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Writer's pictureDr Steven Kinnear

Testicular Self-Examination



Hand holding a walnut between index and middle finger on one side and thumb on the other to illustrate the technique for testicular self-examinaiton

What is Testicular Self-Examination?


Testicular self-examination (TSE) is a simple, routine procedure that men can perform on themselves to check for any unusual lumps or changes in the testicles. Early detection of abnormalities can be crucial in diagnosing conditions like testicular cancer early, when treatment is most effective.


Why Perform Testicular Self-Examination?


Regular self-examination can help you become familiar with the normal size, shape, and feel of your testicles, making it easier to notice any changes. Detecting issues early can lead to better outcomes.


How Often Should I Perform a Testicular Self-Examination?


It is recommended to perform a TSE once a month. Choose a consistent time each month to help you remember.


When is the Best Time to Perform a Testicular Self-Examination?


The best time to do a TSE is during or after a warm bath or shower. The warmth relaxes the scrotum, making it easier to feel any changes.


Step-by-Step Guide to Testicular Self-Examination


1. Preparation:

• Stand in front of a mirror. Look for any visible swelling on the scrotum.


2. Examine Each Testicle:

• Using both hands, place your index and middle fingers under the testicle with your thumbs on top.

• Gently roll the testicle between your thumbs and fingers. Feel for any lumps, swellings, or changes in size, shape, or consistency. It’s normal for one testicle to be slightly larger or hang lower than the other.


3. Check the Epididymis:

• On the back of each testicle, you will find the epididymis. This is a soft, rope-like structure. It's a collection of tubes attached to the back of each testicle.


4. Repeat with the Other Testicle:

• Perform the same examination on the other testicle, using the same gentle rolling motion.


What to Look For


• Lumps or bumps: These can be as small as a pea.

• Changes in size or shape: Noticeable changes from previous self-exams.

• Heaviness or swelling: An unusual feeling of heaviness or increased size.

• Pain or discomfort: Any pain, either during the exam or persistent after.


What to Do if You Find an Abnormality


• Don’t panic: Many testicular lumps or swellings are benign (not cancerous), but it’s important to get them checked.

• Contact your doctor: Make an appointment with your doctor as soon as possible to discuss your findings.


Additional Tips


• Be gentle: The testicles are sensitive, so use a gentle touch.

• Know what’s normal for you: Regular TSE will help you know what is typical for your testicles, making it easier to detect any changes.

• Stay consistent: Monthly examinations are key to early detection.


When to See a Doctor


See your doctor if you notice:


• A lump or swelling in either testicle.

• A change in the size or shape of a testicle.

• A dull ache or a feeling of heaviness in the lower abdomen or scrotum.

• Sudden pain or discomfort in a testicle or the scrotum.


Conclusion


Testicular self-examination is a crucial routine that can help detect testicular cancer and other conditions early. By performing a TSE monthly and knowing what’s normal for you, you can take an active role in your health. If you find anything unusual, contact your doctor promptly.


For more information or if you have any questions, please speak with your doctor.


Disclaimer: This blog is for informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult your doctor or other qualified health provider with any questions you may have regarding a medical condition.

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