US Military Considers Testosterone Tests; Doctor Warns of Over-Supplementation Risks

The U.S. military is reportedly planning to implement testosterone screenings for service members over the age of 30. The initiative, announced by U.S. Secretary of War Pete Hegseth, aims to ensure that personnel are "strong, resilient, and ready to fight." Current indications suggest the screening might initially target only male officers and enlisted personnel.

“

strong, resilient, and ready to fight.

This proposed policy has sparked discussion, with Dr. Lin Yu-chiao, a urologist, sharing her perspective on a Facebook page. She believes the policy has both potential benefits and drawbacks. On the positive side, she acknowledges that testosterone is a frequently overlooked health indicator for men. Blood testosterone levels naturally decline after age 30, which can lead to symptoms of male menopause. Early detection of low testosterone can also be crucial for individuals with genetic conditions, potentially leading to diagnoses of infertility or other congenital diseases. Hormone therapy, in such cases, could significantly improve their quality of life.

“

The good part is: testosterone is one of the health indicators often overlooked by men. Blood concentration slowly decreases after age 30, leading to various symptoms of male menopause. Or some people with genetic diseases often only discover low testosterone during infertility testing, and then further examination reveals congenital diseases; if detected early, these people can try hormone therapy to improve their lives.

However, Dr. Lin also raises concerns about the necessity of treatment for all individuals with low testosterone. She points out that the normal range for testosterone levels is quite broad, and some individuals function normally without requiring higher levels. Forcing supplementation solely for the sake of "combat readiness" could impose an unnecessary burden on the body. From a urological standpoint, she advocates for a symptom-driven approach: testing and treatment should be initiated only when there is a clear medical need based on presenting symptoms.

“

The bad part is: if male testosterone is low, does it necessarily need treatment? Testosterone concentration normal value is a very large range, some people do not need that high testosterone to maintain normal life function. Forcing supplementation for the sake of 'combat readiness' will instead cause a burden on the body.

The initiative comes amid broader discussions about military readiness and the health of service members. While the intention is to enhance the physical and mental capabilities of the troops, the medical community advises a nuanced approach, prioritizing individual health needs and avoiding potentially harmful over-supplementation. The focus, according to Dr. Lin, should remain on addressing actual health issues rather than pursuing arbitrary performance metrics.

“

From a urological perspective, I believe: we should start with 'symptoms.' If there is a real need, then test testosterone and determine if treatment is necessary.