Citation Nr: 20082002 Decision Date: 12/31/20 Archive Date: 12/31/20 DOCKET NO. 14-07 243 DATE: December 31, 2020 REMANDED The issue of entitlement to service connection for erectile dysfunction (ED) is remanded. REASONS FOR REMAND The Veteran served on active duty from September 1968 to September 1970, from November 1970 to November 1976, and from January 1980 to May 1982, to include service in the Republic of Vietnam from February 1969 to February 1970. The Veteran testified under oath at a video conference hearing before the undersigned Veterans Law Judge (VLJ) in September 2017. A transcript of the hearing is of record. This appeal was previously before the Board in February 2020. For the reasons outlined below, the matter is again remanded. Following the February 2020 Board remand, in an August 2020 rating decision, the issue of entitlement to service connection for hepatitis C was granted. This constitutes a full grant of the benefit sought, and therefore, the issue is no longer on appeal. The Board acknowledges that the Veteran’s military personnel records contain a request for records from September 1991. It is unclear to the Board whether these records were provided. Nevertheless, given the amount of time that has elapsed since this request, and given that other document requests have been addressed in the interim, the Board will not delay development of the Veteran’s appeal. Entitlement to service connection for ED. The Board finds that additional development is again needed prior to final adjudication of the remaining issue on appeal. First, in the February 2020 remand, the Board found that there may still be outstanding service treatment records to be associated with the claim file. The Board directed the AOJ to obtain any outstanding records. All efforts were to be documented in the claim file, and if any records could not be obtained, this was to be noted in the claim file. However, it is unclear to the Board what further attempts were made to obtain service treatment records upon remand. Accordingly, the Board will again remand to obtain any outstanding service treatment records. In addition, the Board asks that a new VA opinion be obtained. In the prior remand, the Board noted that September 2018 VA examiner wrote that the Veteran’s ED is likely due to, inter alia, medication whose adverse effects cause ED. However, it was unclear to the Board to which medication the examiner refers. The Board acknowledges the April 2020 VA opinion; however, it does not clarify to which medication the September 2018 VA examiner refers. In addition, the Board notes that since the prior Board remand, the Veteran has been service-connected for hepatitis C. Upon remand, the Board asks that a new opinion address whether the Veteran’s claimed ED may have been caused or aggravated by this now service-connected disability. The matter is REMANDED for the following action: 1. After securing any necessary consent forms from the Veteran, obtain any outstanding treatment records, to include any service, VA and/or private treatment records, pertaining to the issue on appeal. All efforts to obtain these records should be documented in the claim file. If any records could not be obtained, this should be noted in the claim file. 2. Upon completion of the above, obtain an addendum opinion as to whether it is at least as likely as not (i.e., a 50 percent or greater probability) that claimed ED disability is proximately due to, or the result of, or aggravated (permanently worsened) beyond normal progression by the Veteran’s service-connected diabetes mellitus, type II, and/or hepatitis C, to include any medications used to treat these disabilities. In particular, the Board seeks clarification regarding the notation in the September 2018 VA examination report, which indicated that the Veteran’s ED is likely due to, inter alia, medication whose adverse effects cause ED. The Board asks that an examiner clarify to which medication(s) this refers. The VA examiner should be given access to the claim file. The examiner should state that a review of the claim file was completed. The examiner must provide a comprehensive report including complete rationales for all opinions and conclusions reached, citing the objective medical findings leading to the conclusions. A detailed rationale is requested for all opinions provided.   3. If upon completion of the above action the issue is denied, the case should be returned to the Board after compliance with appellate procedures. E. I. VELEZ Veterans Law Judge Board of Veterans’ Appeals Attorney for the Board K. Foster, Associate Counsel The Board’s decision in this case is binding only with respect to the instant matter decided. This decision is not precedential and does not establish VA policies or interpretations of general applicability. 38 C.F.R. § 20.1303.