Document ID: chunk:federal_register_of_legislation:F2016L01332:reg:181:p1
Version: federal_register_of_legislation:F2016L01332
Segment Type: reg
Provision Reference: reg 181 (pt 1/5)
Character Range: 298618–302586

181

Step 1: (Omit this step if you are assessing an accepted condition of a female veteran.) Determine a functional impairment rating for loss of sexual function in male veterans from Table 10.1.1.

 Although impotence may be a symptom or effect of more than one accepted condition, only one rating is to be given for impotence.

 The rating from Table 10.1.1 is the final rating for loss of sexual function in male veterans. The rating obtained from Table 10.1.1 is not to be compared or combined with any other rating at this stage, but is to be included in the final combining of all ratings.

   Functional Loss
Table 10.1.1

SEXUAL FUNCTION: MALE
                                                                        Less than                                               85 and older
                                                                          30
                                                                                    30 to 39   40 to 64   65 to 74   75 to 84
Age at onset

Circumcision                                                               0         0          0          0          0           0

Scarring of penis                                                          2         2          2          2          2           2

Peyronie's disease                                                        2          2          2          2          2           2

Impotence (not ameliorated by surgical treatment)

                                                                          25         20         15         10         5           2

Impotence (ameliorated by surgical treatment)

                                                                          15         15         10         5          2           0

Severe post- ejaculatory pain
                                                                          20         20         15         10         5          2

Loss of all or most of penis
                                                                          30         25         20         15         10         10

Loss of part of penis without significant inter- ference with function

                                                                           5         5          5          5          5           5

   No age adjustment permitted for this table

Only one rating is to be selected from this table.

For the purposes of Table 10.1.1:

       "Impotence" means the persistent inability to attain an erection of sufficient strength to achieve intromission.

       "Severe post-ejaculatory pain" means post-ejaculatory pain of such a degree as to cause complete or almost complete avoidance of sexual activity.

Step 2: (Omit this step if you are assessing an accepted condition of a male veteran.) Determine a functional impairment rating for loss of sexual function in female veterans from Table 10.1.2.

Functional Loss
Table 10.1.2

       Impairment

SEXUAL FUNCTION: FEMALE
       Ratings Criteria

                NIL  Persistent inability to participate in vaginal intercourse onset at age 75 or older.

                FIVE Persistent inability to participate in vaginal intercourse onset at age 65-74.

                TEN Persistent inability to participate in vaginal intercourse onset at age 40-64.

                TWENTY Persistent inability to participate in vaginal intercourse onset at age less than 40.

       TWENTY- Persistent inability to participate in vaginal
       FIVE intercourse onset at age less than 30.

 No age adjustment permitted for this table

Only one rating is to be selected from this table.

For the purposes of Table 10.1.2:

     "Persistent inability" means the woman is unable to participate in vaginal intercourse on most occasions because of physical obstruction of the vagina or its entrance or because of vaginismus or because of dyspareunia.

Ratings may be given from each