Evidence Checklist: Chronic Pelvic Pain Syndrome

Gynecology, urology, or pain management evaluationCritical

Records from a specialist documenting chronic pelvic pain (6+ months), pain severity (VAS score), and impact on daily activities.

Nexus opinion linking chronic pelvic pain to service or SC conditionCritical

Medical opinion connecting chronic pelvic pain to military service, MST, in-service trauma, or a service-connected condition.

Pain management and treatment records

Records documenting treatments tried and their effectiveness — showing refractory nature of the pain if applicable.

Diagnostic workup ruling out other causes

Records of imaging, laparoscopy, and other testing performed to identify or rule out underlying causes.

Buddy statement from spouse, family, or fellow service member

A written statement from someone who can describe observable symptoms and how your condition affects daily life.

Personal statement describing symptoms and functional impact

Your own written account of how this condition affects your daily activities, work, and relationships. Describe your worst days.

Service treatment records (STRs)Critical

Military medical records showing in-service treatment, complaints, or injuries related to this condition.