Testicular Self-Examination

The testicular self-examination (TSE) is a simple and non-invasive procedure that allows individuals to check their testicles for any abnormalities or changes.

Purpose

The primary purpose of TSE is to detect testicular cancer or other conditions, such as testicular torsion, epididymitis, or hydrocele, at an early stage when they are more treatable.

Step-by-Step Instructions

1. Choose the right time: The best time to perform TSE is during or after a warm bath or shower, when the muscles in the scrotum are relaxed.
2. Stand in front of a mirror: Stand in front of a mirror and look at your testicles to check for any visible changes or abnormalities.
3. Hold your testicle: Hold one testicle between your thumb and index finger, with your middle finger behind the testicle to support it.
4. Check for size and consistency: Check the size and consistency of each testicle. They should be roughly the same size and feel smooth and firm.
5. Feel for lumps or bumps: Gently roll your testicle between your fingers to feel for any lumps, bumps, or irregularities.
6. Check the epididymis: The epididymis is a tube-like structure behind each testicle. Check that it feels soft and smooth.
7. Repeat on the other side: Repeat the process on the other testicle.

What to Look For

During TSE, look for the following:

• Lumps or bumps on the surface of the testicle
• Changes in the size or shape of a testicle
• Pain or discomfort in the testicle or scrotum
• A feeling of heaviness or swelling in the scrotum
• Dimpling or puckering of the skin on the scrotum

When to Seek Medical Attention

If you notice any unusual changes or abnormalities during TSE, seek medical attention from a healthcare professional. They will perform a physical examination and may order diagnostic tests, such as an ultrasound, to determine the cause of the abnormality.

Frequency

The American Cancer Society recommends that men between the ages of 20 and 39 perform TSE monthly, while those over 40 should discuss their individual risk factors with their healthcare provider.