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
- 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.
- 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.
- Hold your testicle: Hold one testicle between your thumb and index finger, with your middle finger behind the testicle to support it.
- 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.
- Feel for lumps or bumps: Gently roll your testicle between your fingers to feel for any lumps, bumps, or irregularities.
- Check the epididymis: The epididymis is a tube-like structure behind each testicle. Check that it feels soft and smooth.
- 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.
Frequently Asked Questions (FAQs)
What is testicular self-examination?
A procedure where a man checks his own testicles for abnormalities.
Why is testicular self-examination important?
To potentially detect testicular cancer or other issues early.
How often should testicular self-examination be performed?
Typically, once a month, preferably after a warm bath or shower.
At what age should men start performing testicular self-examination?
Usually, around puberty, but guidelines may vary.
What are men looking for during testicular self-examination?
Lumps, swelling, pain, or changes in testicle size or texture.
Can testicular self-examination detect all cases of testicular cancer?
No, not all cases, as some cancers may not produce noticeable lumps.
Should men with a family history of testicular cancer perform self-examinations more frequently?
Possibly, but specific guidance should come from a healthcare provider.
Can testicular self-examination replace medical check-ups?
No, regular medical check-ups are still necessary for comprehensive health care.
Are there any risks associated with performing testicular self-examination?
Generally, no significant risks are associated with the procedure itself.
Where can men find guidance on how to perform a proper testicular self-examination?
From healthcare providers, medical websites, or reputable health organizations.
Article last updated on: 18th October 2025.
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