Testicular Self-Exam

What is a testicular self-exam (TSE)?

A testicular self-exam (TSE) is a systematic method for assessing the appearance and feel of the testicles. Becoming familiar with the normal characteristics of your testicles-and your body overall can help you more easily detect any changes or potential health concerns, including signs of testicular cancer.

Since a testicular exam only takes a few minutes, it’s a good idea to add to your shower routine at least once a month. The warm water will allow your scrotum to loosen up for the exam.

Performing regular testicular self-examinations allows individuals to become familiar with the normal look and feel of their testicles, making it easier to identify any changes. While most lumps are benign and not indicative of cancer, it is important to consult a healthcare provider if any abnormalities are noticed.

How to Perform a Testicular Self-Exam

The most effective way to perform a testicular self-exam is while standing. Follow these steps:

1. Gently move the penis aside to clearly view the scrotum.
2. Hold the top of the scrotum and gently isolate one testicle.
3. Use your fingers to feel the spermatic cord, which is connected to the top of the testicle and supplies blood; it may feel like a firm, rope-like structure.
4. Carefully roll the testicle between your fingers, examining it thoroughly from top to bottom.
5. Locate and feel the epididymis, a soft, coiled tube situated at the back and top of the testicle that stores and transports sperm; it may be slightly tender to the touch.
6. Repeat the process with the other testicle. While it’s rare for testicular cancer to affect both testicles simultaneously, comparing both can help you detect any abnormalities.

What is Testicular Cancer?

Testicular cancer occurs when cancerous cells begin to grow in the tissue of one or, more rarely, both testicles.

Possible Symptoms

• A lump or swelling in either testicle.
• A feeling of heaviness in your scrotum.
• Dull ache in your groin or lower abdomen.
• Pain or discomfort in your scrotum or a testicle.
• A shrinking testicle (testicular atrophy).

Many of these symptoms can occur with several other conditions as well. Testicular cancer is usually not the case so there is no need to panic. You should still schedule a visit with your doctor if you begin to notice these symptoms.