2026年7月15日 / 美国东部时间下午4:50 / 哥伦比亚广播公司新闻
记者：
美国国防部长皮特·黑格斯思于周三宣布，五角大楼将要求所有30岁以上的现役军人每年接受睾酮缺乏症筛查。若被推荐接受治疗，他们可选择进行睾酮替代疗法。
“我将为我们的军人启动一项全新的睾酮缺乏症筛查项目，确保你们的睾酮水平处于能发挥最佳状态的合理区间，”黑格斯思在X平台上一则题为《高T部门》的视频中宣布。
他表示，这项筛查将作为现役军人定期健康评估的一部分，每年进行一次。30岁以下的军人也可自愿选择接受筛查。
“我们理应向我们的战士提供全世界最优质的医疗护理，这项政策正是对这一承诺的兑现，”黑格斯思在视频中说道，“关注长期健康，意味着要确保你们始终保持强壮、坚韧且具备作战能力——不仅是为了下一次部署，更是为了整个人生，让你们能在脱下军装后依然健康茁壮地生活。”
五角大楼尚未公布这项政策的更多细则。美国国防卫生局已将相关问题移交五角大楼回应。
据美国泌尿外科学会的数据，低睾酮的定义尚无统一标准，因此不同研究中其患病率差异极大，从2%到50%不等。
时任美国食品药品监督管理局局长马蒂·马卡里在2025年一场关于睾酮替代疗法的专题讨论会上援引2007年的一项研究称，30岁至79岁的男性中有5.6%存在睾酮水平偏低及相关症状，如抑郁、体力下降等。
研究人员发现，军事训练会对现役军人的睾酮水平产生影响。
“这些军人所承受的高行动节奏和高强度压力，实际上会降低睾酮水平，有时是短期下降，有时甚至会造成长期影响，”陆军少校西奥多·克里斯奥斯特莫-怀恩在2025年FDA专题讨论会上说道。
克里斯奥斯特莫-怀恩少校是马迪根陆军医疗中心的泌尿科医生，他表示自己是以个人身份参与该研讨会，并不代表五角大楼或国防卫生局的立场。
他指出，睾酮缺乏症在特种作战部队中尤为令人担忧，研究人员在该群体中观察到一种被他们称为“作战人员综合征”的新型病症。
“我们认为这是由慢性应激、爆炸冲击、创伤性脑损伤和睡眠障碍引发的，这些因素会导致激素调节紊乱、情绪和认知出现变化，”克里斯奥斯特莫-怀恩说道，“在该综合征涉及的众多医学和心理问题中，睾酮水平下降和激素变化似乎是几乎所有患者都存在的症状之一。”
在他的视频讲话中，黑格斯思将现役军人称为美军“最具决定性的战术优势”。
他表示，战场“需要且要求军人达到最佳的心理和精神状态，通过尽早关注这些健康指标，我们能让你们始终保持最强战斗力，为你们提供与你们报效国家的卓越表现相匹配的支持”。
Hegseth requires testosterone deficiency screening for service members over 30
July 15, 2026 / 4:50 PM EDT / CBS News
By
Defense Secretary Pete Hegseth announced Wednesday the Pentagon will require service members over the age of 30 to be screened for testosterone deficiency annually. If they are recommended for treatment, they may choose to receive testosterone replacement therapy.
“I’m authorizing a new screening program for testosterone deficiency for our service members, ensuring you have the right testosterone levels to operate at your absolute best,” Hegseth announced in a video on X titled “High-T Department.”
He said service members would be tested annually as part of their periodic health assessment. Those under 30 can voluntarily choose to be tested, as well.
“We owe our warriors the absolute best medical care in the world, and this program delivers on that obligation,” Hegseth said in the video. “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.”
The Pentagon has not released additional guidance about the policy. The Defense Health Agency referred questions to the Pentagon.
The definition of low testosterone varies, so its prevalence has a wide range, from 2% to 50% in different studies, according to the American Urological Association.
Then-Food and Drug Administration Commissioner Marty Makary, citing a 2007 study, said during a 2025 panel on testosterone replacement therapy that 5.6% of men aged 30-79 have low testosterone and symptoms, like depression and decreased strength.
Researchers have found military training can impact testosterone levels of service members.
“The high operations tempo and high stress that these service members go through can actually decrease testosterone, sometimes acutely and sometimes even in the long term,” Army Major Theodore Crisostomo-Wynne said at the 2025 FDA panel.
Major Crisostomo-Wynne is a urologist at Madigan Army Center and said he spoke to the panel in a personal capacity and was not representing the views of the Pentagon or Defense Health Agency.
He said testosterone deficiency is of particular concern in the special operations community where researchers have observed a new syndrome they are calling “The Operator Syndrome.”
“We think that it’s due to chronic stress, blast exposure, traumatic brain injuries and sleep disruptions, which lead to hormonal dysregulation, mood and cognitive changes,” Crisostomo-Wynne said. “And among the many medical and psychologic, you know, things that are at play in the syndrome, decreased testosterone and hormonal changes is one of the ones that seems to be prevalent in almost all of these guys.”
In his video, Hegseth called service members the military’s “most decisive tactical advantage.”
He said the battlefield “requires and demands maximum psychological and mental readiness, and by addressing these health markers early, we’re keeping you on the leading edge of lethality and giving you the same level of support that you give this nation the absolute best.”
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