Gynecological system · 38 CFR 4.116
Gynecological and Breast Conditions and VA Disability
This system covers conditions of the female reproductive organs and the breasts. The VA rates most of them on whether continuous treatment controls your symptoms. Some, like endometriosis, have their own scale. Active reproductive or breast cancer is rated at 100 percent, then on what treatment leaves behind.
Patriot Path handles the medical side of these claims. Our physicians write the nexus letters and independent medical opinions that connect a gynecological or breast condition to your service. The fee is a flat $1,500, and the first consultation is free.
Medically reviewed by the Patriot Path Medical Team
Licensed MD reviewers • Last updated: June 2026
Conditions in this system
These are the gynecological and breast conditions veterans claim most. Full guides are on the way.
- Endometriosis
Tissue growth that causes pelvic pain and heavy periods. Rated 10 to 50 percent on symptoms and lesions.
DC 7629
- Uterine conditions and fibroidsGuide in progress
Disease or injury of the uterus, including fibroids. Rated on whether continuous treatment controls the symptoms.
DC 7613
- Cervix conditionsGuide in progress
Disease or injury of the cervix. Rated on symptom control with treatment.
DC 7612
- HysterectomyGuide in progress
Removal of the uterus. Rated 100 percent for three months, then 30 percent, with a review for added compensation.
DC 7618
- Breast surgeryGuide in progress
Rating depends on how much tissue was removed and whether one or both sides. A review for added compensation applies.
DC 7626
- Female sexual arousal disorderGuide in progress
Rated at 0 percent, with a review for Special Monthly Compensation.
DC 7632
How the VA rates gynecological and breast conditions
Most conditions of the reproductive organs share one idea. If your symptoms are controlled without ongoing treatment, the rating is low or zero. If they need continuous treatment, the rating goes up. If treatment does not control them, it goes higher still.
A few conditions have their own rules. Endometriosis is rated from 10 to 50 percent on pain, treatment, and whether it has spread to the bowel or bladder. Surgeries like a hysterectomy or a mastectomy carry a set rating for a period, then a lasting rating based on what was removed.
Two points are easy to miss. Active reproductive or breast cancer is rated at 100 percent through treatment, then re-rated on residuals. And the loss of a reproductive organ or a breast can qualify for Special Monthly Compensation, an added payment on top of the rating.
Connecting a gynecological or breast condition to service
There are a few ways to tie a gynecological or breast condition to your service:
- Direct. The condition started in service, or an in-service cause led to it. A diagnosis or treatment in your records helps establish it.
- Presumptive (toxic exposure). Reproductive cancers are presumptive for veterans with qualifying burn-pit and toxic exposure under the PACT Act. The VA accepts the link, so you do not have to prove the cause.
- Secondary. Another service-connected condition caused or worsened it (38 CFR 3.310). A condition driven by service-connected medication is one example.
For a direct or secondary claim, the VA needs a current diagnosis, an in-service cause, and a medical opinion linking them (38 CFR 3.303). That opinion has to clear the “at least as likely as not” standard, a 50 percent or better chance. That standard is the benefit-of-the-doubt rule under 38 U.S.C. 5107(b), carried out in 38 CFR 3.102. A nexus letter is that linking opinion.
Frequently asked questions
How does the VA rate endometriosis?
Endometriosis is rated under Diagnostic Code 7629, from 10 to 50 percent. The rating is based on pelvic pain, whether continuous treatment is needed, and whether it has spread to the bowel or bladder, confirmed by surgery. It is one of the few gynecological conditions with its own scale.
Is a hysterectomy a VA disability?
Yes, when the condition behind it is service-connected. A hysterectomy is rated at 100 percent for three months after surgery, then at 30 percent. Because it removes a reproductive organ, the VA also reviews it for Special Monthly Compensation, an added payment.
Are reproductive and breast cancers presumptive?
For veterans with qualifying burn-pit and toxic exposure, the PACT Act makes reproductive cancers presumptive. Active cancer is rated at 100 percent through treatment, then re-rated on residuals like scars or lymphedema.
Can I get Special Monthly Compensation for gynecological surgery?
You may. The loss of a reproductive organ, such as the uterus or ovaries, or the loss of a breast, can qualify for Special Monthly Compensation. It is paid on top of your regular rating.
Do I need a nexus letter for a gynecological claim?
For a direct or secondary claim, usually yes. The VA needs a current diagnosis, an in-service cause, and a medical opinion linking them. A nexus letter is that opinion, and it is often what decides the claim.
A gynecological or breast condition from service?
Tell us what you are dealing with. The first consultation is free, and we will tell you straight whether a nexus letter can strengthen your claim.
Sources & regulatory references
- VA disability compensation (VA.gov) https://www.va.gov/disability/
- 38 CFR 4.116, Schedule of ratings, gynecological conditions and disorders of the breast (eCFR) https://www.ecfr.gov/current/title-38/section-4.116
- 38 CFR 3.310, Secondary service connection (eCFR) https://www.ecfr.gov/current/title-38/section-3.310
- 38 U.S.C. 1114, Special monthly compensation (Cornell LII) https://www.law.cornell.edu/uscode/text/38/1114
- The PACT Act and your VA benefits (VA.gov) https://www.va.gov/resources/the-pact-act-and-your-va-benefits/
- Special monthly compensation rates (VA.gov) https://www.va.gov/disability/compensation-rates/special-monthly-compensation-rates/