Female sexual dysfunction — DVA SoP factors

Reasonable Hypothesis (RH) — Statement of Principles No. 95 of 2016

At least one of the following factors must as a minimum exist before it can be said that a reasonable hypothesis has been raised connecting female sexual dysfunction or death from female sexual dysfunction with the circumstances of a person's relevant service:

1. (1)
   having a genitourinary condition from the specified list of genitourinary conditions at the time of the clinical onset of female sexual dysfunction;

   Note: specified list of genitourinary conditions is defined in the Schedule 1 - Dictionary.

2. (2)
   having chronic renal failure at the time of the clinical onset of female sexual dysfunction;

   Note: chronic renal failure is defined in the Schedule 1 - Dictionary.

3. (3)
   having a haematological or solid organ cancer before the clinical onset of female sexual dysfunction;
4. (4)
   undergoing a course of therapeutic radiation for cancer, where the lower abdomen, pelvis or perineal region was in the field of radiation, before the clinical onset of female sexual dysfunction;
5. (5)
   having an endocrine disorder from the specified list of endocrine disorders at the time of the clinical onset of female sexual dysfunction;

   Note: specified list of endocrine disorders is defined in the Schedule 1 - Dictionary.

6. (6)
   having a neurological disorder from the specified list of neurological disorders at the time of the clinical onset of female sexual dysfunction;

   Note: specified list of neurological disorders is defined in the Schedule 1 - Dictionary.

7. (7)
   having a severe, chronic medical condition at the time of the clinical onset of female sexual dysfunction;

   Note: severe, chronic medical condition is defined in the Schedule 1 - Dictionary.

8. (8)
   having persistent pain of at least three months duration at the time of the clinical onset of female sexual dysfunction;

   Note: persistent pain is defined in the Schedule 1 - Dictionary.

9. (9)
   being obese at the time of the clinical onset of female sexual dysfunction;

   Note: being obese is defined in the Schedule 1 - Dictionary.

10. (10)
    experiencing blunt or penetrating trauma to the vulva, vagina, perineum or pelvis, including surgical trauma and traumatic childbirth, within the three months before the clinical onset of female sexual dysfunction;
11. (11)
    having undergone menopause before the clinical onset of female sexual dysfunction;

    Note: menopause is defined in the Schedule 1 - Dictionary.

12. (12)
    having a clinically significant disorder of mental health as specified at the time of the clinical onset of female sexual dysfunction;

    Note: clinically significant disorder of mental health as specified is defined in the Schedule 1 - Dictionary.

13. (13)
    experiencing a category 1A stressor within the five years before the clinical onset of female sexual dysfunction;

    Note: category 1A stressor is defined in the Schedule 1 - Dictionary.

14. (14)
    experiencing a category 1B stressor within the five years before the clinical onset of female sexual dysfunction;

    Note: category 1B stressor is defined in the Schedule 1 - Dictionary.

15. (15)
    being the victim of severe childhood abuse before the clinical onset of female sexual dysfunction;

    Note: severe childhood abuse is defined in the Schedule 1 - Dictionary.

16. (16)
    an inability to undertake any physical activity greater than three METs for at least the one year before the clinical onset of female sexual dysfunction;

    Note: MET is defined in the Schedule 1 - Dictionary.

17. (17)
    taking a drug or a drug from a class of drugs from the specified list of drugs, within the 30 days before the clinical onset of female sexual dysfunction;

    Note: specified list of drugs is defined in the Schedule 1 - Dictionary.

18. (18)
    having a genitourinary condition from the specified list of genitourinary conditions at the time of the clinical worsening of female sexual dysfunction;

    Note: specified list of genitourinary conditions is defined in the Schedule 1 - Dictionary.

19. (19)
    having chronic renal failure at the time of the clinical worsening of female sexual dysfunction;

    Note: chronic renal failure is defined in the Schedule 1 - Dictionary.

20. (20)
    having a haematological or solid organ cancer before the clinical worsening of female sexual dysfunction;
21. (21)
    undergoing a course of therapeutic radiation for cancer, where the lower abdomen, pelvis or perineal region was in the field of radiation, before the clinical worsening of female sexual dysfunction;
22. (22)
    having an endocrine disorder from the specified list of endocrine disorders at the time of the clinical worsening of female sexual dysfunction;

    Note: specified list of endocrine disorders is defined in the Schedule 1 - Dictionary.

23. (23)
    having a neurological disorder from the specified list of neurological disorders at the time of the clinical worsening of female sexual dysfunction;

    Note: specified list of neurological disorders is defined in the Schedule 1 - Dictionary.

24. (24)
    having a severe, chronic medical condition at the time of the clinical worsening of female sexual dysfunction;

    Note: severe, chronic medical condition is defined in the Schedule 1 - Dictionary.

25. (25)
    having persistent pain of at least three months duration at the time of the clinical worsening of female sexual dysfunction;

    Note: persistent pain is defined in the Schedule 1 - Dictionary.

26. (26)
    being obese at the time of the clinical worsening of female sexual dysfunction;

    Note: being obese is defined in the Schedule 1 - Dictionary.

27. (27)
    experiencing blunt or penetrating trauma to the vulva, vagina, perineum or pelvis, including surgical trauma and traumatic childbirth, within the three months before the clinical worsening of female sexual dysfunction;
28. (28)
    having undergone menopause before the clinical worsening of female sexual dysfunction;

    Note: menopause is defined in the Schedule 1 - Dictionary.

29. (29)
    having a clinically significant disorder of mental health as specified at the time of the clinical worsening of female sexual dysfunction;

    Note: clinically significant disorder of mental health as specified is defined in the Schedule 1 - Dictionary.

30. (30)
    experiencing a category 1A stressor within the five years before the clinical worsening of female sexual dysfunction;

    Note: category 1A stressor is defined in the Schedule 1 - Dictionary.

31. (31)
    experiencing a category 1B stressor within the five years before the clinical worsening of female sexual dysfunction;

    Note: category 1B stressor is defined in the Schedule 1 - Dictionary.

32. (32)
    being the victim of severe childhood abuse before the clinical worsening of female sexual dysfunction;

    Note: severe childhood abuse is defined in the Schedule 1 - Dictionary.

33. (33)
    an inability to undertake any physical activity greater than three METs for at least the one year before the clinical worsening of female sexual dysfunction;

    Note: MET is defined in the Schedule 1 - Dictionary.

34. (34)
    taking a drug or a drug from a class of drugs from the specified list of drugs, within the 30 days before the clinical worsening of female sexual dysfunction;

    Note: specified list of drugs is defined in the Schedule 1 - Dictionary.

35. (35)
    inability to obtain appropriate clinical management for female sexual dysfunction;

Aggravation-only factors: the factors in subsections 8(18) to 8(35) apply only to material contribution to, or aggravation of, the condition where it was suffered or contracted before or during (but did not arise out of) the person’s relevant service.