Chronic vulvar pain or discomfort lasting at least 3 months without identifiable cause. Pain described as burning, stinging, rawness, or irritation. May be provoked (with touch/intercourse) or unprovoked (constant). Significantly impacts sexual function, physical activities, and quality of life. Often requires multidisciplinary treatment approach.
Incapacitating pain. Severe constant pain preventing sexual activity, limiting sitting and many daily activities, causing significant psychological distress
Severe pain. Constant or severe pain significantly limiting sexual function, sitting tolerance, wearing certain clothing, and daily activities
Moderate pain. Frequent pain affecting sexual function and daily activities, requiring ongoing treatments and activity modifications
Mild pain. Occasional discomfort with specific triggers, manageable with treatments, minimal impact on activities
No functional impairment
Medical Evidence
Current diagnosis from a qualified healthcare provider, medical records documenting symptoms and treatment history
Service Connection
Evidence linking your condition to military service (service treatment records, incident reports, or nexus letter)
Personal Statement
Your detailed account of how vulvodynia affects your daily life and when symptoms began
Lay Evidence
Buddy letters from fellow service members or family who can corroborate your symptoms
During your Compensation & Pension exam for vulvodynia, examiners will assess your symptoms against the rating criteria above.
Be specific: Describe your worst day, not your average day
Document everything: Bring copies of all medical records and evidence
Functional impact: Explain how symptoms affect work, sleep, and daily activities
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