The Board granted service connection for decreased libido and ejaculation failure and hemorrhoids as secondary to the Veteran's service-connected posttraumatic stress disorder (PTSD).
The deciding factor: Service connection is warranted based on the but-for causation standard, which allows for multiple causes of a harm. The side effects of PTSD medication are linked to the Veteran's current disabilities.
- Claimed conditions
- decreased libido and ejaculation failure, hemorrhoids
- How they argued it
- Secondary to another service-connected condition
- Exposure basis
- None
- Rating assigned
- 100%
- Decision date
- November 14, 2025
- Citation
- A25099328
Veterans Law Judge
Decisions by this judge: 696 · Granted: 63% (granted or partly granted, in the vetted decisions on this site)
Judge attribution: 2025 complete; earlier years partial.
This is a plain-language summary generated by AI from a public Board of Veterans’ Appeals decision. It can contain errors — always verify against the original. Look up the original decision on VA.gov (opens in a new tab) using citation A25099328.
What this means for you
A grant means the Board agreed the veteran was entitled to the benefit. Decisions like this show the kind of evidence and arguments that tend to succeed for claims like it.
What you can do next
Related decisions
Other Board decisions on a similar condition or argued the same way.
- Granted
The Veteran's claim for service connection for tension headaches was granted with an effective date of August 28, 2014.,Service connection for eczema was granted with an effective date of August 10, 2022. The Veteran requested an earlier effective date but the request was denied.
- Dismissed
The Board dismissed the Veteran's appeal for service connection of a right ankle disorder.,The Board denied the Veteran's request for an earlier effective date for his service connection for gastroenteritis, lumbosacral strain, left lower extremity radiculopathy, right lower extremity radiculopathy, left ankle lateral collateral ligament strain, right knee strain and hemorrhoids. The earliest effective date is December 5, 2018.,The Board denied the Veteran's request for an earlier effective date for his service connection of a lumbosacral strain. The earliest effective date is December 5, 2018.,The Board denied the Veteran's request for an earlier effective date for his service connection of left lower extremity radiculopathy, sciatic nerve. The earliest effective date is December 5, 2018.,The Board denied the Veteran's request for an earlier effective date for his service connection of right lower extremity radiculopathy, sciatic nerve. The earliest effective date is December 5, 2018.,The Board denied the Veteran's request for an earlier effective date for his service connection of a left ankle lateral collateral ligament strain. The earliest effective date is December 5, 2018.,The Board denied the Veteran's request for an earlier effective date for his service connection of right knee strain. The earliest effective date is December 5, 2018.,The Board denied the Veteran's request for an earlier effective date for his service connection of hemorrhoids. The earliest effective date is December 5, 2018.
- Granted
The Veteran's service-connected disabilities have rendered him in need of regular aid and attendance, as evidenced by his inability to dress or undress himself, keep himself clean and presentable, and manage his daily medications. The Board has granted entitlement to SMC(l).
- Granted
The Veteran's hemorrhoids with persistent bleeding and fissures are now rated at 20 percent effective May 19, 2023.
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