EDUCATIONAL TOOL ONLY. Not legal or medical advice. Not affiliated with the VA.
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Uterine Prolapse / Pelvic Organ Prolapse
✓ VERIFIED AGAINST 38 C.F.R.§ 4.116 (Gynecological conditions and disorders of the breast) · reviewed 2026-05-15 · ClaimRecon Editorial Team
Uterine Prolapse / Pelvic Organ Prolapse is rated by the U.S. Department of Veterans Affairs under DC 7621 of 38 CFR § 4.116, DC 7621 across 1 severity tier (10%). 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
The uterus descends from its normal position into the vaginal canal due to weakened pelvic floor muscles and ligaments. Can also involve bladder prolapse (cystocele) or rectal prolapse (rectocele). Common after childbirth and heavy lifting in military service.
RATING CRITERIA (1 LEVELS)
10%
Per § 4.116 DC 7621, complete or incomplete pelvic organ prolapse due to injury, disease, or surgical complications is rated 10%. Per the regulation Note, separately evaluate any genitourinary, digestive, or skin symptoms and combine with the 10% baseline under § 4.25.
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