How to Perform a Testicular Self-Examination

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.