Erectile dysfunction decisions — 2018

The Veteran's claim for an increased rating for diabetes mellitus type II with erectile dysfunction and microalbuminuria was denied. His claim for service connection for hypertension, as secondary to his service-connected diabetes mellitus, was not established. The issue of service connection for PTSD is addressed in the REMAND portion of this decision.

The Board has remanded the case due to a lack of established herbicide exposure and for clarification of the November 2014 private medical opinion.

The Veteran's Parkinson's disease and its associated residuals, including urinary incontinence, erectile dysfunction, loss of sense of smell, and SMC based on loss of use of a creative organ, are all effective from August 31, 2010. The separate ratings for the residuals of Parkinson's disease with right upper extremity muscle rigidity and stiffness, left upper extremity muscle rigidity and stiffness, right lower extremity, left lower extremity, urinary incontinence, erectile dysfunction, and loss of sense of smell are also effective from August 31, 2010. Service connection for residuals of Parkinson's disease with right upper extremity muscle rigidity and stiffness, left upper extremity muscle rigidity and stiffness, right lower extremity, and left lower extremity is not effective earlier than August 31, 2010.

The Veteran's appeal for service connection for an elevated cholesterol disorder has been withdrawn.

The Veteran's appeal is being remanded due to the need for additional medical examinations and records. The issues of service connection for erectile dysfunction and a rating in excess of 30 percent for PTSD are pending.

The Board finds that the Veteran does not have a current diagnosis of peripheral neuropathy of either the left or right upper extremity and therefore, service connection for this condition is denied.

The Board found that the Veteran's erectile dysfunction was not manifested during his active military service, is not shown to be causally or etiologically related to his active military service, and is not shown to be caused or aggravated by a service-connected disability. Therefore, the claim for service connection for erectile dysfunction was denied.

The Veteran's diabetes mellitus type II is rated at 20 percent, and erectile dysfunction does not warrant a separate compensable rating. The issue of total disability rating based on individual unemployability prior to May 7, 2010 is moot due to the Veteran's receipt of SMC.

The Veteran's appeal involves multiple conditions and their relationship to service-connected diabetes mellitus. The Board has ordered additional clarification on the relationships between these conditions, specifically regarding hypertension, erectile dysfunction, peripheral neuropathy, renal insufficiency, and onychomycosis.

The Board denied the Veteran's claims for service connection for BPH and ED, finding that there was no evidence linking these conditions to his military service or herbicide exposure. The Board also found that ED is not proximately due to or aggravated by service-connected IHD.

The Veteran's service-connected disabilities do not render him unable to secure or follow substantially gainful employment.

The Board has determined that the Veteran's service-connected disabilities do not meet the criteria for a TDIU rating on an extraschedular basis under 38 C.F.R. § 4.16(b) for any period on appeal.

The Board finds that the Veteran's COPD, hypertension, venous insufficiency, and other respiratory, skin, ankle, foot, knee, and erectile dysfunction conditions are not service-connected as they were not incurred or aggravated by his military service.

The Veteran's claims for anemia, hypertension, and erectile dysfunction were denied as they are not presumed to be due to herbicide agent exposure.,Service connection was not granted because the evidence did not establish a link between the conditions and active service.

The Veteran's asbestosis is rated at 100% since December 6, 2017. The Board denied reopening the claim for service connection of a seizure disorder due to lack of evidence establishing an organic pathology.

The Veteran's claims for service connection for prostate and lung disabilities have been denied due to lack of evidence showing a current disability. The claims for thyroid, erectile dysfunction, eye, skin, low white blood cell count, colon polyps, and pericardial cyst were not addressed as they are not related to herbicide exposure.

The Veteran's claim for an initial compensable rating for erectile dysfunction is being remanded due to the need for a VA examination to determine if he currently has penile deformity and its etiology.

The Board has determined that additional development is needed to properly adjudicate the claim of service connection for erectile dysfunction, including obtaining a new VA examination and reviewing all relevant medical records.

The Board found that the Veteran's diabetes mellitus and erectile dysfunction did not have onset during service or within one year of separation, and were not otherwise caused by his active service. The hearing loss was not shown to be due to in-service noise exposure.

The Veteran's claims for service connection for erectile dysfunction, dysthymic disorder (including dysthymia), and skin rash were previously denied in September 2009, September 2001, and September 2009 respectively. The new evidence submitted does not raise a reasonable possibility of substantiating these claims.,The Veteran's claim for service connection for substance abuse was found to be precluded as a matter of law due to his own willful misconduct.