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Evidence checklist

Vulvodynia

DC 761038 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 vulvodynia diagnosisCritical

Records from a gynecologist showing a vulvodynia diagnosis, the type (generalized or localized/vestibulodynia), and how the pain was assessed.

Private provider · independent opinion
Nexus opinion linking vulvodynia to serviceCritical

A medical opinion stating it is "at least as likely as not" that your vulvodynia started during or was caused by military service, including possible connection to infections, trauma, or stress during service.

Private provider · independent opinion
02

Treatment records

0 of 2 collected
Treatment records showing pain management effortsCritical

Records showing all treatments tried (medications, physical therapy, nerve blocks, topical creams) and how well each one worked.

VA or private records · written request
Pelvic floor physical therapy records

Records from pelvic floor physical therapy showing evaluation findings, treatment provided, and progress or lack of improvement.

VA or private records · written request
03

Lay statements

0 of 3 collected
Pain diary documenting daily impact

A record of your pain levels over time, including what triggers pain, how long it lasts, and what activities you cannot do because of it.

You or a witness · VA Form 21-4138 or 21-10210How to get this →
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 →
04

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 →
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

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