DVA Points for Erectile Dysfunction: How to Obtain Compensation and Improve Sexual Function

A male veteran smiles as he reviews his DVA compensation approval letter at home, surrounded by his supportive partner and child.

Erectile dysfunction affects many veterans due to service-related injuries, PTSD or medication side effects. The Department of Veterans Affairs (DVA) assigns impairment points based on the severity of functional loss. Veterans must provide medical evidence linking their condition to service. This guide explains DVA points for erectile dysfunction, the assessment process and how veterans can claim compensation for treatment and support.

A Quick Overview of DVA Points for Erectile Dysfunction

DVA assigns impairment points for Erectile Dysfunction (ED) if it is permanent, worsening, and service-related. Veterans must provide medical evidence to support their claim. Higher points apply to severe cases. Strong documentation improves approval chances, and veterans can appeal if their rating is too low. Expert guidance can help ensure a successful claim.


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How DVA Assesses Erectile Dysfunction for Compensation

DVA considers erectile dysfunction compensable if it is persistent, permanent, or progressively worsening due to service-related factors such as physical injuries, PTSD, medications, or trauma. Temporary or situational ED does not qualify. Veterans must provide medical evidence that establishes a clear and direct link between their military service and their condition. Specialist assessments play a key role in confirming eligibility.

A male veteran consults with a specialist about DVA compensation in a professional office setting, reviewing documents on a tablet.

Criteria for Assessing Erectile Dysfunction

DVA assesses erectile dysfunction under the Guide to the Assessment of Rates of Veterans’ Pensions (GARP), specifically in Chapter 10, which covers sexual function and related impairments. To qualify for compensation, veterans must prove that ED is persistent, permanent, or worsening due to service-related factors, such as physical trauma, PTSD, medications, or injury-related complications. Temporary or situational ED does not qualify.

Assessment considers:

  • Functional impairment affecting sexual intercourse, mental health, and daily wellbeing.

  • Severity and permanence, ensuring the condition is not short-term or reversible.

  • Need for ongoing treatment, including medication, injections, or surgery.

  • Evidence of progressive or permanent clinical worsening.

Lifestyle factors such as smoking, alcohol use, obesity, diabetes, and cardiovascular disease can impact impairment ratings. Veterans with these risk factors must provide clear medical evidence that their ED stems from service-related causes rather than lifestyle choices.

Medical Evidence Required

A strong claim requires medical proof that ED is linked to military service. Veterans must submit:

  • Urological reports confirming diagnosis, severity, and permanence.

  • Psychological assessments if ED is linked to PTSD or other mental health conditions.

  • Medication history showing side effects from prescribed drugs such as sildenafil, tadalafil, or testosterone therapy.

  • Evidence of physical trauma, including penile surgery, nerve damage, or injuries affecting erectile function.

  • Hormone level tests (FSH, LH, and testosterone) to assess hormonal imbalances.

Additional Diagnostic Tests

If the initial medical evidence is insufficient, veterans may need:

  • Nocturnal Penile Tumescence (NPT) Test: Determines if nighttime erections occur to rule out psychological causes.

  • Doppler Ultrasound: Measures blood flow to detect vascular issues.

  • Neurological Testing: Evaluates nerve function affecting erectile response.

DVA Points System: How Erectile Dysfunction Is Rated

DVA assigns impairment points for erectile dysfunction based on the severity of functional loss and its impact on daily life, mental health, and relationships. The rating determines pension entitlements and additional benefits. Veterans with severe and permanent ED may receive higher impairment points, especially if they require ongoing treatment, surgical intervention, or assistive medical devices.

Ensuring a Fair Rating

To receive an accurate impairment rating, veterans must provide comprehensive medical evidence that demonstrates:

  • Persistent and severe functional loss affecting quality of life.

  • Limited or no response to treatment.

  • A clear service-related connection, supported by specialist reports.

A veteran listens to a urologist explain erectile dysfunction using an anatomical chart in a medical office

How to Obtain DVA Compensation for Erectile Dysfunction

Veterans may qualify for DVA compensation if they can prove that erectile dysfunction is linked to military service. Service-related factors such as physical trauma, psychological disorders, or medication side effects may contribute to the condition. The Guide to the Assessment of Rates of Veterans’ Pensions determines impairment points based on severity, functional loss, and the condition’s impact on daily life.

Step-by-Step Claims Process

Veterans should follow these steps to obtain DVA compensation:

1. Submit a DVA claim:

  • Complete the relevant DVA Forms for impairment and compensation assessment.

2. Gather supporting medical reports: 

  • Obtain records from a GP, urologist, or psychologist confirming diagnosis, severity, and the service-related cause.

  • Include test results, such as hormone level tests (FSH, LH), ultrasound reports, or nerve function tests, if relevant.

3. Attend a DVA medical assessment (if required): 

  • The DVA may request an examination to evaluate the severity of the condition.

4. Undergo a psychological review (if PTSD is a contributing factor):

  • If psychological conditions such as PTSD or depression play a role, a mental health specialist must provide a report.

