Claiming erectile dysfunction

[Chief1997]

I suffer from erectile dysfunction. I am considering applying for ED as secondary to my High blood pressure and on my sleep apnea, I am service connected for both of these conditions. I was recently approved for high blood pressure/hypertension under the pact act. I have had blood pressure issues for many years, in the past year. My cardiologist at the VA has had to increase my blood pressure medicine and add on a new additional blood pressure medicine soon after the medication adjustment my ED came significantly worse. The cardiologist switched me to a different blood pressure medicine my ED did not improve. my question, would it be best to ask for service connection for ED based on both OSA and hypertension or simply just ask for it secondary to hypertension? And lastly, would I need a doctors opinion saying my ED is secondary to hypertension? Or could I simply submit medical journals stating that my ED is related to, and secondary to my hypertension and or OSA?

Edited October 31, 2023 by pacmanx1

[Chief1997]

5 hours ago, Dot09 said:

Rentalguy 
Agree to disagree. Im not saying the BVA can’t see weight in it. But I was only say that it is pointless to take articles and such to an c&p examiner. They often get upset and say they have everything on record or are offended that you brought them. 

So it appears a nexus stating secondary to high blood pressure would be essential. I’m seeing my VA cardiologist end of NOV. think I might get her to give me a favorable nexus. My ED worsened after she changed my blood pressure medication and my cholesterol medication this past year. Any suggestions on how to ask her for this help in requesting a link between my hypertension and ED? Since it’s a VA doctor does the statement need to be “it is as likely as not” or “more likely than not” linked to my hypertension.  OR can a simple statement that is is very likely related to hypertension. 
I am also seeing a urologist for my ED at the VA, think it possible the urologist would give me a favorable link to the cause being hypertension?

[Dot09]

I would just Google the dbq form for genital and loss of reproductive organ. Forgot what’s it called. But prefill it in as an example form of what you struggle with and give her a blank copy as well. The form should have a check box as likely as not. That’s what I did for my migraine specialist and she did it to the t. I was awarded within 3 months for migraine’s. Also I assume you will have to attend a c&p exam. The only thing I would bring is a copy of your dbq after you submitted it to the ro. 
 

P.S. I’ll get back with you later tomorrow on what the form is exactly with a link so that you can print it and take to your dr.

[dwragon]

First thing I would do is look at ALL your meds and see if any have been linked to ED, then check to see if there is anything else they can put you on, if they cant, it should be a shoo in. No BVA judge is going to rule against that, and its only about $175 a month. the VA isnt going to want to waste alot of rat er time and pay to fight it.

[Chief1997]

36 minutes ago, dwragon said:

First thing I would do is look at ALL your meds and see if any have been linked to ED, then check to see if there is anything else they can put you on, if they cant, it should be a shoo in. No BVA judge is going to rule against that, and its only about $175 a month. the VA isnt going to want to waste alot of rat er time and pay to fight it.

My cardiologist has changed my blood pressure medicine once and the new blood pressure medicine did not change my ED, it is still as bad as it was on the other blood pressure medicine. she did think there may have been some correlation to new cholesterol medicine  she prescribed me.  Wondering if I should just go in with the form (the dbq form for genital and loss ofreproductive organ) since she has already change the medicine once and see if she’ll fill it out for me to submit for compensation.

36 minutes ago, dwragon said:

First thing I would do is look at ALL your meds and see if any have been linked to ED, then check to see if there is anything else they can put you on, if they cant, it should be a shoo in. No BVA judge is going to rule against that, and its only about $175 a month. the VA isnt going to want to waste alot of rat er time and pay to fight it.

 

[Dot09]

I personally believe the dbq to be the best option at this point because you are going to the VARO. If denied then I say skip the dro unless it was an obvious error. If you peruse the appeal the BVA I would select evidence lane at which you can submit an imo or you could do the dbq and imo in the beginning. But personally the VARO will ignore your imo and choose the np advice over your imo. My experience has been trial and error however I have learned from the 19 years of dealing with the Va. granted I don’t know all the answers.

[Dot09]

I believe this to be the form. Check it out and print two copies one as a example of what you would like the dr to fill in and the other for her to fill in.

https://www.benefits.va.gov/compensation/docs/Male_Reproductive_Organ.pdf

 

Edited November 2, 2023 by Dot09