Evidence Checklist: Endometriosis

Gynecology evaluation and treatment recordsCritical

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

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.

Pain management records documenting chronic pelvic pain

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

Laparoscopy/surgical pathology report confirming diagnosisCritical

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

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.

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.

Service treatment records (STRs)Critical

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