EDUCATIONAL TOOL ONLY. Not legal or medical advice. Not affiliated with the VA.
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Menorrhagia (Heavy Menstrual Bleeding)
✓ VERIFIED AGAINST 38 C.F.R.§ 4.116 (Gynecological conditions and disorders of the breast) · reviewed 2026-05-15 · ClaimRecon Editorial Team
Menorrhagia (Heavy Menstrual Bleeding) is rated by the U.S. Department of Veterans Affairs under DC 7613 of 38 CFR § 4.116, DC 7613 across 3 severity tiers (0% / 10% / 30%). Service connection requires (1) a current diagnosis, (2) an in-service event, injury, or exposure, and (3) a medical nexus opinion linking the two under 38 C.F.R. § 3.303.
OVERVIEW
Abnormally heavy or prolonged menstrual bleeding. Defined as blood loss exceeding 80 mL per cycle or periods lasting longer than 7 days. Causes iron deficiency anemia, fatigue, and significant daily impact.
RATING CRITERIA (3 LEVELS)
0%
Symptoms that do not require continuous treatment.
10%
Symptoms that require continuous treatment.
30%
Symptoms not controlled by continuous treatment.
KEY EVIDENCE TO GATHER
-Service treatment records showing injury or complaints
-Imaging (X-ray, MRI, CT)
-Range of motion measurements
-Flare-up documentation per Sharp v. Shulkin
-Buddy statements describing limitations
-Prescription history
-Physical therapy records
-Employment impact documentation
C&P EXAM TIPS (6)
1.Do NOT stretch, warm up, or take pain medication before your exam. The VA needs your baseline limitation.
2.Report your WORST day. DeLuca v. Brown requires documentation of functional loss during flare-ups.
3.Tell the examiner about flare-ups: frequency, duration, estimated ROM loss. Sharp v. Shulkin (2017) requires estimates.
4.Request active, passive, weight-bearing, and non-weight-bearing ROM testing per Correia v. McDonald (2016).
5.If you use assistive devices (brace, cane), bring them.
6.Describe daily activity impact: work, sleep, household tasks.
SOURCES & EDITORIAL
Rating criteria text quoted verbatim from 38 C.F.R. § 4.116 (Gynecological conditions and disorders of the breast). Source verified 2026-05-15 by ClaimRecon Editorial Team during a regulation-text comparison against the Cornell Law CFR mirror; eCFR.gov is the authoritative government source.
EDUCATIONAL TOOL ONLY. NOT LEGAL OR MEDICAL ADVICE.
NOT AFFILIATED WITH THE U.S. DEPARTMENT OF VETERANS AFFAIRS.
CLAIM RECON 2026