Pelvic Pain VA Disability Rating Explained

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Pelvic pain is a serious, life-altering condition that affects many veterans and can be linked to service-related injuries, illnesses, or traumatic experiences.

Whether it’s due to combat injuries, chronic conditions, or other events during military service, pelvic pain can have a severe impact on your ability to function and enjoy daily life.

While the VA doesn’t assign a specific diagnostic code (DC) solely for pelvic pain, the good news is that the VA does recognize it under a variety of diagnostic codes tied to the underlying condition causing the pain.

The key to receiving compensation is establishing service-connection—showing that your pelvic pain is directly linked to a service-related injury, illness, or disease or other service-connected disability for secondary service connection.

Once service connection is established, the VA will rate your condition based on the severity of symptoms and overall negative impacts to your work, life, and social functioning.

In this article, we’ll explain how the VA evaluates pelvic pain under different DCs and provide steps to ensure you’re properly rated.

Let’s jump in and explore how to maximize your VA disability rating for pelvic pain!

Summary of Key Points

• Pelvic pain is a serious condition that can significantly impact veterans’ daily functioning and quality of life, often linked to service-related injuries, illnesses, or traumatic experiences.

• The VA does not assign a specific diagnostic code for pelvic pain itself, but it recognizes the condition under various diagnostic codes (DCs) tied to the underlying causes such as endometriosis, chronic prostatitis, or interstitial cystitis.

• Establishing service connection is crucial to receiving compensation for pelvic pain, whether through direct service connection or as a secondary condition to another service-connected disability.

• Once service connection is established, the VA will rate pelvic pain based on the severity of symptoms and its impact on the veteran’s work, life, and social functioning, with ratings varying based on the most applicable DC.

What is Pelvic Pain?

Pelvic pain is discomfort that occurs in the lower abdomen or pelvic region, often including the genital area, lower back, or even thighs.

Pelvic pain can be a complex and debilitating condition, impacting veterans and others in various ways.

It’s important to recognize that pelvic pain may not stem from a single source; often, multiple conditions from different systems in the body contribute to it.

Below, we’ll explore the various causes of pelvic pain, categorized by the system they affect.

Where Pelvic Pain Starts

Pelvic pain can originate in several areas of the body, including:

• Digestive system: Issues in the intestines, colon, or related organs.

• Reproductive system: Problems with reproductive organs in women and men.

• Urinary system: Conditions affecting the bladder, kidneys, or urethra.

• Muscles and ligaments: Pain may be due to muscle strain in the pelvic floor or hips.

Additionally, nerve irritation in the pelvic region can also be a source of chronic pain, as damaged or inflamed nerves may signal pain even in the absence of a specific injury.

Female Reproductive System

Pelvic pain in women is often linked to reproductive organ issues.

Some common causes include:

• Adenomyosis: A condition where the inner lining of the uterus breaks through the muscle wall.

• Endometriosis: A painful condition where tissue similar to the lining inside the uterus grows outside it.

• Ovarian cancer or ovarian cysts: Growths on or inside the ovaries.

• Pelvic inflammatory disease (PID): An infection of the reproductive organs.

• Uterine fibroids: Non-cancerous growths in the uterus.

• Vulvodynia: Chronic pain in the area around the vaginal opening without an obvious cause.

• Ectopic pregnancy: A pregnancy that occurs outside the uterus, typically in a fallopian tube.

• Miscarriage or preterm labor: Issues related to pregnancy loss or premature birth.

• Placental abruption: When the placenta detaches from the uterus prematurely.

Pelvic Pain and the Menstrual Cycle

Women may experience pelvic pain related to their menstrual cycle, including:

• Menstrual cramps: Pain before or during menstruation.

• Mittelschmerz: Pain during ovulation, typically in the middle of the cycle.

Other Causes of Pelvic Pain in Women and Men

Pelvic pain isn’t just limited to reproductive issues.

Many digestive system conditions can cause significant discomfort, including:

• Appendicitis: Inflammation of the appendix.

• Colon cancer or intestinal obstruction: Growths or blockages that can cause pain.

• Crohn’s disease and ulcerative colitis: Types of inflammatory bowel disease (IBD).

