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Evidence checklist

Oophorectomy Residuals

DC 761938 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 1 collected
Nexus opinion linking oophorectomy to service-connected conditionCritical

A medical opinion connecting the removal of your ovary or ovaries to a service-connected condition like endometriosis, ovarian cysts, cancer, or PID.

Private provider · independent opinion
02

Treatment records

0 of 3 collected
Surgical report from oophorectomy procedureCritical

The operative report showing whether one or both ovaries were removed, the reason for surgery, and any complications.

VA or private records · written request
Hormone level testing and replacement therapy recordsCritical

Lab results showing hormone changes after surgery (especially if both ovaries removed) and records of any hormone replacement therapy.

VA or private records · written request
Documentation of surgical menopause symptoms (if bilateral)

Records documenting hot flashes, mood changes, bone density loss, sleep problems, or other symptoms of surgical menopause after both ovaries were removed.

VA or private records · written request
03

Diagnostic tests and lab results

0 of 1 collected
Bone density scan (DEXA) results

Bone density testing results to document any osteoporosis or bone loss caused by early loss of estrogen from ovary removal.

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

Benefits questionnaire

0 of 1 collected
DBQ — Gynecological Conditions

Disability Benefits Questionnaire completed by your doctor documenting your current residual symptoms and how they affect your daily life.

Provider-completed · VA DBQ formHow to get this →
06

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

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