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C & P Exam For Ed (Errectile Dysfunction)

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vern2

Question

This is extract from my recent C & P exam for ED. I filed claim in 2012 for ED as secondary to HTN. Denied in 2013 as not service connected, even though started have ED problems before i retired in 2005.

4. Erectile dysfunction

-----------------------

Does the Veteran have erectile dysfunction?

[X] Yes [ ] No

If yes, complete the following section:

a. Etiology of erectile dysfunction:

htn

b. If the Veteran has erectile dysfunction, is it as likely as not (at least

a 50% probability) attributable to one of the diagnoses in Section 1,

including residuals of treatment for this diagnosis?

[X] Yes [ ] No

If yes, specify the diagnosis to which the erectile dysfunction is as

likely as not attributable:

htn

c. If the Veteran has erectile dysfunction, is he able to achieve an

erection

sufficient for penetration and ejaculation without medication?

[ ] Yes [X] No

If no, has the Veteran used medications for treatment of his erectile

dysfunction?

[X] Yes [ ] No

If yes, is the Veteran able to achieve an erection sufficient for

penetration and ejaculation with medication?

[ ] Yes [X] No

5. Retrograde ejaculation

-------------------------

Does the Veteran have retrograde ejaculation?

[ ] Yes [X] No

6. Male reproductive organ infections

-------------------------------------

Does the Veteran have a history

DBQ GU Male reproductive system:

MEDICAL OPINION REQUEST

TYPE OF MEDICAL OPINION REQUESTED: Aggravation of a nonservice connected

disability by a service connected disability.

OPINION REQUESTED: Aggravation of a nonservice connected disability by

A service connected disability.

Was the Veteran's erectile dysfunction at least as likely as not

Aggravated beyond its natural progression by his/her service connected hypertension

with pulmonary hypertension?

Discussion of above question: The above question requires that the

erectile dysfunction exists prior to military service and be aggravated

by his hypertension. His erectile dysfunction did not occur until 2005,

occurring after his military service, and therefore this does not seem

to be the appropriate question. If we stay with the above question the

opinion is that his erectile dysfunction was not aggravated by his

hypertension and pulmonary heypertension.

The more appropriate question is whether the erectile dysfunction is

secondary to the hypertension with pulmonary hypertension.

Opinion: It is at least as likely as not that the erectile dysfunction

Is secondary to his hypertension and pulmonary hypertension.

Rationale: The veteran's erectile dysfunction occurred after many

Years of hypertension with pulmonary hypertension. Hypertension injures the

blood vessels in the penis contributing to erectile dysfunction. The

veteran's testosterone was normal in 2011 ruling out hypogonadism as

one major alternative cause of erectile dysfunction. Advancing age can also

be a major cause but the veteran was diagnosed with erectile dysfunction

or possibly 10 years ago when he was somewhat younger. Since the other

causes are somewhat less likely it increases the likelihood of hypertension being the most likely cause. Supportive evidence in the veteran's case also is that the urologist's opinion is that it is secondary to his hypertension.

This opinion is like several others, in that doctor goes beyond what the VARO is asking to reach a favorable opinion. I am not sure if this is good or bad. Has anyone else had similar experience?

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  • HadIt.com Elder

it should be rated a %....look at the ratings for this type disability ED, and see how much you should be rated?

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Ok, I am learning more each day. Hate to have ED, wife is very unhappy to say the least.

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  • HadIt.com Elder

I knew it ED) could be compensated I didn't know how much? but anything is better than nothing I didn't know it could not be rated a % but I did know it could be compensated to SMC's

Thanks Phillip

..............................Buck

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