Chronic Pelvic Pain Syndrome

DC 7599-7527Genitourinary38 CFR 4.115a, DC 7599-7527

Persistent pain in the lower abdomen and pelvic region lasting 6 months or more, often with urinary symptoms. Rated by analogy based on the predominant symptom (voiding dysfunction, urinary frequency, or pain).

Rating Levels

Your chronic pelvic pain causes urinary frequency with a daytime voiding interval less than 1 hour, or you wake up to void 5 or more times per night.

What the VA looks for

Daytime voiding interval less than 1 hour
Awakening to void 5 or more times per night
Severe impact on sleep, employment, and daily activities
Multiple treatments attempted with limited relief
Voiding diary documenting frequency

Common Pitfalls

⚠Not documenting voiding frequency with a voiding diary — the rating depends on specific intervals.
⚠Not reporting nighttime frequency (nocturia) separately from daytime symptoms.
⚠Not identifying all contributing factors (may be secondary to MST, pelvic injuries, or surgeries).
⚠Consider whether separate ratings for urinary symptoms and pain yield a higher combined rating.

Related DBQ Forms

DBQ Bladder and Urethra Conditions
DBQ Gynecological Conditions

View evidence checklist →See secondary conditions →

Condition Rating Guides

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