• Irritable bowel syndrome (IBS): A chronic condition affecting the large intestine.

• Diverticulitis: Infection or inflammation of pouches that can form in the colon.

Pelvic pain can also originate from the urinary system, such as:

• Interstitial cystitis: Chronic inflammation of the bladder.

• Kidney infections or kidney stones: Pain from infection or stones passing through the urinary tract.

• Urinary tract infections (UTIs): Infections in any part of the urinary system.

Finally, general health conditions that could lead to pelvic pain include:

• Fibromyalgia: A condition that causes widespread pain, including in the pelvic area.

• Inguinal hernia: Tissue bulging through a weak spot in the abdominal muscles.

• Pelvic floor muscle spasms: Pain caused by muscle tension or spasms in the pelvic floor.

• Prostatitis: In men, inflammation of the prostate gland, often causing pelvic pain.

• Past physical or sexual abuse: Emotional and physical trauma from abuse can manifest as chronic pelvic pain.

Symptoms of Pelvic Pain in Veterans

Veterans experiencing pelvic pain may encounter a wide range of symptoms depending on the underlying cause, which can include physical, emotional, and psychological factors.

Common symptoms of pelvic pain in veterans include:

1. Chronic Lower Abdominal Pain

Persistent pain in the lower abdomen or pelvic region that lasts for six months or more. The pain may vary from dull and aching to sharp and severe, often worsening with activities like walking, standing, or lifting.

2. Urinary Symptoms

Many veterans, especially those with chronic pelvic pain syndrome (CPPS) or interstitial cystitis, may experience frequent urination, urgency, painful urination (dysuria), or incomplete emptying of the bladder. This is common in both men and women with pelvic pain issues related to the bladder.

3. Pain During Sexual Activity

Veterans may report discomfort or pain during or after sexual intercourse. This can be related to conditions such as endometriosis, pelvic floor dysfunction, or prostatitis.

4. Bowel Symptoms

Some veterans with pelvic pain may experience digestive issues such as constipation, diarrhea, or painful bowel movements. This is often seen in conditions like irritable bowel syndrome (IBS), which can overlap with pelvic pain disorders.

5. Musculoskeletal Pain

Pain can spread to the lower back, hips, or thighs, as seen in conditions like pelvic floor dysfunction or musculoskeletal injuries from service-related activities or injuries. This pain may worsen with physical exertion.

6. Emotional and Psychological Symptoms

Chronic pelvic pain can lead to emotional distress, anxiety, and depression, especially in veterans who have experienced trauma, such as military sexual trauma (MST) or combat injuries. Veterans with a history of trauma may have a higher risk of experiencing chronic pelvic pain, which can exacerbate mental health conditions like PTSD.

7. Pain Triggered by Specific Activities

Activities such as sitting, standing for extended periods, urinating, or having bowel movements can trigger or worsen pelvic pain. This symptom is commonly reported by veterans suffering from pelvic floor issues or bladder conditions like interstitial cystitis.

What are the Risk Factors for Pelvic Pain in Military Veterans?

Several risk factors can contribute to pelvic pain in military veterans, and these are often tied to the physical, emotional, and psychological stressors that come with military service.

Here are the most significant risk factors:

1. Military Sexual Trauma (MST)

Veterans who have experienced MST are at a significantly higher risk of developing chronic pelvic pain. MST refers to any sexual harassment or assault experienced during military service, and veterans who have endured MST are 2-3 times more likely to experience chronic pelvic pain compared to those without this history​. This trauma often results in both physical and psychological conditions that contribute to ongoing pain in the pelvic region.

2. Combat-Related Injuries

Veterans who have experienced combat injuries in the lower abdomen, hips, or pelvic region are at higher risk for developing chronic pelvic pain. Blunt trauma, shrapnel wounds, or stress fractures related to heavy physical exertion during service can all result in chronic pain long after the injury has healed.

3. Post-Traumatic Stress Disorder (PTSD)

Veterans diagnosed with PTSD are more prone to developing chronic pain conditions, including pelvic pain. Psychological stress and trauma can exacerbate physical pain syndromes, including those affecting the pelvic area. PTSD can lead to muscle tension, pain sensitivity, and other physical manifestations of psychological distress​.

