Skip to main content

Evidence checklist

Prolapse of Uterus

DC 762138 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 documenting uterine prolapse and gradeCritical

Records from a gynecologist showing the degree of prolapse (grade I through IV), symptoms, and whether a pessary or surgery is recommended.

Private provider · independent opinion
Nexus opinion linking uterine prolapse to serviceCritical

A medical opinion stating it is "at least as likely as not" that your prolapse was caused by physical demands of military service (heavy lifting, running, rucking) or a service-connected condition.

Private provider · independent opinion
02

C&P examination

0 of 1 collected
Pelvic examination documenting prolapse severityCritical

Detailed pelvic exam findings showing the position of the uterus and the degree it has dropped into or beyond the vaginal canal.

VA-scheduled · request a copy on VA.govHow to get this →
03

Treatment records

0 of 2 collected
Treatment records (pessary, physical therapy, or surgery)

Records showing what treatments you have tried, including pessary use, pelvic floor therapy, or surgical repair, and how well they worked.

VA or private records · written request
Records of bladder or bowel symptoms caused by prolapse

Documentation of urinary incontinence, difficulty emptying your bladder, constipation, or other bladder and bowel problems caused by the prolapse.

VA or private records · written 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 the degree of prolapse, symptoms, 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

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.