Citation Nr: 21064150 Decision Date: 10/19/21 Archive Date: 10/19/21 DOCKET NO. 15-11 227 DATE: October 19, 2021 REMANDED Entitlement to service connection for menorrhagia with pelvic pain is remanded. Entitlement to service connection for major depression, claimed as secondary to menorrhagia with pelvic pain, is remanded. Entitlement to service connection for anemia, to include as secondary to menorrhagia with pelvic pain, is remanded. REASONS FOR REMAND The Veteran, who is the appellant, served on active duty from April 22, 1992, to June 2, 1992. In May 2018, a videoconference hearing was held before the undersigned. A transcript of the hearing is associated with the Veteran's claims file. In June 2020, Board denied service connection for menorrhagia with pelvic pain, major depression, and anemia. The Veteran appealed that decision to the United States Court of Appeals for Veterans Claims (Court). In a June 2021 Order, the Court vacated the Board's decision and remanded the matters on appeal for readjudication consistent with the instructions outlined in a June 2021 Joint Motion for Remand (JMR) by the parties. Entitlement to service connection for menorrhagia with pelvic pain, major depression, and anemia In the June 2021 JMR, the parties agreed that the May 2019 VA examination upon which the Board relied to support the denial of service connection for menorrhagia, major depression, and anemia was inadequate for rating purposes. Specifically, it was found that the rationale for the opinion, that the Veteran's increase in symptoms during service was likely a temporary exacerbation, did not account for the Veteran's statements that her symptoms remained after service, but that she had difficulty getting immediate treatment because she did not have health insurance. As the opinion was found inadequate for rating purposes, the Board finds that an additional examination must be obtained. The matters are REMANDED for the following actions: 1. Obtain an addendum opinion from an appropriate clinician regarding whether the Veteran's menorrhagia clearly and unmistakably preexisted service, and, if so, whether it was clearly and unmistakably not aggravated by service. If the examiner finds that menorrhagia either did not clearly and unmistakably preexist service or was not clearly and unmistakably not aggravated by service, the examiner must opine whether it is at least as likely as not related to service. The examiner must specifically comment on the Veteran's statements regarding her symptoms of menorrhagia following service, and that she did not seek immediate treatment because she did not health insurance. (Continued on the next page) 2. If service connection is determined to be warranted for the Veteran's menorrhagia with pelvic pain, an opinion should also be obtained to address whether her major depression and anemia are proximately due to that condition or aggravated beyond its natural progression by that condition. A. ISHIZAWAR Veterans Law Judge Board of Veterans' Appeals Attorney for the Board Joseph P. Gervasio 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.