C&P Exam for Ovary, disease, injury, or adhesions of (DC 7615)

Diagnostic code: 7615Condition: Ovary, disease, injury, or adhesions ofRegulation: 38 CFR § 4.116DBQ: DBQ GYN Gynecological Conditions

Which form the examiner uses

For ovary, disease, injury, or adhesions of (DC 7615), the C&P examiner completes the following Disability Benefits Questionnaire (DBQ):

DBQs are Department of Veterans Affairs Form 21-0960 series documents. Public DBQs are hosted on benefits.va.gov. A handful are examiner-only and are not posted publicly.

What the examiner records

The fields below are reproduced from the DBQ form the examiner completes for this diagnostic code. This is the structural map of the form, showing what the examiner is asked to measure, observe, and record. It is a factual reproduction of the public DBQ, not advice on how to answer.

This DBQ evaluates gynecological conditions including diseases, injuries, and adhesions of the female reproductive organs.

DIAGNOSIS (Section I)
  • 1A. List the claimed gynecological conditions that pertain to this questionnaire:
  • 1B. List diagnoses associated with the claimed condition(s): Diagnosis #1 - ICD Code - Date of Diagnosis -
  • 1B. List diagnoses associated with the claimed condition(s): Diagnosis #2 - ICD Code - Date of Diagnosis -
  • 1B. List diagnoses associated with the claimed condition(s): Diagnosis #3 - ICD Code - Date of Diagnosis -
  • 1C. If there are additional gynecological diagnoses, list using above format:
MEDICAL HISTORY (Section II)
  • 2A. Describe the history (including cause, onset and course) of each of the Veteran's gynecological condition(s):
SYMPTOMS (Section III)
  • 3A. Does the Veteran currently have symptoms related to a gynecological condition, including any diseases, injuries or adhesions of the female reproductive organs?
  • Mild pain - Intermittent pain / Constant pain
  • Moderate pain - Intermittent pain / Constant pain
  • Severe pain - Intermittent pain / Constant pain
  • Pelvic pressure
  • Irregular menstruation
  • Dysmenorrhea associated with ovarian dysfunction
  • Secondary amenorrhea associated with ovarian dysfunction
  • Frequent or continuous menstrual disturbances
  • Other signs and/or symptoms, describe and indicate condition(s) causing them:
TREATMENT (Section IV)
  • 4A. Has the Veteran had treatment for symptoms/findings for any diseases, injuries and/or adhesions of the reproductive organs?
  • If yes, specify condition(s), organ(s) affected and treatment:
  • Date(s) of treatment:
  • 4B. Does the Veteran currently require treatment for symptoms related to reproductive tract conditions?
  • If yes, list current treatment and the reproductive organ conditions being treated:
  • 4C. Symptoms do not require continuous treatment for the following organ/condition: (Check all that apply) - Conditions of the vulva or clitoris
  • 4C. Symptoms do not require continuous treatment for the following organ/condition: (Check all that apply) - Conditions of the vagina
  • 4C. Symptoms do not require continuous treatment for the following organ/condition: (Check all that apply) - Conditions of the cervix
  • 4C. Symptoms do not require continuous treatment for the following organ/condition: (Check all that apply) - Conditions of the uterus
  • 4C. Symptoms do not require continuous treatment for the following organ/condition: (Check all that apply) - Conditions of the fallopian tubes
  • 4C. Symptoms do not require continuous treatment for the following organ/condition: (Check all that apply) - Conditions of the ovaries
  • 4C. Symptoms require continuous treatment for the following organ/condition: (Check all that apply) - Conditions of the vulva or clitoris
  • 4C. Symptoms require continuous treatment for the following organ/condition: (Check all that apply) - Conditions of the vagina
  • 4C. Symptoms require continuous treatment for the following organ/condition: (Check all that apply) - Conditions of the cervix
  • 4C. Symptoms require continuous treatment for the following organ/condition: (Check all that apply) - Conditions of the uterus
  • 4C. Symptoms require continuous treatment for the following organ/condition: (Check all that apply) - Conditions of the fallopian tubes
  • 4C. Symptoms require continuous treatment for the following organ/condition: (Check all that apply) - Conditions of the ovaries
