Document ID: chunk:federal_register_of_legislation:F2016L01332:reg:181:p5
Version: federal_register_of_legislation:F2016L01332
Segment Type: reg
Provision Reference: reg 181 (pt 5/5)
Character Range: 310147–312605

ovary at age less than 45.
                    * Recurrent salpingitis.
                    * Cervical incompetence.
                    * Endometriosis.
                    * Severe menorrhagia.

                    * Infertility with onset at age less than 45 in a pre- menopausal woman.
                    * Removal of ovaries without hysterectomy at age
                  less than 45.

                    * Hysterectomy without removal of ovaries at age
                  less than 45.
                    * Infertility with onset at age 30 or less in a pre- menopausal woman.

                  TWENTY Hysterectomy with removal of ovaries at age less than 45.

   No age adjustment permitted for this table

Only one rating is to be selected from this table.

Amenorrhoea by itself is to be rated at 2 points. However amenorrhoea will generally be a symptom of some other condition, such as infertility, in which case a rating is to be given for infertility and that rating is to be compared with the rating for amenorrhoea. The higher rating is to be taken.

Endometriosis may be assessed by applying Table 10.2.2, or by assessment of its effect on fertility or sexual function, or by applying Chapter 15 (Intermittent Impairment). If ratings are given from both this chapter and Chapter 15, the ratings are to be compared and the higher is to be taken.

 This is the final rating for loss of reproductive function in female veterans. The rating obtained from Table 10.2.2 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.

 For those conditions of the female reproductive system that occur on a cyclical basis, Chapter 15 (Intermittent Impairment) is to be applied.

     PART 10.3: BREASTS

   A rating given for mastectomy under this Part is not the final rating for cancer of the breast. The steps to be followed in assessing cancer of the breast are given below, for convenience. In following these steps it is essential to apply both Chapter 14 and the tables in this Part.

    Calculation of the impairment rating for cancer of the breast

    Follow the steps below to calculate the impairment rating due to breast cancer. Steps 2 to 6 are elaborated in Chapter 14 (Malignant Conditions).

    STEP              Find the applicable rating for the relevant mastectomy or other
      1 surgical procedure (Tables 10.3.1 or 10.3.2).

    STEP