Document ID: chunk:federal_register_of_legislation:F2016L01332:reg:181:p4
Version: federal_register_of_legislation:F2016L01332
Segment Type: reg
Provision Reference: reg 181 (pt 4/5)
Character Range: 307337–310528

for a medical practitioner to diagnose whether a fertility condition is present. The veteran must advise whether the fertility condition prevented the birth of a child that otherwise the veteran would have parented.

    If the veteran is of the opinion that the fertility condition did not actually prevent the veteran from having a child, the condition is to be assessed at the same rate as reduced fertility.

    Cervical incompetence is to be rated in the same way as are problems of fertility.

Step 1: (Omit this step if you are assessing an accepted condition of a female veteran.) Determine a functional impairment rating for loss of reproductive function in male veterans from Table 10.2.1.

 Functional Loss
Table 10.2.1

REPRODUCTIVE FUNCTION: MALE

       Impairment
       Ratings Criteria

                NIL  Varicocele or hydrocele, associated with no or negligible symptoms.

       TWO Infertility with onset at age 55 or older.

                    *     Varicocele or hydrocele sufficient to cause enlargement of scrotum, and daily symptoms.
                    *     Loss of one testis at any age.
                    * Infertility with onset at age 45-54.
                    * Reduced fertility with onset at age less than 45.

                    * Infertility with onset at age less than 45.
                    * Loss of both testes at age 45 or older

                    * Loss of both testes at age 31 to 45.
                    * Infertility with onset at age 30 or less.

       TWENTY Loss of both testes at age 30 or less.

 No age adjustment permitted for this table

Only one rating is to be selected from this table.

This is the final rating for loss of reproductive function in male veterans. The rating obtained from Table 10.2.1 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.

 While impotence would render it difficult for a man to father a child in the normal way, it would neither necessarily nor usually render him infertile.

Step 2: (Omit this step if you are assessing an accepted condition of a male veteran.) Determine a functional impairment rating for loss of reproductive function in female veterans from Table 10.2.2.

   Functional Loss
Table 10.2.2

REPRODUCTIVE FUNCTION: FEMALE

          Impairment
          Ratings Criteria

                    * Elective tubal ligation.
                    * Infertility with onset at or after natural menopause.

                    * Amenorrhoea in a pre-menopausal woman.
                    * Infertility with onset at age 45 or older in a pre- menopausal woman.

                    * Reduced fertility with onset at age less than 45 in a pre-menopausal woman.
                    * Removal of one 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