A Guide to the VA Disability Rating System for Erectile Dysfunction

A doctor and a Veteran talk about the symptoms of Erectile Dysfunction in a doctor's office, going over options including VA disability for erectile dysfunction.

Living with erectile dysfunction (ED) can be challenging, especially for Veterans who may experience it as a result of their service. If you’re struggling with this condition, it’s important to know that you’re not alone, and that help is available. Understanding the VA disability rating system for ED is the first step to ensuring you receive the compensation and support you deserve.

This guide will break down the symptoms of erectile dysfunction (ED), how the Department of Veterans Affairs (VA) rates it, and how it could qualify as a secondary condition. We’ll also cover presumptive service connection and monthly compensation amounts. Let’s get started.

Signs and Symptoms of Erectile Dysfunction

Erectile dysfunction is generally characterized by the consistent inability to achieve or maintain an erection sufficient for sexual activity. Symptoms might include:

  • Difficulty achieving an erection.
  • Trouble maintaining an erection during intercourse.
  • Reduced sexual desire or low libido.

Though ED has many potential physical and psychological causes, Veterans may experience it due to service-related factors such as trauma, mental health conditions like PTSD or Depression, or medications prescribed for other conditions.

If you’re experiencing these symptoms, seeking medical evaluation is essential for both treatment and filing a VA claim.

How Does the VA Rate Erectile Dysfunction?

The VA doesn’t assign traditional percentage-based disability ratings for erectile dysfunction. Instead, ED is classified under what’s known as Special Monthly Compensation (SMC), which provides additional compensation for loss of use of a reproductive organ.

This compensation is listed under SMC(k), which applies to Veterans who have lost or lost the function of specific body parts or senses. For ED, the VA considers factors such as

  • Inability to get an erection
  • Inability to keep an erection for the duration of sex
  • Reduced sex drive
  • Loss of ability to reproduce.

The 2025 SMC(k) provides an additional monthly payment of $136.06 (this amount may adjust annually). It’s important to note that this compensation is supplemental and not tied to a specific disability percentage.

Can Erectile Dysfunction Be a Secondary Condition?

Yes. ED can often qualify as a secondary condition if it’s linked to a primary service-related disability or its treatment. Common examples include:

  • Mental Health Conditions: PTSD, depression, and anxiety, which are prevalent among Veterans, often affect libido and erectile function.
  • Medications: Side effects from medications prescribed for service-related conditions, such as antidepressants or hypertension drugs, may contribute to ED.
  • Physical Injuries: Spinal cord injuries, pelvic fractures, or other physical trauma sustained during service can result in ED.
  • Chronic Conditions: Conditions like diabetes, cardiovascular disease, or hormonal imbalances (such as low testosterone), which may develop as secondary issues related to service-duty environments.

If you can establish that ED is connected to another service-related condition, the VA may approve compensation under secondary disability ratings. Providing medical documentation and expert opinions linking ED to your service-related condition is crucial.

Presumptive Service Connection for Erectile Dysfunction

A presumptive service connection means the VA assumes that your condition is service-related if it aligns with specific criteria. While ED is not frequently listed as a presumptive condition, certain situations may qualify.

For example:

  • Veterans who experienced Agent Orange or other toxic exposures may develop diseases and conditions that contribute to ED as a secondary issue.
  • Those with injuries or illnesses obtained during their service, even without immediate symptom onset, may qualify if evidence supports the service connection.

It’s important to provide as much medical evidence as possible to confirm the connection to your time in service or related conditions.

How Much Can I Receive for Erectile Dysfunction Each Month?

If your erectile dysfunction is recognized as a disability by the VA, you’ll typically receive compensation under SMC(k), which, as of 2025, currently provides $136.06 per month (subject to inflation or cost-of-living increases). This amount is in addition to any other compensation you may already receive for other service-connected disabilities.

It’s also worth noting that if ED is tied to other related disabilities or conditions, this might influence your overall rating and compensation amount. Consulting a Veterans Service Officer (VSO) or pursuing assistance from a legal advocate can help ensure you receive the maximum benefits available.

Frequently Asked Questions

  1. How do I file a claim for erectile dysfunction with the VA?

To file a VA disability claim for erectile dysfunction, you’ll first need to submit VA Form 21-526EZ. Ensure you include:

  • Medical evidence documenting your condition.
  • Service records or doctor’s opinions connecting ED to your service or existing conditions.

The application process can be difficult, but Veteran Ratings can help guide you through the process. Fill out the form below, or call (619) 916-4652 to learn how we can help.

  1. Do I need a diagnosis to file a claim?

Yes. A formal diagnosis of ED from a healthcare provider is essential to support your VA compensation claim. The diagnosis confirms that the condition exists, which is a critical step in the claims process.

  1. Can ED be claimed as the primary condition for a service connection?

Yes, but it’s relatively uncommon unless there’s clear evidence of a direct link between ED and an event or injury sustained during service. Most cases are submitted as secondary conditions or connected to other service-related injuries or issues.

  1. Can I appeal if my erectile dysfunction claim is denied?

Absolutely. If the VA denies your claim, you have the right to appeal through a Supplemental Claim, Higher-Level Review, or by directly appealing to the Board of Veterans’ Appeals.

  1. What documents will strengthen my claim?

Medical evaluations, diagnoses, and expert opinions that establish a connection between ED and service-related factors are critical. Additional supporting documents could include treatment records, prescriptions for related conditions, and statements from fellow service members or a spouse.

Are You Receiving the Compensation You Deserve?

Erectile dysfunction can significantly impact your quality of life, but compensation from the VA can be a step toward addressing the challenges you’re facing. Whether ED stems from a direct service connection, a secondary condition, or it’s linked to presumptive conditions, the VA has systems in place to support you.

Navigating the VA compensation system can feel overwhelming, but you don’t have to do it alone. Veteran Ratings has been helping Veterans navigate the complex VA disability rating system for 8+ years now, and we are ready to make sure you have the best chance of success at your claim. Call us at (619) 916-4652, or fill out the form below for a risk-free consultation.

Your service and sacrifice deserves recognition—and adequate support. Start your claim today to secure the compensation and care you need. 

Get In Touch

If you are struggling with your VA disability rating or want to learn more about our service, please get in touch with our Veteran Ratings team.

Don’t hesitate! We are happy to answer any of your questions and provide guidance for your unique case.