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Female sexual arousal disorder (FSAD) has one schedular evaluation under Diagnostic Code 7632: 0 percent. The footnote to 38 CFR § 4.116 directs VA to review entitlement to special monthly compensation under § 3.350.
The 0-percent evaluation recognizes a service-connected disability but does not create standard schedular compensation by itself. SMC-K may provide separate compensation when the evidence establishes qualifying service-connected loss or loss of use of a creative organ. It should be reviewed, not promised automatically.
TL;DR
- DC 7632 assigns FSAD a 0-percent schedular rating.
- The rating schedule directs VA to review possible SMC under § 3.350.
- A documented diagnosis is stronger than a claim based only on low libido or relationship difficulty.
- Possible service-connection routes include direct onset, service-connected mental health conditions, medication effects, and physical or gynecological conditions.
- Military sexual trauma is an in-service event, not itself a disability rating; the medical opinion must connect the diagnosed FSAD to the event, a resulting service-connected condition, or treatment.
- Pain, arousal difficulty, orgasmic difficulty, and low desire are not interchangeable and may require different diagnoses.
- No verified condition-specific Board outcome dataset was available, so this page does not publish a grant-rate statistic.
The Current DC 7632 Rating
DC 7632 lists “female sexual arousal disorder” at 0 percent. Unlike many gynecological codes, it has no 10-, 30-, or 50-percent ladder. The schedule's footnote calls for SMC review.
VA's Women Veterans Health Care identifies difficulty with arousal as one of several distinct sexual-health concerns and notes that medical conditions, medication, hormonal changes, surgery, depression, PTSD, and sexual trauma can affect sexual health.
Those associations help identify a theory, but a compensation claim still needs a clinician to identify the veteran's diagnosis and the most likely cause or aggravating factor.
When SMC-K May Apply
Section 3.350 provides SMC-K for qualifying anatomical loss or loss of use of a creative organ. The DC 7632 footnote means VA should review that issue when FSAD is service connected.
The claim should document the functional loss, its medical cause, persistence despite treatment, and connection to service. The monthly SMC rate changes each year, so check VA's current compensation-rate page for the amount.
Service-Connection Routes
Direct service connection
Under § 3.303, direct service connection may apply when FSAD began during service or a clinician links it to an in-service disease, injury, procedure, or personal assault. A trauma-informed medical evaluation is particularly important when the theory involves military sexual trauma.
VA's MIRECC sexual-health resources explain that trauma-related sexual dysfunction can involve desire, arousal, orgasm, pain, and sexual satisfaction. The diagnosis and nexus should identify which impairment is present rather than assume every post-trauma sexual concern is FSAD.
Secondary to PTSD, depression, or medication
A claim under § 3.310 may argue that service-connected PTSD, depression, or medication used to treat a service-connected condition caused or aggravated FSAD.
Medication claims are stronger with prescription records, the start or dose-change date, symptom timing, and a prescriber's explanation. A package insert showing a possible side effect does not by itself establish causation in one veteran.
Secondary to a physical or gynecological condition
Neurologic disease, diabetes, hypertension, cancer treatment, pelvic surgery, hormonal changes, chronic pain, and gynecological conditions may affect sexual function. The opinion should distinguish arousal impairment from pain, scarring, hormonal symptoms, or loss of reproductive organs that may be evaluated under different codes.
Avoiding Duplicate Ratings
38 CFR § 4.14 bars duplicate compensation for the same manifestation. A veteran may have FSAD and another gynecological diagnosis, but the evidence must separate arousal impairment from pain, bleeding, surgical residuals, or another already-rated function before separate compensation is appropriate.
What the C&P Record Should Establish
The record should answer:
- What sexual-function diagnosis has the clinician made?
- Is the problem arousal, desire, orgasm, pain, or a combination?
- When did it begin, and has it persisted?
- Is it caused or aggravated by trauma, a service-connected condition, medication, surgery, or another medical condition?
- What competing causes were considered?
- What treatments were tried, and what functional impairment remains?
- Does the evidence support loss or loss of use of a creative organ for SMC review?
Common Failure Modes
- Treating a 0-percent rating as though it prevents service connection or SMC review.
- Promising SMC-K automatically.
- Using “low libido” as a complete diagnosis without a medical assessment.
- Calling MST the diagnosis rather than identifying the resulting condition and nexus.
- Submitting a medication side-effect list without a case-specific timeline or opinion.
- Seeking separate ratings for overlapping sexual or gynecological manifestations.
Bottom Line
FSAD is rated at 0 percent under DC 7632, with a required review for possible SMC. A strong claim documents the precise diagnosis, the functional loss, the timeline, treatment, and a medical explanation connecting the condition to service or a service-connected disability.
Legal and medical sources: 38 CFR § 4.116, § 3.350, § 3.303, § 3.310, VA Women Veterans Health Care, and VA MIRECC, checked August 14, 2026.