Testicular Self Examination
Testicular
cancer is most common in men ages 20 to 35 but it can occur at any age. A
simple testicular self-examination can improve the chances of finding a tumor
early. Beginning at age 15, it is a good idea to do a monthly testicular
self-exam. Regular testicular self-examinations are an important way to
identify changes that can be a sign of cancer. Early diagnosis is important
because testicular cancer is highly treatable when found early. Lumps or other
changes found during a testicular self-exam aren't always a sign of cancer, but
still need to be checked by a doctor.
How do you do a testicular self-examination
- Stand in front of a mirror. Look
for any swelling on the skin of the scrotum.
- Examine each testicle with both
hands. Place the index and middle fingers under the testicle while placing
your thumbs on the top.
- Gently roll the testicle between
the thumbs and fingers. Feel for lumps and bumps. Remember that the
testicles are usually smooth, oval shaped and somewhat firm.
- If you find a lump, call your
doctor as soon as possible. Signs and symptoms of cancer include lumps,
swelling, a heavy-feeling testicle and pain. Don't be embarrassed about
calling your doctor if you find a lump or other problem. Early diagnosis
is important over time, testicular cancer can spread and it becomes more
dangerous and difficult to treat.
What is normal and what is abnormal
- You may notice a few things about
your testicles that seem unusual but they are not the signs of
cancer:
- One of your testicles is larger
than the other. It's normal for one testicle to be slightly larger. It is
only a cause for concern if there is a change in the size of one of your
testicles.
- You have bumps on the skin of your
scrotum. This can be caused by ingrown hairs, a rash or other skin problems.
- You feel a soft, ropy cord leading
upward from the top of the back part of each testicle. This is a normal
part of the scrotum called the epididymis. It may be tender when you press
on it.
Lumps, swelling, testicular pain or other changes can be caused
by something other than cancer such as inflammation, enlargement of scrotal
veins (Varicocele), fluid around the testicle (hydrocele), or a hernia. But
unusual signs or symptoms still need to be checked out by a doctor to be sure
that they are not caused by cancer. Even if symptoms are caused by something
other than testicular cancer, you may still need treatment.
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