Guide for Aviation Medical Examiners

Decision Considerations – Aerospace Medical Dispositions
Item 48. General Systemic – Endocrine Disorders

Common Conditions and Course of Action
Disease/Condition Class Evaluation Data Disposition
Acromegaly All Submit all pertinent medical records; current status to include names and dosage of
medication(s) and side effects		 Requires FAA Decision
Addison's Disease All Submit all pertinent medical records; current status to include names and dosage of
medication(s) and side effects		 Requires FAA Decision
Cushing's Syndrome or Cushing’s Disease All See Cushing's Syndrome or Cushing’s Disease Disposition Table (PDF) See Cushing's Syndrome or Cushing’s Disease Disposition Table (PDF)
Hypoglycemia, whether functional or a result of pancreatic tumor All Submit all pertinent medical records; current status to include names and dosage of
medication(s) and side effects		 Requires FAA Decision
Hyperparathyroidism All Submit all pertinent medical records; current status to include names and dosage of
medication(s) and side effects, and current serum calcium and phosphorus levels		 If status post-surgery, disease controlled, stable and no sequela - Issue

Otherwise - Requires FAA Decision
Hypoparathyroidism All See Hypoparathyroidism disposition table (PDF) See disposition table
Hyperthyroidism All Submit all pertinent medical records; current status to include names and dosage of medication(s) and side effects and current TFTs Initial Special Issuance - Requires FAA Decision

See AASI Hyperthyroidism
Hypothyroid or Hypothyroidism (Including Hashimoto’s Disease) All See Hypothyroid Disposition Table (PDF) See disposition table
Polycystic Ovarian Syndrome (PCOS) All See Disposition Table (PDF) See Disposition Table
Proteinuria & Glycosuria All Submit all pertinent medical records; current status to include names and dosage of medication(s) and side effects Trace or 1+ protein and glucose intolerance ruled out – Issue

Otherwise - Requires FAA Decision
Last updated: Wednesday, September 24, 2025