  • 4C. Symptoms are not controlled by continuous treatment for the following organ/condition: (Check all that apply) - Conditions of the vulva or clitoris
  • 4C. Symptoms are not controlled by continuous treatment for the following organ/condition: (Check all that apply) - Conditions of the vagina
  • 4C. Symptoms are not controlled by continuous treatment for the following organ/condition: (Check all that apply) - Conditions of the cervix
  • 4C. Symptoms are not controlled by continuous treatment for the following organ/condition: (Check all that apply) - Conditions of the uterus
  • 4C. Symptoms are not controlled by continuous treatment for the following organ/condition: (Check all that apply) - Conditions of the fallopian tubes
  • 4C. Symptoms are not controlled by continuous treatment for the following organ/condition: (Check all that apply) - Conditions of the ovaries
CONDITIONS OF THE VULVA OR CLITORIS (Section V)
  • 5A. Has the Veteran been diagnosed with any diseases, injuries or other conditions of the vulva or clitoris (to include vulvovaginitis)?
  • If yes, describe:
CONDITIONS OF THE VAGINA (Section VI)
  • 6A. Has the Veteran been diagnosed with any diseases, injuries or other conditions of the vagina?
  • If yes, describe:
CONDITIONS OF THE CERVIX (Section VII)
  • 7A. Has the Veteran been diagnosed with any diseases, injuries, adhesions or other conditions of the cervix?
  • If yes, describe:
REMOVAL OF THE OVARIES OR UTERUS (Section VIII)
  • 8A. Has the Veteran had a hysterectomy?
  • If yes, provide date(s) of surgery, facility(ies) where performed and cause:
  • 8B. Has the Veteran undergone partial or complete oophorectomy?
  • Partial removal of an ovary - Right / Left / Both
  • Complete removal of an ovary - Right / Left / Both
  • If yes, provide date(s) of surgery, facility(ies) where performed and reason for surgery:
CONDITIONS OF THE FALLOPIAN TUBES (Section IX)
  • 9A. Has the Veteran been diagnosed with any diseases, injuries, adhesions or other conditions of the fallopian tubes (to include pelvic inflammatory disease)?
  • If yes, describe:
CONDITIONS OF THE OVARIES (Section X)
  • 10A. Has the Veteran undergone menopause?
  • Natural menopause
  • Premature menopause
  • Surgical menopause
  • Chemical-induced menopause
  • Radiation-induced menopause
  • 10B. Does the Veteran have evidence of complete atrophy of 1 or both ovaries?
  • If yes, etiology:
  • Partial atrophy of 1 or both ovaries
  • Complete atrophy of 1 ovary
  • Complete atrophy of both ovaries (excluding natural menopause)
  • 10C. Has the Veteran been diagnosed with any other diseases, injuries, adhesions and/or other conditions of the ovaries?
  • If yes, describe:
INCONTINENCE (Section XI)
  • 11A. Does the Veteran have urinary incontinence/leakage?
  • If yes, condition causing it:
  • If yes, is the urinary incontinence/leakage due to a gynecologic condition?:
  • Does not require/does not use absorbent material
  • Requires absorbent material that is changed less than 2 times per day
  • Requires absorbent material that is changed 2 to 4 times per day
  • Requires absorbent material that is changed more than 4 times per day
  • Requiring the use of an appliance
  • If checked, describe appliance:
FISTULAE (Section XII)
  • 12A. Does the Veteran have a rectovaginal fistula?
  • If yes, cause:
  • If yes, does the Veteran have vaginal-fecal leakage?:
  • If yes, indicate frequency: Less than once a week
  • If yes, indicate frequency: 1-3 times per week
  • If yes, indicate frequency: 4 or more times per week
  • If yes, indicate frequency: Daily or more often
  • Requires wearing of pad or absorbent material
  • 12B. Does the Veteran have an urethrovaginal fistula? - None / One / Multiple
  • If one or more urethrovaginal fistulas, cause:
  • If one or more urethrovaginal fistulas, does the Veteran have urine leakage?:
  • Does not require/does not use absorbent material
  • Requires absorbent material that is changed less than 2 times per day
  • Requires absorbent material that is changed 2 to 4 times per day
  • Requires absorbent material that is changed more than 4 times per day
  • Requires the use of an appliance
  • If checked, describe appliance:
ENDOMETRIOSIS (Section XIII)
  • 13A. Has the Veteran been diagnosed with endometriosis?
