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Judge questions difference between Hegseth’s testosterone policy and transgender care for troops

Defense Secretary Pete Hegseth testifies at a Senate Appropriations Committee hearing, Tuesday, July 21, 2026, on Capitol Hill in Washington. (AP Photo/Jacquelyn Martin)

WASHINGTON (AP) 鈥 Defense Secretary Pete Hegseth’s new initiative to has prompted a federal judge to question the differences between that kind of testosterone replacement therapy and hormone treatment for transgender men in the military.

U.S. District Judge Ana Reyes in Washington raised the question Wednesday in against President Donald Trump’s . Reyes noted that Trump’s ban says 鈥渢he Armed Forces must adhere to high mental and physical health standards … without the benefit of routine medical treatment or special provisions.鈥

Reyes ordered both parties in the lawsuit to address 鈥渢he similarities and differences in administering TRT, both medically and logistically, for trans men compared to other service members, including cis individuals.鈥 She was using the acronym for testosterone replacement therapy.

The judge also requested information on the Pentagon’s 鈥渂asis for treating trans men and other service members differently between this new policy and the Military Ban.鈥

Reyes’ order comes a week after announced that he is rolling out a new screening program for 鈥渢estosterone deficiency鈥 among troops, calling it necessary to allow them to operate at their 鈥渁bsolute best.鈥

The screenings will be conducted annually as part of service members鈥 required medical screenings for those 30 and older, he said. Troops under 30 can volunteer to be tested. In a video on social media, Hegseth said receiving testosterone replacement therapy would be voluntary.

Other Trump administration officials have begun to advocate for men to have , but the messaging from Hegseth and others blends known science on the hormone with broader, and less substantiated, claims.

Testosterone levels in men decline naturally with age and have long been linked to issues like erectile dysfunction, low libido, mood changes and weight gain. But experts have debated for years how to diagnose those problems and whether they should be treated by replacing the hormone.

Reyes, who was nominated by President Joe Biden, is overseeing against Trump’s ban on transgender troops. Transgender active duty service members and former service members seeking to reenlist sued in late January 2025, shortly after the president returned for his second term in office.

Reyes against Trump’s executive order to exclude transgender troops. A divided panel of federal appeals court judges sent the case back to Reyes , finding that the ban was unlawful and service members who sued could not be kicked out.

Reyes has since given the case class-action status, which means the outcome could expand to all service members.

Trump’s transgender military ban remains in effect, however. The U.S. Supreme Court to enforce it as litigation plays out.

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Associated Press writers Lindsay Whitehurst and Michael Kunzelman contributed to this report.

Copyright © 2026 The Associated Press. All rights reserved. This material may not be published, broadcast, written or redistributed.

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