A Step-by-Step Guide to the Testicular Self-Exam (TSE)
Testicular cancer is the most common cancer in young men aged 15-35. The good news is that it is highly curable when detected early. Performing a monthly testicular self-exam is a simple and effective way to get to know your body and detect any changes early.
When and How to Perform a TSE
The best time to do the exam is during or after a warm bath or shower, when the skin of the scrotum is relaxed.
- Examine One Testicle at a Time: Stand in front of a mirror. Hold one testicle between your thumbs and fingers of both hands.
- Roll Gently: Gently but firmly roll the testicle between your fingers. Feel for any hard lumps, smooth rounded bumps, or changes in the size, shape, or consistency of the testicle.
- Feel the Epididymis: It's normal to feel a soft, rope-like structure on the back of each testicle. This is the epididymis, which stores sperm. It is not a lump. Get to know what it feels like.
- Repeat on the Other Side: Examine the other testicle. It's normal for one testicle to be slightly larger or hang lower than the other.
What Are You Feeling For?
You are looking for any changes from what is normal for you. Specifically, be aware of:
- A painless lump or swelling on either testicle.
- Pain or discomfort in a testicle or in the scrotum.
- A feeling of heaviness in the scrotum.
- A dull ache in the lower abdomen or groin.
- A sudden collection of fluid in the scrotum.
What to Do If You Find Something
If you find a lump or any other change, do not panic, but do not ignore it. Schedule an appointment with a doctor right away. Most testicular lumps are not cancer, but it is essential to have any abnormality checked by a medical professional. An ultrasound is usually the first step to determine the nature of the lump.
Early Detection Saves Lives
Making a monthly testicular self-exam a regular habit is a simple and empowering way to take charge of your health.
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