  • If yes, does the Veteran currently have any findings, signs or symptoms due to endometriosis?
  • Pelvic pain
  • Heavy bleeding
  • Irregular bleeding
  • Lesions involving bowel confirmed by laparoscopy
  • Lesions involving bladder confirmed by laparoscopy
  • Bowel symptoms from endometriosis
  • Bladder symptoms from endometriosis
  • Anemia caused by endometriosis
  • Other, describe:
  • Symptoms of endometriosis do not require continuous treatment
  • Symptoms of endometriosis require continuous treatment
  • Symptoms of endometriosis are not controlled by continuous treatment
PELVIC ORGAN PROLAPSE (Section XIV)
  • 14A. Does the Veteran have any pelvic organ prolapse due to injury, disease, or surgical complications of pregnancy?
  • Bladder (cystocele)
  • Urethra (urethrocele)
  • Uterus (uterine prolapse)
  • Vagina (vaginal vault prolapse)
  • Small bowel (enterocele)
  • Rectum (rectocele)
  • Complete pelvic organ prolapse due to injury, disease, or surgical complications of pregnancy
  • Incomplete pelvic organ prolapse due to injury, disease, or surgical complications of pregnancy
  • 14B. Has the Veteran had any other complications resulting from obstetrical or gynecologic conditions or procedures?
  • If yes, describe:
TUMORS AND NEOPLASMS (Section XV)
  • 15A. Does the Veteran currently have, or has had, a benign or malignant neoplasm or metastases related to any condition in the diagnosis section?
  • 15B. Is the neoplasm: Benign / Malignant
  • Active / In remission
  • Primary / Secondary (metastatic) (if secondary, indicate the primary site, if known):
  • 15C. Has the Veteran completed treatment or is the Veteran currently undergoing treatment for a benign or malignant neoplasm or metastases?
  • Treatment completed
  • Surgery - If checked, describe: / Date(s) of surgery:
  • Radiation therapy - Date of most recent treatment: / Date of completion of treatment or anticipated date of completion:
  • Antineoplastic chemotherapy - Date of most recent treatment: / Date of completion of treatment or anticipated date of completion:
  • Other therapeutic procedure - If checked, describe procedure: / Date of most recent procedure:
  • Other therapeutic treatment - If checked, describe treatment: / Date of completion of treatment or anticipated date of completion:
  • 15D. Does the Veteran currently have any residuals or complications due to the neoplasm (including metastases) or its treatment, other than those already documented in the report above?
  • If yes, list residuals or complications (brief summary), and also complete the appropriate questionnaire:
  • 15E. If there are additional benign or malignant neoplasms or metastases related to any of the diagnoses in the diagnosis section, describe using the above format:
OTHER PERTINENT PHYSICAL FINDINGS, COMPLICATIONS, CONDITIONS, SIGNS, SYMPTOMS, AND SCARS (Section XVI)
  • 16A. Does the Veteran have any other pertinent physical findings, complications, conditions, signs or symptoms related to the conditions listed in the diagnosis section above?
  • If yes, describe (brief summary):
  • 16B. Does the Veteran have any scars or other disfigurement (of the skin) related to any conditions or to the treatment of any conditions listed in the diagnosis section?
  • 16C. Comments, if any:
DIAGNOSTIC TESTING (Section XVII)
  • 17A. Has the Veteran had laparoscopy?
  • If yes, provide date(s), facility where performed, and results:
  • 17B. Has the Veteran been diagnosed with anemia?
  • Hgb:
  • Hct:
  • Date of test:
  • 17C. Are there any other clinically relevant diagnostic test findings or results related to the claimed condition(s) and/or diagnosis(es), that were reviewed in conjunction with this examination?
  • If yes, provide type of test or procedure, date and results (brief summary):
FUNCTIONAL IMPACT (Section XVIII)
  • 18A. Does the Veteran's gynecological condition(s) impact her ability to work?
  • If yes, describe impact of each of the Veteran's gynecological conditions, providing one or more examples:
FEMALE SEXUAL AROUSAL DISORDER (FSAD) (Section XIX)
  • 19A. Does the Veteran report female sexual arousal disorder (FSAD)?
  • If yes, provide etiology, if known:
  • Etiology unknown
REMARKS (Section XX)
  • 20A. Remarks (if any – please identify the section to which the remark pertains when appropriate)

