Testicular Exam

A testicular exam is a medical examination of the testicles, also known as testes, which are located inside the scrotum. The purpose of the exam is to check for any abnormalities or potential health issues.

Purpose

The main purposes of a testicular exam are:

• To detect any lumps, swelling, or tenderness in the testicles
• To identify any signs of testicular cancer, such as a painless lump or swelling
• To check for any signs of infection, such as redness, warmth, or discharge
• To evaluate any symptoms, such as pain or discomfort in the testicles

Procedure

A testicular exam typically involves the following steps:

1. The patient is asked to remove their clothing from the waist down and stand or lie on an examination table.
2. The doctor will visually inspect the scrotum and testicles for any signs of swelling, redness, or other abnormalities.
3. The doctor will then gently feel the testicles with their fingers, checking for any lumps, tenderness, or irregularities.
4. The doctor may also check the epididymis, a tube that stores and transports sperm, for any signs of swelling or tenderness.
5. The doctor may also perform a transillumination test, which involves shining a light through the scrotum to check for any abnormalities in the testicles.

What to Expect

During a testicular exam, the patient may experience some discomfort or embarrassment. However, the exam is usually quick and painless. The doctor will explain what they are doing and why, and will answer any questions the patient may have.

Risk Factors

Certain risk factors increase the likelihood of developing testicular cancer or other testicular problems, including:

• Family history of testicular cancer
• Previous testicular cancer or undescended testes
• HIV or other immune system disorders
• Exposure to certain chemicals or toxins

Follow-up Care

If any abnormalities are detected during the exam, the doctor may recommend further testing or treatment. This may include:

• Ultrasound or other imaging tests to evaluate the testicles and surrounding tissues
• Biopsy or surgical removal of a lump or tumor
• Antibiotics or other medications to treat infection
• Follow-up exams to monitor for any changes or developments

Frequently Asked Questions (FAQs)

What is a testicular exam?
A medical procedure to check the testicles for abnormalities.

Why is a testicular exam performed?
To detect testicular cancer, hernias, or other testicular problems.

How often should a testicular exam be done?
Typically part of a routine physical exam, frequency may vary depending on individual risk factors.

Who performs a testicular exam?
Usually a doctor or healthcare provider, such as a primary care physician or urologist.

What happens during a testicular exam?
The doctor checks the size, shape, and consistency of the testicles, and may check for tenderness or lumps.

Is a testicular exam painful?
Generally not painful, but may cause some discomfort if an abnormality is present.

Can a testicular exam detect all testicular problems?
May not detect all problems, such as early-stage cancer, but can help identify potential issues.

How long does a testicular exam take?
Typically takes only a few minutes to perform.

Is a testicular exam part of a standard physical exam for men?
Often included in routine physical exams for men, especially those over 15 years old.

Can I perform a testicular self-exam at home?
Yes, but it is recommended to also have a regular exam by a healthcare provider for accurate assessment.