Reproductive Cancer (Ovarian, Testicular, Uterine, Cervical): VA Presumptive Condition (PACT Act)
VeteranHQ lists Reproductive Cancer (Ovarian, Testicular, Uterine, Cervical) as a presumptive condition in the PACT Act (Burn Pits and Airborne Hazards) group. The exposure it is tied to is: Airborne hazards, burn pit smoke, endocrine-disrupting compounds, dioxins. The presumption is effective August 10, 2022. It is governed by PACT Act of 2022, Public Law 117-168, Section 3114; 38 USC § 1120(b)(6).
A presumption removes one requirement and one only: the veteran does not have to prove a medical link between the condition and service. Everything else still applies. There must be a current diagnosis, the service has to meet the requirements below, and VA decides the claim on the evidence in the record.
What qualifies: Reproductive Cancer (Ovarian, Testicular, Uterine, Cervical)
- Service era
- Post-9/11 (2001–present) or Post-Gulf War (1990–present)
- Service location
- Southwest Asia theater of operations, Afghanistan, Syria, Djibouti, or other covered locations
- Exposure
- Airborne hazards, burn pit smoke, endocrine-disrupting compounds, dioxins
- Effective date
- August 10, 2022
- Filing deadline
- No statutory deadline
Service required for this presumption
Active duty service in a covered location for at least 90 days. Covers primary malignant neoplasms of the reproductive system including ovarian cancer, testicular cancer, uterine/endometrial cancer, cervical cancer, and related gynecological and urogenital malignancies.
About this presumption
Reproductive system cancers are presumptively service-connected under the PACT Act for veterans with qualifying airborne hazard exposure. Dioxins, furans, and other persistent organic pollutants found in burn pit emissions are established endocrine disruptors with documented associations with reproductive cancers. Research on dioxin-exposed populations (including Agent Orange data) supports the biological plausibility of these associations.
Evidence still needed
A presumption does not remove the evidence requirement. VA still needs a current diagnosis from a medical provider and service records that show the qualifying service above. What it removes is the medical opinion connecting the two.
Service records; gynecological or urological oncology records with pathology confirming primary reproductive malignancy; surgical reports (hysterectomy, oophorectomy, orchiectomy) if applicable.
Controlling legal authority
PACT Act of 2022, Public Law 117-168, Section 3114; 38 USC § 1120(b)(6)
Related on VeteranHQ
Questions About Reproductive Cancer (Ovarian, Testicular, Uterine, Cervical) and Presumptive Service Connection
Is Reproductive Cancer (Ovarian, Testicular, Uterine, Cervical) a VA presumptive condition?
Yes. VeteranHQ lists Reproductive Cancer (Ovarian, Testicular, Uterine, Cervical) as presumptive in the PACT Act (Burn Pits and Airborne Hazards) group, effective August 10, 2022, under PACT Act of 2022, Public Law 117-168, Section 3114; 38 USC § 1120(b)(6). A presumption removes the requirement to prove a medical link to service. A current diagnosis and qualifying service are still required, and VA decides the claim.
What service qualifies for the Reproductive Cancer (Ovarian, Testicular, Uterine, Cervical) presumption?
Active duty service in a covered location for at least 90 days. Covers primary malignant neoplasms of the reproductive system including ovarian cancer, testicular cancer, uterine/endometrial cancer, cervical cancer, and related gynecological and urogenital malignancies. Service era: Post-9/11 (2001–present) or Post-Gulf War (1990–present). Service location: Southwest Asia theater of operations, Afghanistan, Syria, Djibouti, or other covered locations.
What evidence is still needed for a Reproductive Cancer (Ovarian, Testicular, Uterine, Cervical) claim?
Service records; gynecological or urological oncology records with pathology confirming primary reproductive malignancy; surgical reports (hysterectomy, oophorectomy, orchiectomy) if applicable. A presumption removes the requirement to prove a medical link to service. A current diagnosis and qualifying service are still required, and VA decides the claim.
Is there a filing deadline for Reproductive Cancer (Ovarian, Testicular, Uterine, Cervical)?
No statutory deadline
VeteranHQ publishes VA rules and the citations behind them. It does not prepare, file, or represent claims, and nothing here is legal advice or a prediction of what VA will decide.