Document ID: chunk:federal_register_of_legislation:F2022C00577:front:0:p2
Version: federal_register_of_legislation:F2022C00577
Segment Type: other
Provision Reference: 
Character Range: 2903–6135

Authority
This instrument is made under subsection 196B(2) of the Veterans' Entitlements Act 1986.
     4               Application
This instrument applies to a claim to which section 120A of the VEA or section 338 of the Military Rehabilitation and Compensation Act 2004 applies.
     5               Definitions
The terms defined in the Schedule 1 - Dictionary have the meaning given when used in this instrument.
     6               Kind of injury, disease or death to which this Statement of Principles relates
(1)          This Statement of Principles is about hypogonadism and death from hypogonadism.
Meaning of hypogonadism
(2)          For the purposes of this Statement of Principles, hypogonadism:
(a)          means deficient production of testosterone from the testis or estrogen from the ovary, or deficient production of ova (eggs) or sperm, where any such deficiency is associated with clinical symptoms and signs or a requirement for treatment; and
(b)          includes:
(i)            primary hypogonadism;
(ii)         secondary hypogonadism (also known as central hypogonadism and hypogonadotropic hypogonadism); and
(iii)       infertility due to endocrine or gonadal pathology; and
(c)          excludes heritable and congenital forms of hypogonadism, compensated hypogonadism, diminished ovarian reserve, naturally occurring menopause and abnormal semen analysis.
             Note 1: Associated clinical symptoms and signs of hypogonadism may include loss of secondary sexual characteristics, loss of sexual function and loss of reproductive function (endocrine or gonadal infertility).
             Note 2: infertility is defined in the Schedule 1 - Dictionary.
Death from hypogonadism
(3)          For the purposes of this Statement of Principles, hypogonadism, in relation to a person, includes death from a terminal event or condition that was contributed to by the person's hypogonadism.
            Note: terminal event is defined in the Schedule 1 - Dictionary.
     7               Basis for determining the factors
The Repatriation Medical Authority is of the view that there is sound medical‑scientific evidence that indicates that hypogonadism and death from hypogonadism can be related to relevant service rendered by veterans, members of Peacekeeping Forces, or members of the Forces under the VEA, or members under the MRCA.
Note: MRCA, relevant service and VEA are defined in the Schedule 1 - Dictionary.
     8               Factors that must exist
At least one of the following factors must as a minimum exist before it can be said that a reasonable hypothesis has been raised connecting hypogonadism or death from hypogonadism with the circumstances of a person's relevant service:
(1)          having hypopituitarism involving deficiency of follicle stimulating hormone or luteinising hormone at the time of the clinical onset of hypogonadism;
(2)          having hyperprolactinaemia at the time of the clinical onset of hypogonadism;
(3)          for males only, having a spinal cord injury resulting in paraplegia or tetraplegia before the clinical onset of hypogonadism;
(4)          having blunt or penetrating trauma to:
(a)          both ovaries or testes; or
(b)          a single