hypertension C & P Exam For Ed (Errectile Dysfunction)

[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?

[Gastone]

Take the SMC-K. Now go see your VA urologist and discuss your needs and desires as well as hers. The Dr can hook you up with a regular TOOL kit with a number of options that you can take for a test ride. It ain't ever going to be 18 again but you got to work with what you have, right. Parlez Vous Francais? Qui or no?

Semper Fi

Gastone

[vern2]

je suis un peau francis

[brokensoldier244th]

I feel very fortunate to have the GF that I have. I am 64 and she is 28.

She understands my ED situation and has no problem with it because there are other things that we can do, that she loves. We are on our 2nd year of being together and we are having a great time.

All you need to do is become creative and then the ED issue goes away....That extra SMC-K $100 helps.

OSC

Creativity, comfort, and patience is the key. Ive been married for 18 yrs, and have gradually lost erectile function over the last 10 since I was discharged. We 'used' to be able to walk a bed across a floor. Now, not so much, but understanding, knowing each other pretty well, and patience helps weather it. Sometimes it is like making out in HS- most of the time you didnt get to finish that, either, but it was fun while you were there.

[john6012]

A bit late to reply to this, but I too have ED and I think it is psychological because my ex and I had sex once per quarter if that often on her schedule.  I told myself repeatedly that it doesn't matter and ultimately I developed ED and she departed (Good!).  I was seen by a doctor and he did a test performed by a female that tested the blood pressure in my.... ahem.  He read the results and said the BP was borderline and then I went to a Urologist and told him and he did an implant and to cover it via my Blue Cross said it was due to hypertension that I had since I was in the military.  Well, it worked for 2-3 years and failed.  Then I had a repeat implant by the same Urologist and it failed after a couple of years also.  

Then I went to the VA and had it service-connected and received 10% for ED.  Current wife is comfortable as is but I am not.  I don't have the urge anymore and I miss it...

[vern2]

Update. I was granted SMC (k) with retro to 2012. Extra $ helps, but would prefer to not have this problem.

[Vync]

19 hours ago, vern2 said:

Update. I was granted SMC (k) with retro to 2012. Extra $ helps, but would prefer to not have this problem.

Congratulations Vern!