Adenomyosis

DC 7629Gynecological/Breast38 CFR 4.116, DC 7629

A condition where the tissue that normally lines the uterus (endometrium) grows into the muscular wall of the uterus, causing the uterus to enlarge, and resulting in heavy painful periods and chronic pelvic pain. The VA rates adenomyosis similarly to endometriosis based on the severity of symptoms.

How the VA rates this condition

The VA rates this condition based on the type, severity, and frequency of your symptoms. The examiner will evaluate your specific symptoms and how they affect your daily life and ability to work.

Diagnostic code

DC 7629

Rating range

0% – 30%

Rating levels

Rating criteria are defined in 38 CFR 4.116, DC 7629. This guide presents a plain-language summary and is not a substitute for the full regulatory text. Always consult a VSO or VA-accredited attorney for case-specific advice.

Rating Levels

Your adenomyosis causes symptoms not controlled by continuous treatment, with heavy bleeding, severe pain, or bowel and bladder involvement.

What the VA looks for

Symptoms persisting despite hormonal therapy
Severe dysmenorrhea requiring narcotic pain medication
Anemia from chronic heavy bleeding
Bladder or bowel pressure symptoms from enlarged uterus
Discussion of hysterectomy due to treatment failure

Common Pitfalls

⚠Not differentiating adenomyosis from endometriosis in your medical records — while they share a diagnostic code, having both conditions documented separately can support additional secondary claims.
⚠Failing to document the severity of menstrual bleeding with specific details such as pad/tampon count, duration of periods, clot passage, and iron deficiency anemia from chronic blood loss.
⚠Not filing for secondary conditions including iron deficiency anemia, depression, anxiety, chronic pain syndrome, and sexual dysfunction caused by adenomyosis symptoms.
⚠Assuming adenomyosis can only be diagnosed after hysterectomy — MRI and transvaginal ultrasound can now diagnose adenomyosis without surgery, providing evidence for your claim.

Related DBQ Forms

DBQ Gynecological Conditions and Disorders of the Breast

View evidence checklist →See secondary conditions →

Condition Rating Guides

Understand what the VA looks for at each rating level — loading conditions…

Adenomyosis

How the VA rates this condition

The VA rates this condition based on the type, severity, and frequency of your symptoms. The examiner will evaluate your specific symptoms and how they affect your daily life and ability to work.

Diagnostic code

DC 7629

Rating range

0% – 30%

Rating levels

Rating Levels

Your adenomyosis causes symptoms not controlled by continuous treatment, with heavy bleeding, severe pain, or bowel and bladder involvement.

What the VA looks for

Symptoms persisting despite hormonal therapy
Severe dysmenorrhea requiring narcotic pain medication
Anemia from chronic heavy bleeding
Bladder or bowel pressure symptoms from enlarged uterus
Discussion of hysterectomy due to treatment failure

Common Pitfalls

⚠Not differentiating adenomyosis from endometriosis in your medical records — while they share a diagnostic code, having both conditions documented separately can support additional secondary claims.

⚠Failing to document the severity of menstrual bleeding with specific details such as pad/tampon count, duration of periods, clot passage, and iron deficiency anemia from chronic blood loss.

⚠Not filing for secondary conditions including iron deficiency anemia, depression, anxiety, chronic pain syndrome, and sexual dysfunction caused by adenomyosis symptoms.

⚠Assuming adenomyosis can only be diagnosed after hysterectomy — MRI and transvaginal ultrasound can now diagnose adenomyosis without surgery, providing evidence for your claim.