Rating Levels for DC 7615

The following tiers are reproduced from 38 CFR Part 4, the VA Schedule for Rating Disabilities. Toggle between the official VA criteria and a Plain English explanation.

Plain-English summaries are AI-generated to explain the official criteria. The official 38 CFR language is the binding legal standard. When in doubt, ask a VSO.

What the Board discussed in granted decisions for DC 7615

The themes below were extracted by clustering 92 grant-factor sentences from published Board of Veterans Appeals decisions for this diagnostic code. Frequencies indicate how often each theme appeared in the sample. This is a factual aggregate of the public record, not advice or strategy for any specific claim.

  1. 35% Benefit of the doubt rule stated or applied generally
    The decision cited the legal standard that when positive and negative evidence is in approximate balance, the claimant receives the benefit of the doubt, or noted the Board's consideration of the doctrine without applying it to a specific finding.
    32 of 92 sample sentences
  2. 20% Benefit of the doubt inapplicable, preponderance against claim
    The Board found that the preponderance of the evidence was against the claim, rendering the benefit of the doubt doctrine inapplicable and resulting in denial.
    18 of 92 sample sentences
  3. 15% At-least-as-likely-as-not nexus opinion cited
    A VA examiner, private physician, or medical expert opined that the veteran's condition was at least as likely as not incurred in, caused by, or related to active duty service.
    14 of 92 sample sentences
  4. 12% Benefit of the doubt resolved in veteran's favor, grant noted
    The Board affirmatively resolved the benefit of the doubt in the veteran's favor and granted service connection, a higher rating, or another benefit based on equipoise.
    11 of 92 sample sentences
  5. 9% Evidence found in equipoise on service connection or rating
    The Board specifically found that the lay and medical evidence was at least in relative equipoise on a material question such as service connection, nexus, or degree of disability.
    8 of 92 sample sentences
  6. 7% Ovary, PCOS, or gynecological condition linked to service
    The record documented medical opinions or findings connecting the veteran's polycystic ovary syndrome, ovarian cysts, pelvic pain, or related gynecological condition to in-service events or service-connected disabilities.
    6 of 92 sample sentences
  7. 3% Lay evidence credibility and competency assessed
    The Board noted its responsibility to weigh competent lay evidence and make credibility determinations regarding reported symptomatology or continuity of condition since service.
    3 of 92 sample sentences
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Disclaimer: This page reproduces public Department of Veterans Affairs forms (DBQs) and verbatim text from 38 CFR Part 4 (the VA Schedule for Rating Disabilities). It is informational only and is not legal or medical advice. For guidance on a specific claim, contact a VA-accredited representative.