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Evidence checklist

Pelvic Inflammatory Disease (PID)

DC 761438 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 3 collected
Gynecology evaluation documenting PID diagnosis and treatmentCritical

Records from a gynecologist showing PID diagnosis, which organs are affected (uterus, fallopian tubes, ovaries), and treatment provided.

Private provider · independent opinion
Nexus opinion linking PID to serviceCritical

A medical opinion stating it is "at least as likely as not" that your PID started during or was caused by conditions during military service.

Private provider · independent opinion
Fertility assessment records (if applicable)

Records from a fertility specialist showing any impact PID has had on your ability to get pregnant, including tubal factor infertility.

Private provider · independent opinion
02

Treatment records

0 of 1 collected
Chronic pelvic pain documentation

Records from your doctor showing ongoing pelvic pain, how often it occurs, what makes it worse, and how it limits your activities.

VA or private records · written request
03

Diagnostic tests and lab results

0 of 2 collected
Lab tests and cultures confirming infectionCritical

Lab results showing infection markers, STI testing, cervical cultures, or elevated white blood cell count that support the PID diagnosis.

Imaging or lab facility · records request
Imaging showing scarring, adhesions, or tubal damage

Ultrasound or other imaging showing damage to your reproductive organs from PID, such as scarring, blocked tubes, or fluid collections.

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 symptoms, treatment, and how the condition affects 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

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