The Essential Guide to Checking Your Testicles for Testicular Cancer: When and How to Perform a Self-Exam

Testicular cancer is one of the most common cancers among young men, particularly those aged 15 to 35. The good news is that it's also one of the most treatable forms of cancer, especially when detected early. Regular self-examinations are a crucial step in catching any signs of testicular cancer before it progresses.

This guide will walk you through when and how to check your testicles, what to look for, and why regular self-exams are vital for your health.

Why Self-Exams Are Important

Testicular cancer often starts as a small, painless lump in the testicle. Because the condition is rare and can be asymptomatic in its early stages, many men may not realise something is wrong until the cancer has progressed. Early detection dramatically increases the chances of successful treatment, which is why monthly self-exams are recommended.

When to Perform a Testicular Self-Exam

The best time to perform a testicular self-exam is during or after a warm bath or shower. The warmth relaxes the scrotum, making it easier to feel for any abnormalities. Ideally, you should perform a self-exam once a month.

How to Perform a Testicular Self-Exam: Step-by-Step Guide

1. Get Comfortable
  • Stand in front of a mirror. Look for any visible swelling, lumps, or changes in the size or colour of your testicles. While visual inspection alone is not sufficient, it can sometimes help you spot abnormalities.
2. Examine Each Testicle Separately
  • Place your index and middle fingers underneath one testicle, with your thumb on top. Gently roll the testicle between your fingers and thumb, feeling for any lumps, swelling, or changes in consistency. Repeat this process with the other testicle.
3. Check the Epididymis
  • At the back of each testicle, you'll find a soft, tube-like structure called the epididymis. This structure is normal, so don’t confuse it with a lump. However, if you notice any pain, tenderness, or unusual swelling in this area, it’s worth discussing with your doctor.
4. Feel the Spermatic Cord
  • The spermatic cord is a tubular structure that runs from the scrotum up into the groin. It should feel smooth and firm, like a thick piece of string. Check for any lumps or irregularities along the cord.
5. Note Any Changes
  • It’s normal for one testicle to be slightly larger or hang lower than the other. However, if you notice a significant difference in size, a new lump, or any other changes, it’s important to contact your doctor for further evaluation.

What to Look For During a Self-Exam

When performing a testicular self-exam, be on the lookout for the following signs:

  • Lumps or Nodules: Even small, pea-sized lumps should be checked by a doctor. Not all lumps are cancerous, but they should be evaluated.
  • Changes in Size or Shape: Any noticeable increase or decrease in the size of your testicles or changes in their shape should be reported.
  • Swelling or Heaviness: Swelling of the testicles or a feeling of heaviness in the scrotum can be a sign of a problem.
  • Pain or Discomfort: While testicular cancer is often painless, any persistent pain, discomfort, or a dull ache in the lower abdomen or groin should prompt a visit to your doctor.
  • Hardening: A testicle that feels unusually hard or rigid could be a sign of cancer.

What to Do If You Find Something Unusual

If you detect any changes, it’s essential to contact your healthcare provider immediately. While it’s natural to feel anxious about finding something unusual, remember that not all changes indicate cancer. Conditions like cysts, infections, or benign growths can also cause lumps or swelling. However, only a medical professional can make an accurate diagnosis.

Your doctor may perform a physical exam, an ultrasound of the scrotum, or blood tests to determine the cause of the abnormality. If cancer is suspected, additional tests, such as a biopsy, may be required.

The Importance of Regular Check-Ups

In addition to self-exams, regular check-ups with your doctor are crucial for maintaining testicular health. Men at higher risk for testicular cancer—such as those with a family history of the disease or who have had an undescended testicle—should be especially vigilant and discuss with their doctor how often they should be examined.

Conclusion: Take Charge of Your Health

Performing regular testicular self-exams is a simple yet powerful way to take charge of your health. Early detection of testicular cancer significantly improves treatment outcomes, and a monthly self-exam can help you catch any potential problems before they escalate.

Remember, your health is in your hands—literally. By incorporating self-exams into your routine and staying informed about the signs and symptoms of testicular cancer, you can protect yourself and ensure that any issues are addressed promptly. If you ever have concerns, don't hesitate to consult your doctor. Your peace of mind and well-being are worth it.