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hypertension C & P Exam For Ed (Errectile Dysfunction)
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vern2
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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Philip Rogers
ED is paid as an SMC "k" award and pays $103.23 monthly, but does not carry an additional percentage award, with it. pr
Philip Rogers
Sounds to me like you're better off w/o her!!! jmo pr
vern2
Update. I was granted SMC (k) with retro to 2012. Extra $ helps, but would prefer to not have this problem.
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