A woman veteran talking with a gynecologic oncologist
Back to all PACT Act conditionsCancer · PACT Act presumptive

Gynecologic & Reproductive Cancers

Cervical, uterine, ovarian and other reproductive cancers linked to service exposure.

Reproductive and gynecologic cancers — cervical, uterine, ovarian and others — are exactly the conditions that get overlooked when people picture "toxic-exposure cancer." But women carried the same exposures, and these cancers devastate fertility, hormones and quality of life in ways the rating schedule specifically recognizes.

The PACT Act broadened toxic-exposure recognition, and these cancers can be connected through those pathways. Below is what they are, why the exposure link matters, and what the VA pays both during treatment and for the permanent losses that follow.

A woman veteran talking with a gynecologic oncologist
What it is

Understanding Gynecologic & Reproductive Cancers

This group covers malignant tumors of the cervix, uterus, ovaries, fallopian tubes, vagina and vulva. Treatment frequently involves removing reproductive organs — a hysterectomy or removal of the ovaries — along with chemotherapy and radiation, causing surgical menopause and permanent loss of fertility.

Why it is presumptive

The exposure link the VA now accepts for you

Burn-pit emissions and contaminated service water carry carcinogens associated with a range of cancers. The PACT Act’s expanded toxic-exposure framework lets women connect gynecologic cancers to qualifying service exposure rather than leaving them to prove causation alone.

Because this is a presumptive condition, you do not have to prove the science of how your service caused it. If you have a qualifying diagnosis and served in a covered location during a covered period, the VA presumes the connection — your job is to file, attend the exam, and make sure the rating reflects how badly it truly affects you.

How this affects women veterans

Why this hits women differently

These cancers are unique to women, and their consequences — surgical menopause, infertility, hormonal collapse — are life-altering. Because reproductive health was chronically under-addressed in service, many women were never counseled that their exposures could raise cancer risk, and these claims go unfiled.

How the VA rates an active cancer

While an active cancer is being treated, the VA assigns a total 100% rating — and it holds that 100% for about six months after your last treatment (surgery, chemotherapy, radiation or targeted therapy) ends. After that window the VA re-examines you and re-rates on whatever is left behind: the residuals. That means the scars, the removed or damaged organ, the fatigue, the neuropathy, the breathing loss, the hormonal and mental-health fallout each get their own rating and stack together. A cancer that looks "cured" on paper can still support a substantial combined rating for the rest of your life.

The ratings, spelled out

What the VA Pays for Gynecologic & Reproductive Cancers

Gynecologic & Reproductive Cancers is rated under 38 CFR 4.116, Diagnostic Codes 7627–7629 (gynecologic cancers). Here is exactly what each level requires, in plain English — not a table you have to decode.

100%

Active gynecologic cancer is rated 100% while being treated and for six months after treatment ends.

Then re-rated

After that window the VA rates residuals. Removal of the uterus and/or ovaries carries its own scheduled ratings — commonly 50% or 30% for a period, with a 30% minimum in some cases — depending on what was removed.

+ SMC

Loss of use of a reproductive organ can qualify for special monthly compensation, and surgical scars, hormonal effects and mental-health impact are rated and combined on top.

Source: 38 CFR 4.116, Diagnostic Codes 7627–7629 (gynecologic cancers). Every percentage here is a starting point set by federal regulation, not a promise — your actual rating depends on your records and exam. An accredited representative can confirm exactly what fits your case.

One rating is rarely the whole picture

This condition does not stand alone. The VA combines it with every other service-connected condition you carry using its combined-ratings math — so a presumptive claim can push your overall rating higher than this one number suggests. And if your toxic-exposure conditions together make it impossible to hold steady, gainful work, you may qualify for TDIU (Total Disability based on Individual Unemployability) and be paid at the 100% rate even if no single condition reaches 100%. This is one of the most overlooked ways women veterans are underpaid.

Documenting your claim

Getting this rated at its true severity

Keep the pathology and operative reports that spell out exactly which organs were removed, since that determines the residual rating. Make sure surgical menopause, hormonal treatment and the emotional impact are all documented. An accredited representative can confirm the exposure pathway and that special monthly compensation is considered.

Who qualifies

Do you qualify for Gynecologic & Reproductive Cancers?

Under the PACT Act, a presumptive claim comes together when two things are true at once: you have a diagnosis of gynecologic & reproductive cancers, and your service falls inside one of the covered toxic-exposure windows below. When both are met, the VA presumes your condition is service-connected — you do not have to prove how the exposure caused it.

Post-9/11 service

Afghanistan, Djibouti, Egypt, Jordan, Lebanon, Syria, Uzbekistan or Yemen — or the airspace above them — on or after September 11, 2001.

Gulf War-era service

Bahrain, Iraq, Kuwait, Oman, Qatar, Saudi Arabia, Somalia or the United Arab Emirates — or the airspace above them — on or after August 2, 1990.

Agent Orange & other exposures

Vietnam, Thailand, the Korean DMZ, Camp Lejeune and other recognized sites each carry their own presumptive rules and dates on top of the burn-pit windows.

Not sure whether your dates and locations line up? That is one of the most common reasons a valid claim gets denied — and one of the easiest to fix with the right records. An accredited representative can confirm your covered service before you file.

How to apply & get help

Filing a claim for Gynecologic & Reproductive Cancers, step by step

You can file a PACT Act claim on your own — but knowing the order of operations keeps it from stalling. Here is what the process looks like from start to decision.

1

Confirm the diagnosis

Make sure the condition is documented in your medical records — from the VA or a private doctor. A clear, current diagnosis is the first half of a presumptive claim.

2

Establish your covered service

Pull your DD-214, deployment orders and duty history to show you served in a covered location during a covered period. This is the second half — and once both are met, the VA presumes the link.

3

File the claim

File for disability compensation and specify the condition and your toxic exposure. You can file it yourself, but an accredited representative can file it correctly the first time and make sure nothing is left off.

4

Attend the C&P exam

The VA will schedule a Compensation & Pension exam. Describe your symptoms on your worst days, not your best — the rating is set from what the examiner records.

You do not have to do this alone

A free, no-obligation record review will tell you whether gynecologic & reproductive cancers fits the presumptive rules for your service — and exactly what to file. Scroll down to request yours.

Watch & Learn

The PACT Act & Toxic Exposure, Explained

A couple of clear, trustworthy explainers on the PACT Act and toxic-exposure benefits from official sources. Watch whenever you are ready.

The PACT Act and Your VA Benefits

The Department of Veterans Affairs explains what the PACT Act changed — expanded health care, new presumptive conditions, and who qualifies after toxic exposure.

Ask About the Toxic Exposure Screening

The Veterans Health Administration walks through the free 5–10 minute toxic exposure screening every enrolled veteran can get — and why it starts your exposure record.

These videos are shared for general education from official and third-party sources. They are not legal advice, and watching them is never required to get help with your claim.

See every presumptive condition, or read how the PACT Act works.

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