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Military Medical Standards for Enlistment & Commission

Genitalia

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Updated June 10, 2009
The disqualifying medical conditions are listed below. The International Classification of Disease (ICD) codes are listed in parentheses following each standard.

The causes for rejection for appointment, enlistment, and induction (without an approved waiver) are an authenticated history of:

Female genitalia.

Current or history of abnormal uterine bleeding (626.2), including, but not limited to menorrhagia, metrorrhagia, or polymenorrhea, is disqualifying.

Current unexplained amenorrhea (626.0) is disqualifying.

Current or history of dysmenorrhea (625.3) that is incapacitating to a degree recurrently necessitating absences of more than a few hours from routine activities is disqualifying.

Current or history of endometriosis (617) is disqualifying.

History of major abnormalities or defects of the genitalia such as change of sex (P64.5), hermaphroditism, pseudohermaphroditism, or pure gonadal dysgenesis (752.7) or dysfunctional residuals from surgical correction of these conditions is disqualifying.

Current or history of ovarian cysts (620.2), when persistent or symptomatic is disqualifying.

Current pelvic inflammatory disease (614), or history of recurrent pelvic inflammatory disease, is disqualifying.

Current or history of chronic pelvic pain or unspecified symptoms associated with female genital organs (625.9) is disqualifying.

Current pregnancy (V22) is disqualifying until 6 months after the end of the pregnancy.

Uterus, congenital absence of (752.3), or enlargement due to any cause (621.2) is disqualifying.

Current or history of genital infection or ulceration, including but not limited to herpes genitalis (054.11) or condyloma acuminatum (078.11), if of sufficient severity to require frequent intervention or to interfere with normal function, is disqualifying.

Current abnormal gynecologic cytology, including, but not limited to unspecified abnormalities of the Papanicolaou smear of the cervix (Pap smear) (795) excluding Human Papilloma Virus (HPV) (079.4) or confirmed Low-Grade Squamous Intraepithelial Lesion (LGSIL) (622.9), is disqualifying. For the purposes of this standard, confirmation is by colposcopy or repeat cytology.

Male genitalia.

Current absence of one or both testicles, either congenital (752.89) or undescended (752.51) is disqualifying.

Current epispadias (752.62) or hypospadias (752.61), when accompanied by evidence of urinary tract infection, urethral stricture, or voiding dysfunction, is disqualifying.

Current enlargement or mass of testicle or epididymis (608.9) is disqualifying.

Current orchitis (604) or epididymitis (604.90) is disqualifying.

History of penis amputation (878.0) is disqualifying.

Current or history of genital infection or ulceration, including, but not limited to herpes genitalis (054.13) and condyloma acuminatum (078.11), if of sufficient severity to require frequent intervention or to interfere with normal function, is disqualifying.

Current acute prostatitis (601.0) or chronic prostatitis (601.1) is disqualifying.

(8) Current hydrocele (603.0), if large or symptomatic, is disqualifying..

Left varicocele (456.4), if symptomatic, or associated with testicular atrophy, or vericocele larger than the testis is disqualifying.

Any right varicocele (456.4) is disqualifying.

Current or history of chronic scrotal pain or unspecified symptoms associated with male genital organs (608.9) are disqualifying.

History of major abnormalities or defects of the genitalia, such as a change of sex (P64.5), hermaphroditism, pseudohermaphroditism, or pure gonadal dysgenesis (752.7) or dysfunctional residuals from surgical correction of these conditions is disqualifying.

Derived from Department of Defense (DOD) Directive 6130.3, "Physical Standards for Appointment, Enlistment, and Induction," and DOD Instruction 6130.4, "Criteria and Procedure Requirements for Physical Standards for Appointment, Enlistment, or Induction in the Armed Forces."

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