Skip to main content

Evidence checklist

Endometriosis

DC 762938 CFR § 4.116Gynecological/Breast

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 evaluation and treatment recordsCritical

Records from a gynecologist documenting diagnosis, stage (I–IV), symptoms (pelvic pain, dysmenorrhea, infertility), and treatment.

Private provider · independent opinion
Nexus opinion linking endometriosis to service or toxic exposureCritical

Medical opinion connecting endometriosis to military service, including potential dioxin/Agent Orange or other toxic exposure claims.

Private provider · independent opinion
02

Treatment records

0 of 1 collected
Pain management records documenting chronic pelvic pain

Records documenting chronic pelvic pain severity, frequency, and impact on daily activities and work capacity.

VA or private records · written request
03

Diagnostic tests and lab results

0 of 1 collected
Laparoscopy/surgical pathology report confirming diagnosisCritical

Operative report and pathology results from diagnostic or therapeutic laparoscopy — the gold standard for confirming endometriosis.

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 forC&P exam prepWhat the examiner will askBuddy statement builderGuided VA Form 21-10210

What you mark here is saved in this browser, on this device only — not to an account. Changing the target rating shows different items, but never loses what you have already marked.