A specified endocrinological disorder

Erectile dysfunction - A specified endocrinological disorder Factor

RMA definition

For the purposes of this Statement of Principles, the RMA states that a specified endocrinological disorder means a disorder of the endocrine system which can result in sexual dysfunction, and includes:

• Cushing's syndrome – ICD code 255.0
• Acromegaly – ICD code 253.0
• Hypogonadism – ICD code 257.2
• Testicular hypofunction – ICD code 257.1, 257.2
• Hypogonadotrophic hypogonadism – ICD code 253.4
• Hyperthyroidism – ICD code 242.4, 242.8, 242.9
• Hypothyroidism – ICD code 244; or
• Hyperprolactinaemia – ICD code 253.1
• Pituitary gland adenoma – covered by the SoP for neoplasm of the pituitary gland ICD code 227.30; or
• Pituitary or hypothalamic dysfunction - ICD code 253.7, 253.8; or
• Panhypopituitarism – ICD code 253.2.

The above list is not exhaustive and there may be other endocrine conditions which result in sexual dysfunction.

Establishing onset

If a veteran or member had such an endocrine disorder he would have needed significant medical attention at that time.  Such medical treatment would normally be recorded in doctors' notes and/or hospital records.  However, if these records have been destroyed or can no longer be obtained and there is a reliable history of such an endocrine disorder at a particular time, this generally will be accepted, unless there is contradictory evidence.  Obtain medical advice if it is unclear whether the claimed symptoms and treatment at that time can be attributed to the endocrine disorder rather than to some other condition.

Last reviewed for CCPS 5 October 2005.

Investigative Documents

Preliminary questions [23157]

23202 there is some evidence that a specified endocrinological disorder may be a factor in the development or worsening of the condition under consideration.

23158 the veteran has had a specified endocrinological disorder at some time.

25086  the specified endocrinological disorder is an illness which is identifiable.

35283  the veteran has established the causal connection between the endocrinological disorder and VEA service for erectile dysfunction.

23160 the veteran had the identified illness or injury, a specified endocrinological disorder, at the time of the clinical onset of the condition under consideration.

23161   the veteran has established the causal connection between the endocrinological disorder and VEA service for the clinical onset of erectile dysfunction.

23162  the veteran has established the causal connection between the endocrinological disorder and operational service for the clinical onset of erectile dysfunction.

or

23163  the veteran has established the causal connection between the endocrinological disorder and eligible service for the clinical onset of erectile dysfunction.

or

7334     the clinical onset of the condition under consideration occurred after the end of the veteran's last period of VEA service.

7335     the condition under consideration permanently worsened.

35287 the veteran had the identified illness or injury, a specified endocrinological disorder, at the time of the clinical worsening of the condition under consideration.

35284   the veteran has established the causal connection between the endocrinological disorder and VEA service for the clinical worsening of erectile dysfunction.

35285  the veteran has established the causal connection between the endocrinological disorder and operational service for the clinical worsening of erectile dysfunction.

or

35286  the veteran has established the causal connection between the endocrinological disorder and eligible service for the clinical worsening of erectile dysfunction.

Clinical onset and operational service [23162]

23164  the identified illness or injury, a specified endocrinological disorder, is causally related to operational service.

Clinical onset and eligible service [23163]

23165  the identified illness or injury, a specified endocrinological disorder, is causally related to eligible service.

Clinical worsening and operational service [35285]

23164  the identified illness or injury, a specified endocrinological disorder, is causally related to operational service.

35288 the clinical onset of the condition under consideration occurred prior to that part of operational service to which the identified illness or injury, a specified endocrinological disorder, is causally related.

Clinical worsening and eligible service [35286]

23165  the identified illness or injury, a specified endocrinological disorder, is causally related to eligible service.

35289 the clinical onset of the condition under consideration occurred prior to that part of eligible service to which the identified illness or injury, a specified endocrinological disorder, is causally related.