Chelsea Manning has gender hormone therapy approved

The decision came after a lawsuit was filed in September in US District Court for the District of Columbia. It alleged Manning was at a high risk of self-castration and suicide unless she received more focused treatment for gender dysphoria, the sense of being a woman in a man's body.

The Army was providing some treatment but not enough, according to the lawsuit, including psychotherapy from a mental health specialist who lacked the qualifications to treat gender dysphoria. The Federal Bureau of Prisons and many state and local corrections agencies administer hormone therapy to prisoners with gender dysphoria, but Manning is the first transgender military prisoner to request such treatment.

"Such clear disregard of well-established medical protocols constitutes cruel and unusual punishment," ACLU attorney Chase Strangio said in September. Outgoing Defense Secretary Chuck Hagel had approved medical treatment in August, but it hadn't started by the time the ACLU filed the lawsuit.

The 26-year-old former intelligence analyst was convicted in August 2013 of espionage and other offenses for sending more than 700,000 classified documents to WikiLeaks while working in Iraq.

Transgender people are not allowed to serve in the U.S. military, but Manning can't be discharged from the service while serving her prison sentence.

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Chelsea Manning has gender hormone therapy approved