Evidence Checklist: Varicocele

Scrotal ultrasound documenting varicoceleCritical

Doppler ultrasound confirming the presence and grade of the varicocele, including measurements of venous reflux.

Nexus opinion linking varicocele to service ("at least as likely as not")Critical

A medical opinion stating it is "at least as likely as not" (50%+ probability) that your varicocele is connected to your military service, including physically demanding duties.

Semen analysis (if infertility claimed)

Laboratory results documenting reduced sperm count or quality if claiming infertility as a complication of the varicocele.

Pain documentation and supportive garment use

Medical records documenting chronic scrotal pain, prescribed supportive garments, and impact on daily activities.

SMC-K documentation if loss of use claimed

Documentation supporting Special Monthly Compensation (SMC-K) if loss of use of a creative organ is claimed due to varicocele-related infertility.

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.

Completed DBQ Male Reproductive System ConditionsCritical

Standardized form capturing varicocele findings, pain level, and reproductive impact.

Documentation of physically demanding military duties

Service records showing heavy lifting, prolonged standing, or other physically strenuous duties that may have contributed to the varicocele.

Service treatment records (STRs)Critical

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