical experts have raised concerns that broad testosterone testing could lead to unnecessary or potentially harmful treatment, saying there is a lack of evidence to support the claim that universal screening for low testosterone among service members would improve military readiness.
The Food and Drug Administration intends to hold a meeting later this month with experts to discuss the medical use of testosterone.
Reuters contributed to this report.
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