Document ID: chunk:federal_register_of_legislation:F2023C00151:reg:15:p10
Version: federal_register_of_legislation:F2023C00151
Segment Type: reg
Provision Reference: reg 15 (pt 10/28)
Character Range: 351845–355611

the sexual hormones, or which are more common in one sex than the other (such as osteoporosis), are not specifically mentioned in this chapter. Such conditions should be rated from the relevant part of the Guide according to their nature.

PART 10.1: SEXUAL FUNCTION

Calculation of the impairment rating for loss of sexual function

Follow the steps below to calculate the impairment rating due to an accepted loss of sexual function.

(Each step is elaborated in the following pages.)

STEP 1  (Omit this step if you are assessing an accepted condition of a female veteran.)          Page 149
        Determine a functional impairment rating for loss of sexual function from Table 10.1.1.
STEP 2  (Omit this step if you are assessing an accepted condition of a male veteran.)            Page 150
        Determine a functional impairment rating for loss of sexual function from Table 10.1.2.
STEP 3  (Omit this step if you are assessing an accepted condition of a male veteran.)            Page 150
        Determine a functional impairment rating for loss of sexual function from Table 10.1.3.

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
Age at onset                                                          Less than 30                                        30     40     65     75     85 and
                                                                                                                          to 39  to 64  to 74  to 84  older
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 interference with function   5                                                   5      5      5      5      5
                                                                      Only one rating is to be selected from this table.

No age adjustment permitted for 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: