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Evidence checklist

Chronic Pelvic Pain Syndrome

DC 7599-752738 CFR § 4.115aGenitourinary

Evidence strength

Mark what you already have below and your evidence strength appears here.

Target
Saved locally
01

Specialist opinion

Highest value0 of 2 collected
Gynecology, urology, or pain management evaluationCritical

Records from a specialist documenting chronic pelvic pain (6+ months), pain severity (VAS score), and impact on daily activities.

Private provider · independent opinion
Nexus opinion linking chronic pelvic pain to service or SC conditionCritical

Medical opinion connecting chronic pelvic pain to military service, MST, in-service trauma, or a service-connected condition.

Private provider · independent opinion
02

Treatment records

0 of 1 collected
Pain management and treatment records

Records documenting treatments tried and their effectiveness — showing refractory nature of the pain if applicable.

VA or private records · written request
03

Diagnostic tests and lab results

0 of 1 collected
Diagnostic workup ruling out other causes

Records of imaging, laparoscopy, and other testing performed to identify or rule out underlying causes.

Imaging or lab facility · records request
04

Lay statements

0 of 2 collected
Buddy statement from spouse, family, or fellow service member

A written statement from someone who can describe observable symptoms and how your condition affects daily life.

You or a witness · VA Form 21-4138 or 21-10210How to get this →
Personal statement describing symptoms and functional impact

Your own written account of how this condition affects your daily activities, work, and relationships. Describe your worst days.

You or a witness · VA Form 21-4138 or 21-10210How to get this →
05

Service records

0 of 1 collected
Service treatment records (STRs)Critical

Military medical records showing in-service treatment, complaints, or injuries related to this condition.

NPRC / milConnect · SF-180
Condition guideRating criteria and what VA looks forBuddy statement builderGuided VA Form 21-10210

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