What do you look for, and how do you know what you're looking for? How many times should a man do this self-check up?
Thanks in advance.
The testicular self-examination (TSE) is an easy way for guys to check their own testicles to make sure there aren't any unusual lumps or bumps — which can be the first sign of testicular cancer.
Although testicular cancer is rare in teenage guys, overall it is the most common cancer in males between the ages of 15 and 35. It's important to try to do a TSE every month so you can become familiar with the normal size and shape of your testicles, making it easier to tell if something feels different or abnormal in the future.
Here's what to do:
* It's best to do a TSE during or right after a hot shower or bath. The scrotum (skin that covers the testicles) is most relaxed then, which makes it easier to examine the testicles.
* Examine one testicle at a time. Use both hands to gently roll each testicle (with slight pressure) between your fingers. Place your thumbs over the top of your testicle, with the index and middle fingers of each hand behind the testicle, and then roll it between your fingers.
* You should be able to feel the epididymis (the sperm-carrying tube), which feels soft, rope-like, and slightly tender to pressure, and is located at the top of the back part of each testicle. This is a normal lump.
* Remember that one testicle (usually the right one) is slightly larger than the other for most guys — this is also normal.
* When examining each testicle, feel for any lumps or bumps along the front or sides. Lumps may be as small as a piece of rice or a pea.
* If you notice any swelling, lumps, or changes in the size or color of a testicle, or if you have any pain or achy areas in your groin, let your doctor know right away.
Lumps or swelling may not be cancer, but they should be checked by your doctor as soon as possible. Testicular cancer is almost always curable if it is caught and treated early.
Most abnormalities of the testes are found during a self-examination or routine physical exam by a health professional. If testicular cancer is suspected, your health professional may want to perform other tests, including:
* Testicular ultrasound. This test may be used to rule out other possible causes of an enlarged or painful testicle before the testicle is removed. Ultrasound is a test that uses reflected sound waves to produce an image of organs and other structures in the body. Unlike many other imaging tests, an ultrasound does not use X-rays or other types of possibly harmful radiation.
* Blood tests, which are often performed in order to measure the levels of tumor markers in your blood. Tumor markers are substances that appear in your bloodstream when cancer is present. Tumor marker levels are monitored at all stages of treatment for testicular cancer.
* Imaging tests, such as chest X-ray and CT scan of the chest, abdomen, and pelvis.
If the testicular ultrasound and blood tests suggest testicular cancer, a doctor will surgically remove your affected testicle. This procedure, called a radical inguinal orchiectomy, is done to confirm a diagnosis of testicular cancer. Following orchiectomy, a pathologist will examine tissue from the testicle under a microscope (biopsy). If cancer is found, you may have other imaging tests to see whether your cancer has spread beyond the testes, including X-rays, CT scans, or MRIs of the abdomen, chest, and head.
Ongoing exams and tests
During your treatment for testicular cancer, your health professional will schedule a thorough follow-up program to monitor your recovery, especially if you participate in a watchful waiting (or surveillance) program after your initial treatment. These exams and tests may continue for several years following your treatment. In addition to physical exams, your specific follow-up program may include:
* Periodic imaging tests such as chest X-rays or CT scans.
* Blood tests to check the levels of tumor markers in your blood. Tumor marker levels that are stable or increasing after you've had treatment may be a sign of more cancer.
Early detection
Testicular self-examination (TSE) may detect testicular cancer at an early stage. Many testicular cancers are first discovered by self-examination as a painless lump or an enlarged testicle.
Some health professionals recommend that men between the ages of 15 and 40 perform monthly testicular self-examination. However, this is controversial. Many health professionals do not believe monthly TSE is necessary for men who are at average risk of developing testicular cancer. Monthly TSE may be recommended for men who are at high risk of developing testicular cancer. This includes men with a history of an undescended testicle or a family or personal history of testicular cancer.
igns and symptoms
A testicular mass can be palpated. Because testicular cancer is curable (stage I can have a success rate of >90%) when detected early, experts recommend regular monthly testicular self-