How To Do A Testicular Self Examination

GENERAL INSTRUCTIONS

It is important for all males, starting at the age of 14, to perform a monthly self-exam of their testicles. This is especially important for young males whose risk of testicular cancer is higher than that of older men. This is an effective way of becoming familiar with your anatomy, which will help you to learn what is normal for you, and thus allow you to detect any changes at an early stage. Keep in mind that the point is to learn what everything feels like normally for you, so that you can alert your doctor if you discover any changes.

The testicular self-exam is best performed after a warm bath or shower. (Heat relaxes the scrotum, making it easier to spot anything abnormal for you.)

Follow these steps at least once per month:

1. Stand in front of the mirror. Check for any swelling on the scrotal skin.

2. Place your right leg on an elevated surface.

3. If you're right-handed, then place your left hand under your right testicle, lightly supporting it. (If you are left-handed, simply reverse hands.)

4. Next, using your right hand, gently roll that testicle between the thumb and index finger, feeling for anything unusual. It should feel smooth and firm, but not hard. There should not be any bumps or lumps.

5. Find the epididymis, which is soft, tube-like structure behind the testicle that collects and carries sperm. If you are familiar with this structure, you won't mistake it for a suspicious lump.

6. Repeat the previous 4 steps for the left testicle, elevating your left leg instead.

7. If you find anything suspicious, make an appointment to have it examined by your primary care physician.

Other signs to watch for are:

• Any enlargement of a testicle

• A significant loss of size in one of the testicles

• A feeling of heaviness in the scrotum

• A dull ache in the lower abdomen or in the groin

• A sudden collection of fluid in the scrotum

• Pain or discomfort in a testicle or in the scrotum

• Enlargement or tenderness of your breast/chest tissue

If you notice any changes or you have any concerns, make an appointment to see your naturopathic doctor.