How VA Rates Endometriosis

The VA evaluates the severity and impact of service-connected disabilities. Many female veterans suffer from complex and debilitating endometriosis.

This article will look at the VA's rating for endometriosis. The VA's review process may help endometriosis veterans get compensation for their symptoms and restrictions.  

What is Endometriosis?

Endometriosis is a disorder in which the uterine lining (endometrium) develops outside the uterus, usually in the pelvis. The symptoms of this abnormal growth range from discomfort to infertility, inability to work, and a lack of physical activity.

While women are more likely to have this condition, transgender men and non-binary individuals are not immune.

VA Rating Criteria for Endometriosis:

The VA rates disabilities based on the severity of symptoms and their impact on daily activities. The VA relies on Diagnostic Code 7629 to assess the rating of endometriosis. The rating for endometriosis may vary from 10% to 50% based on the severity of symptoms and their influence on your capacity to function.

VA Disability Benefits for Endometriosis:

You must prove that your endometriosis is related to your military service to qualify for disability compensation. The VA evaluates endometriosis under its disability rating system, which determines the severity and impact of the condition on your daily activities.

Symptoms and Their Impact on Rating:

The VA considers several variables when determining how endometriosis affects your everyday life. Indicators that might lower your rating include:

1. Chronic pelvic pain: If you suffer consistent discomfort in the pelvic region that considerably inhibits your capacity to work or participate in everyday activities, it might contribute to a higher rating.
2. Infertility: Your ability to conceive or its severity due to endometriosis may be considered a negative life event and may be a risk factor for later pregnancy.
3. Treatment side effects: The VA also considers how procedures like hormone therapy or surgery might affect your health. Your overall rating may be affected if you encounter serious adverse effects that affect your ability to carry out daily tasks.

Supporting Documentation:

Providing extensive medical documentation to back up your endometriosis claim is essential. The following are examples of required documents:

1. Medical records: Compile your medical documents detailing your endometriosis diagnosis, treatment, and associated surgeries. You may use these notes to prove how serious your condition is.
2. Buddy statements: Witness testimony from loved ones or coworkers who have seen the effects of endometriosis may be very helpful in proving your case.
3. VA Form 21-0960N-1: This is a form of gynecological disability benefit. Please take the time to complete this form, giving as much information as possible about your symptoms and how they affect your daily life.

Filing Your Claim:

Working with a Veterans Service Officer (VSO) or an experienced attorney may increase your chances of having a claim approved. They may aid with the gathering of evidence, the filling out of documents, and the protection of your rights.

Appealing a Denied Claim:

If your endometriosis insurance claim is originally rejected, you may request a review of the decision. If you want to know your alternatives and how to make the strongest case possible, you should go to a VSO or an attorney specializing in VA appeals.