4. Prolonged Physical Strain

The physical demands of military service—such as carrying heavy gear, long periods of standing or marching, and strenuous activities—can contribute to pelvic pain. These activities may lead to musculoskeletal injuries, pelvic floor dysfunction, and related pain syndromes, particularly in veterans who have had no access to timely treatment.

5. Reproductive and Gynecological Conditions

Female veterans may develop pelvic pain related to gynecological conditions such as endometriosis, pelvic inflammatory disease, or ovarian cysts. Women in the military are exposed to unique stressors that can exacerbate these conditions, making them more susceptible to chronic pelvic pain​.

6. Chronic Pelvic Infections

Veterans who have experienced chronic urinary tract infections (UTIs), prostatitis (in men), or other recurrent pelvic infections are at increased risk of developing chronic pelvic pain. These infections, if not properly managed, can result in long-term damage and ongoing discomfort.

7. Pelvic Surgeries or Injuries

Veterans who have undergone pelvic surgeries (e.g., for hernias, gynecological issues, or injuries) may experience chronic pelvic pain as a complication of surgery. Scar tissue, nerve damage, or complications from surgical procedures can lead to long-lasting discomfort and pain.

8. Emotional and Psychological Stress

Emotional stress, anxiety, and depression can exacerbate or contribute to the development of chronic pelvic pain. The mental health challenges faced by many veterans, particularly those with a history of trauma, can increase the likelihood of experiencing physical pain, including in the pelvic area​.

What is the Pelvic Pain VA Disability Rating?

The VA doesn’t assign a specific diagnostic code (DC) solely for pelvic pain; instead, it is rated based on the underlying condition causing the pain.

Below is a list of the relevant diagnostic codes and their corresponding ratings for conditions that may result in pelvic pain, as specified in 38 CFR, Part 4, the Schedule for Rating Disabilities.

For Women (38 CFR § 4.116 – Gynecological Conditions and Disorders of the Breast):

DC 7612: Cervix, Disease or Injury

• 30% Rating: Symptoms not controlled by continuous treatment

• 10% Rating: Symptoms that require continuous treatment

• 0% Rating: Symptoms that do not require continuous treatment

DC 7629: Endometriosis

• 50% Rating: Lesions involving bowel or bladder confirmed by laparoscopy, pelvic pain or heavy or irregular bleeding not controlled by treatment, and bowel or bladder symptoms

• 30% Rating: Pelvic pain or heavy or irregular bleeding not controlled by treatment

• 10% Rating: Pelvic pain or heavy or irregular bleeding requiring continuous treatment for control

Note: Diagnosis of endometriosis must be substantiated by laparoscopy. 

DC 7615: Ovary, Disease, Injury, or Adhesions

• 30% Rating: Symptoms not controlled by continuous treatment

• 10% Rating: Symptoms that require continuous treatment

• 0% Rating: Symptoms that do not require continuous treatment

DC 7617: Complete Removal of Uterus and Both Ovaries

• 100% Rating: For three months following surgery.

• 50% Rating: Thereafter.

DC 7618: Complete Removal of Uterus

• 100% Rating: For three months following surgery.

• 30% Rating: Thereafter.

DC 7628: Benign Neoplasms of the Gynecological System

• For benign neoplasms of gynecological system, rate chronic residuals to include scars, lymphedema, disfigurement, and/or other impairment of function under the appropriate diagnostic code(s) within the appropriate body system.

For Men (38 CFR § 4.115b – Ratings for the Genitourinary System):

DC 7527: Prostate Gland Conditions (Chronic Prostatitis or Chronic Pelvic Pain Syndrome – CPPS)

38 CFR, Part 4, the Schedule for Rating Disabilities states that prostate glands, bladder, urethra, and other injuries of the genitourinary system should be rated under voiding dysfunction as follows:

• 60% Rating: Requiring the use of an appliance or the wearing of absorbent materials which must be changed more than 4 times per day

• 40% Rating: Requiring the wearing of absorbent materials which must be changed 2 to 4 times per day

• 20% Rating: Requiring the wearing of absorbent materials which must be changed less than 2 times per day

