Polycystic Ovary Syndrome (PCOS)

DC 7699-7628Genitourinary38 CFR 4.116, DC 7699-7628

A hormonal disorder causing enlarged ovaries with small cysts, irregular periods, excess androgen levels, and potential fertility problems. Rated by analogy to gynecological conditions.

Rating Levels

Your PCOS symptoms are not adequately controlled by treatment.

What the VA looks for

Persistent symptoms despite continuous treatment
Multiple treatment approaches attempted
Significant hormonal imbalance documented on lab work
Impact on daily functioning and quality of life
Specialist referral and ongoing management

Common Pitfalls

⚠Not documenting all symptoms — PCOS affects multiple body systems (hormonal, metabolic, reproductive).
⚠Not filing for secondary conditions like diabetes, obesity, depression, or skin conditions (acne, hirsutism).
⚠Not connecting onset or worsening to military service stressors or environmental exposures.
⚠Rating by analogy may undervalue the condition — consider whether separate ratings for individual symptoms yield a higher combined rating.

Related DBQ Forms

DBQ Gynecological Conditions

View evidence checklist →See secondary conditions →

Condition Rating Guides

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