New rules that will allow more gay and bisexual men to donate blood in Iceland took effect on Sept. 1.

The Iceland Review, an English-language magazine, notes the new regulations the country’s Health Ministry approved are gender-neutral. Some restrictions, however, remain in place for potential donors, regardless of their sexual orientation or gender identity.

“Specific sexual activity can be linked to higher risk of bloodborne infections, therefore thorough screening is very important in regards to blood donor eligibility,” states the Icelandic Blood Bank on its website.

Potential donors are asked these two questions:

• In the past four months, have you had sex with a new partner?

• In the past four months, have you engaged in what is considered sexual relation of higher risk?

The Icelandic Blood Bank defines “sexual relation of higher risk” as:

• Sexual relation where a condom is not used and relationship duration is less than 4 months.

• Sexual relation outside of pre-existing long-term relationship, where a condom is not used.

• Sexual relation with many individuals (more than one) with/without a condom.

• Sexual relation, where a condom is not used, with an individual whose behavior falls under sexual relation of higher risk.

• Sexual relation where a condom is not used, with an individual that injects narcotics. If more than four months have passed since the last injection, donation is permitted.

• Sexual relation, with/without the use of condom, in exchange for payment.

• Anal sex with/without a condom with a new partner.

• Sexual relation where chemicals are used to enhance sexual experience (chemsex).

• Sexual relation with/without the use of a condom, with an individual diagnosed with HIV, HTLV, Hepatitis B or C, or syphilis.

• Sexual relation with an individual using viral medication (PrEP or PEP) for HIV.

“If yes, evaluation for possible deferral from blood donation needs to be done,” says the Icelandic Blood Bank.

A person with HIV, Human T-lymphotropic virus-1, hepatitis B or C, or syphilis cannot donate blood. A person who has taken PrEP or PEP in the previous four months is also unable to become a donor.

“If more than four months have passed since the medication was taken, viral screening can be done,” says the Icelandic Blood Bank. “If results are negative, blood donation is permitted. Deferral period is longer if administrated intravenously.”

Any potential donor who had “sexual relation with an individual using viral medication (PrEP or PEP) for HIV” must wait four months since their “last sexual relation” before they can give blood.

Anyone who has “ever, even just once, shared a needle/syringe with someone or injected yourself with an illegal substance (non- doctor prescribed), e.g. drugs, anabolic steroids, hormones or peptides.” is permanently prohibited from donating blood.

Iceland is the latest country to lift restrictions for LGBTQ blood donors.

The Australian Red Cross Blood Service in April implemented a new policy that allows “gay and bisexual men and transgender people in long-term monogamous relations (of at least six months) to donate blood and platelets for the first time.”

The U.S. Food and Drug Administration in 2023 implemented a new screening policy for potential donors that asked them questions about their sexual activity, regardless of their sexual orientation or gender identity. The previous policy required men who have sex with men to not have sex for at least three months before they could donate blood.

The Pentagon has announced that new clinical guidance will be released establishing mandatory testosterone deficiency screening for active-duty and reserve cisgender male service members ages 30 and older, advancing a policy that expands hormone-related care for cisgender troops.

The Defense Department said the existing clinical guidelines, which are not currently available on the Defense Health Agency’s website, are being updated and that the final guidance will be issued shortly.

The announcement comes amid a wave of anti-transgender policies from both the DoD and the Trump-Vance administration, which continue to prohibit trans men from receiving the same treatment.

Under the forthcoming guidance, men ages 30 and older will be forced to undergo testosterone blood tests as part of their medical care. Younger male service members will be tested if they request screening or if clinicians identify warning signs of low testosterone.

The new guidelines formalize a screening program Defense Secretary Pete Hegseth announced in July, when he said the Pentagon would begin testing service members to ensure that “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,” Hegseth said at the time.

The Defense Health Agency’s clinical guidance says the program is intended to address “hormonal and energy-availability issues.” Hegseth said in July that testosterone replacement therapy would remain voluntary for service members if treatment is recommended.

The Food and Drug Administration is also scheduled to hold a meeting later this month with experts to discuss the medical use of testosterone.

The Pentagon’s push to routinely test testosterone levels runs counter to current medical guidance, which generally recommends considering testosterone therapy only for men who have symptoms consistent with low testosterone and have documented low hormone levels on two separate blood tests.

Testosterone is a sex hormone naturally produced by people of all sexes. It plays a role in regulating muscle mass, bone density, and sex drive. Testosterone levels in men naturally decline with age and have been associated with symptoms including erectile dysfunction, low libido, mood changes and weight gain, although experts continue to debate when testosterone therapy is medically appropriate.

The policy has drawn scrutiny from LGBTQ advocates because the Pentagon and Hegseth have simultaneously cited hormone therapy as part of the rationale for removing trans service members from the military.

Under President Donald Trump’s 2025 executive order, “Prioritizing Military Excellence and Readiness,” the military has moved to bar trans people diagnosed with gender dysphoria from serving and has begun formal administrative separation proceedings against trans personnel.

The Pentagon continues to pursue implementation of the trans military ban as litigation over the policy proceeds. As a result, some trans service members have had their gender-affirming hormone therapy halted even as the Pentagon expands testosterone screening and potential treatment for cisgender service members.

SPARTA Pride, a nonpartisan nonprofit organization made up of trans service members, veterans and their allies, criticized the disparity to the Washington Blade when Hegseth first announced the screening program.

“If hormone therapy helps warfighters perform at their best, then it cannot simultaneously be used as evidence that transgender service members are unfit to serve,” said Kara Corcoran, executive director of SPARTA Pride. “The same class of evidence-based medical treatment cannot be characterized as readiness-enhancing for one group and readiness-destroying for another.”

On June 1, the U.S. Court of Appeals for the D.C. Circuit ruled that trans service members already serving in the military could continue to do so while allowing the armed services to continue refusing to enlist new trans recruits.

The Blade reached out to the Pentagon when the testosterone screening program was first announced in July, asking why cisgender service members could receive testosterone therapy while transgender service members could not. The Pentagon did not respond.

The Swiss government has said it supports a nationwide ban on so-called conversion therapy.

The Swiss Broadcasting Corporation on its website notes the government officially announced its position in a report it published on Wednesday.

Neuchâtel in 2023 became the first Swiss canton to ban conversion therapy.

Lawmakers in Valais and Vaud have also prohibited the widely discredited practice in their respective cantons. Bern and Geneva are among the other cantons in which lawmakers have considered similar prohibitions.

The European Commission earlier this year said all European Union countries should ban conversion therapy.

Switzerland is not a member of the EU, but lawmakers in neighboring Germany in 2020 passed a law that prohibits conversion therapy for minors and for adults who have not consented to undergoing the widely discredited practice.

Several EU countries — Belgium, Cyprus, France, Malta, Norway, Portugal, and Spain — have banned conversion therapy outright.

The Dutch Senate in June approved a bill that would ban conversion therapy in the Netherlands. The lower house of the country’s parliament approved the measure in September 2025.

Greece in 2022 banned conversion therapy for minors.