Hypogonadism (Low Testosterone)

DC 7523Endocrine38 CFR 4.119, DC 7523

A condition where the body does not produce enough testosterone, causing fatigue, low libido, muscle loss, mood changes, and bone density loss. The VA rates hypogonadism based on the level of treatment required and its impact on daily functioning.

How the VA rates this condition

The VA rates this condition based on the type and intensity of treatment you require. Higher ratings correspond to more aggressive treatment regimens, such as daily medication, insulin dependence, or the need for ongoing medical management.

Diagnostic code

DC 7523

Rating range

0% – 30%

Rating levels

Rating criteria are defined in 38 CFR 4.119, DC 7523. 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 hypogonadism requires continuous testosterone replacement therapy and you experience ongoing symptoms such as fatigue, low libido, or mood changes despite treatment.

What the VA looks for

Continuous testosterone replacement therapy documented
Low testosterone levels confirmed on serial lab work
Residual symptoms (fatigue, low libido, mood changes) despite treatment
Regular endocrinology follow-up documented
Impact on daily activities documented

Common Pitfalls

⚠Not getting serial testosterone level lab work to confirm the diagnosis — a single low reading may not be sufficient.
⚠Not documenting secondary effects such as erectile dysfunction, depression, and osteoporosis as separate secondary claims.
⚠Not connecting to medications or conditions from service that may have caused hormonal disruption (e.g., opioid use, traumatic brain injury).

Related DBQ Forms

DBQ Male Reproductive Organ Conditions

View evidence checklist →See secondary conditions →

Condition Rating Guides

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