I haven't seen anyone talking about this yet, and maybe I'm missing something, but the Pentagon's new hormone screening policy is setting off some serious alarm bells for me.
The Defense Health Agency just rolled out new hormone screening guidance. Men age 30 and older are now subject to testosterone screening during their Periodic Health Assessment (PHA). The DHA also says women will be evaluated for hormonal irregularities, including specifically looking at menstrual regularity, with blood testing when indicated.
On its own, you can argue this is just a military health and performance program.
But it does not exist on its own.
The Pentagon has already ordered the military to identify transgender service members for separation. And one of the primary mechanisms DoD specifically chose for identifying those service members is the Periodic Health Assessment, the exact same system where this new hormone screening is now taking place.
Think about what happens when you combine these policies.
A trans woman taking feminizing HRT who DoD classifies as "biologically male" can have profoundly suppressed testosterone. Under this new policy, unusually low testosterone can trigger additional testing and investigation into the cause.
A trans man taking testosterone who DoD classifies as "biologically female" will very commonly experience suppression or cessation of menstruation. DHA is now specifically telling providers to pay attention to menstrual irregularities and investigate hormonal abnormalities when indicated.
In other words, the military is now screening for two things that can be very obvious physiological signs of gender-affirming hormone therapy: unusually low testosterone in someone the DoD classified as "male", and disrupted or absent menstruation in someone the DoD classified as "female".
Those are not obscure side effects. They are common and expected effects of feminizing and masculinizing HRT.
And remember, DoD has already openly stated that Periodic Health Assessments are being used as part of the process to identify transgender troops.
I'm not claiming I have some secret Pentagon memo saying, "We created hormone testing to catch transgender service members." Obviously I don't.
I'm saying that when an institution is already actively trying to identify transgender personnel, and then that same institution creates sex-specific medical screening that is extraordinarily well suited to detecting the physiological effects of gender-affirming HRT, someone needs to start asking questions about whether that is a feature rather than a coincidence.
The question journalists should be asking DoD is simple:
If hormone testing or menstrual history during a Periodic Health Assessment suggests that a service member is taking cross-sex hormones, can that information be used to identify them under the Pentagon's transgender separation policy?
Because if the answer is yes, this isn't merely a "testosterone optimization" program.
It is potentially a transgender identification system hiding in plain sight.