5. Receive an impairment rating and compensation decision: 

  • The DVA assigns impairment points based on functional loss, treatment resistance, and the long-term impact on sexual function and overall wellbeing.

Appeals Process

Veterans who receive an unfavourable decision can appeal through the following steps:

  1. Request an Internal Review: Submit new medical evidence such as specialist reports, functional assessments, or test results confirming service-related ED.

  2. Lodge an Appeal with the Veterans' Review Board (VRB): If the internal review is unsuccessful, veterans can escalate their case to the VRB, an independent tribunal that reviews DVA decisions. The VRB does not require legal representation, but veterans may submit additional medical reports or personal statements to strengthen their case.

  3. Take the Appeal to the Administrative Appeals Tribunal (AAT): If the VRB upholds the DVA’s decision, veterans can appeal further to the AAT, which provides a formal legal review of the case. The AAT allows legal representation and may require new specialist evidence, such as hormone level tests or psychiatric assessments.

A veteran discusses PTSD-related erectile dysfunction with a psychologist in a professional therapy office.

How to Strengthen an Appeal

  • Submit comprehensive medical reports from a GP, urologist, or psychologist confirming service-related erectile dysfunction.

  • Provide functional assessments demonstrating the long-term impact of the condition.

  • Work with specialists, such as Veterans First Consulting, to navigate complex paperwork and improve the appeal's success rate.

Common Challenges in Claiming DVA Compensation for Erectile Dysfunction

Veterans often face challenges when claiming DVA compensation for erectile dysfunction. The claims process requires strong medical evidence, accurate documentation and a clear link between ED and military service. 

Medical Evidence Gaps

Many veterans struggle to provide sufficient evidence proving ED is service-related. Without proper medical documentation, claims may be denied or assigned low impairment points.

Solution:

  • Obtain detailed medical reports from a GP, urologist or psychologist before submitting a claim.

  • Ensure reports clearly confirm erectile dysfunction and its link to service-related injuries, PTSD or medications.

  • If necessary, request a second opinion from a specialist.

Low Impairment Ratings

The DVA assigns impairment points based on how ED affects sexual function and quality of life. Mild ED cases may receive few or no points, limiting compensation.

Solution:

  • If given a low impairment rating, veterans should request a review and provide additional evidence.

  • Submit reports showing ongoing symptoms, treatment resistance or permanent clinical worsening.

  • If ED is linked to PTSD, include a psychiatric assessment.

Denials Due to Pre-Existing Conditions

The DVA may reject claims if veterans have pre-existing conditions such as diabetes, heart disease or trauma that contribute to ED.

Solution:

  • Show that military service directly caused or worsened the condition.

  • Provide medical reports stating ED developed after service or was aggravated by injuries, medications or PTSD.

  • Use evidence of no prior history of ED before enlistment.

FAQs: DVA Points for Erectile Dysfunction

  • Yes, if erectile dysfunction is severe and unresponsive to treatment, DVA may cover a penis with injection therapy or penile implants. The need must be confirmed by a medical specialist.

  • DVA may approve claims if military service worsened the condition. If a veteran had mild erectile dysfunction before service and it became severe due to trauma or medication, compensation may still be available.

  • Smoking and alcohol can contribute to erectile dysfunction. However, if service-related factors caused or worsened the condition, veterans may still qualify for compensation. A medical assessment can confirm the primary cause.

  • Yes, PTSD is a recognised cause of erectile dysfunction. Mental health conditions affect sexual function, making it difficult to establish a physical cause. Veterans should provide psychological assessments to confirm a service connection.

  • Yes, DVA may cover viagra and cialis if erectile dysfunction is linked to service. Veterans with a Gold Card receive full coverage. White Card holders may qualify if their condition is service-related. Prescription approval depends on medical need.

  • Veterans can seek assistance from advocacy groups or medical specialists. A professional can help prepare documents and ensure the claim meets DVA’s requirements.

Maximising Your DVA Entitlements

DVA recognises erectile dysfunction as a compensable condition if linked to military service, allowing veterans to access treatment, financial support and medical benefits through the impairment rating system. The key to securing higher compensation is providing strong medical evidence and demonstrating how ED affects sexual function and quality of life. Understanding the DVA points system helps veterans maximise entitlements and ensure they receive the support they deserve. Those struggling with claims should seek expert assistance from professionals like Veterans First Consulting, who can help prepare evidence, file claims and navigate appeals, reducing errors and speeding up approvals. Veterans do not have to handle the claims process alone—help is available to ensure they get the benefits they are owed.


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Tom Kliese

I’m Tom Kliese, the Director of Veterans First Consulting, where I’ve honed my skills and knowledge in veterans' advocacy and DVA claims. My journey includes overseeing the processing of over 3,000+ claims. At Veterans First Consulting, we provide independent, unbiased representation for veterans, ensuring they receive fair and accurate compensation. This experience has given me a deep understanding of the complexities of navigating the DVA claims process. I’m passionate about sharing my expertise to help veterans secure the compensation and support they deserve.

https://www.veteransfirstconsulting.com
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