All the conditions below can produce urinary incontinence and can, therefore, be rated under the voiding dysfunction criteria above from 20% to 60% with a break at 40%:

• DC 7512: Chronic Cystitis

• DC 7515: Calculus in the Bladder

• DC 7516: Fistula of the Bladder

• DC 7517: Injury of the Bladder

• DC 7518: Stricture of the Urethra

• DC 7519: Fistula of the Urethra

• DC 7528: Residuals of Treatment for Malignant Neoplasms of the Genitourinary System

• DC 7529: Benign Neoplasm of the Genitourinary System

• DC 7542: Neurogenic Bladder

• DC 7545: Bladder, Diverticulum

Special Monthly Compensation (SMC) for Loss of Use of a Creative Organ

For both men and women, if pelvic conditions result in the loss or loss of use of reproductive organs, veterans may qualify for Special Monthly Compensation (SMC-K), which is an additional $136.06 per month in compensation for 2025.

This compensation applies to veterans who experience conditions like the removal of reproductive organs or loss of sexual function.

List of VA Secondary Conditions Linked to Pelvic Pain

Secondary Conditions Linked to Pelvic Pain may arise due to the interconnected nature of various body systems.

Here’s a list of possible secondary conditions linked to pelvic pain in veterans:

• Depression and Anxiety: Chronic pelvic pain can have a significant impact on mental health, leading to conditions like depression and anxiety.

• Urinary Incontinence: Pelvic pain from issues like pelvic floor dysfunction or bladder disorders can result in urinary leakage or incontinence.

• Irritable Bowel Syndrome (IBS): Digestive disorders, often worsened by pelvic pain, can contribute to or be caused by IBS.

• Sexual Dysfunction: Both men and women with pelvic pain may experience pain during intercourse, reducing sexual function and causing emotional distress.

• Chronic Fatigue: Persistent pain and discomfort can cause physical exhaustion and fatigue, leading to overall diminished quality of life.

• Lower Back Pain or Sciatica: Pelvic pain can radiate to the lower back or hips, causing secondary musculoskeletal pain.

• Sleep Disorders: Chronic pelvic pain often disrupts sleep, leading to conditions like insomnia or restless sleep.

• Mobility Issues: Pain in the pelvic region can affect movement, leading to difficulty walking, standing, or exercising.

• Fibromyalgia: This condition, which causes widespread pain and fatigue, can be triggered or worsened by chronic pelvic pain.

• Pelvic Floor Muscle Spasms: Muscle tension and spasms in the pelvic floor are often associated with chronic pelvic pain, leading to further discomfort and functional limitations.

• Prostatitis: For men, chronic pelvic pain can lead to prostate inflammation, often causing urinary issues and pain.

Each of these conditions can develop due to chronic pelvic pain and its impact on other body systems, affecting physical and emotional well-being.

Proper medical documentation, including a Nexus Letter for a secondary condition, can help connect the current service-connected disability to the new secondary disability.

Conclusion & Wrap-Up

Pelvic pain is a complex and debilitating condition that affects many veterans, often due to service-related injuries, illnesses, or traumatic experiences.

While the VA doesn’t have a specific diagnostic code for pelvic pain itself, the underlying conditions that cause pelvic pain are recognized and rated by the VA under various diagnostic codes.

The key to receiving compensation for pelvic pain lies in establishing service connection, whether it’s through a direct link to a service-related injury or illness, or as a secondary condition to an existing service-connected disability.

Once service connection is established, your condition will be rated based on the severity of symptoms and how much it impacts your ability to work, engage in social activities, and manage daily life.

It’s crucial to document your symptoms thoroughly and provide clear medical evidence of how pelvic pain affects your daily functioning.

This may include medical records and a strong Nexus Letter from a private healthcare provider.

By taking these steps, you can ensure that the VA accurately evaluates your condition and awards the benefits you deserve.

Remember, understanding the VA’s rating criteria and knowing how to navigate the system is the difference between receiving a fair disability rating and being denied or underrated.

Don’t hesitate to seek expert-level guidance if you need help with your claim—your service deserves recognition, and you’re entitled to the VA disability benefits you’ve earned!

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