Testicular Self-Exam (TSE)

A testicular self-exam is an examination that you do on your testicles. It is a way for you to notice any changes, lumps, or abnormalities in your testicles. These changes may be a sign of testicular cancer. The American Cancer Society does not make a recommendation about regular testicular self-exams for all men. However, many doctors do recommend that men after puberty do monthly self-exams. Talk with you doctor about the risks and benefits of monthly self-exams. It is especially important to talk with your doctor if you are at high risk for testicular cancer.

Factors that can increase your risk for testicular cancer include:

• Undescended testicle
• Family member with testicular cancer
• History of testicular cancer

If your doctor recommends doing monthly self-exams, follow the steps below.

Steps for a Testicular Self-exam

1. To make it easier to remember, select some specific day (such as the first day of the month) when you will routinely perform this exam.
2. It is easier to do the exam while standing up after a warm bath or shower. The warmth makes the skin of the scrotum more soft and relaxed, so it is easier to examine the testicular surface underneath it.
3. Take extra time on your first self-exam to find out how your testicles feel normally. For example, the back surface contains the epididymis, which stores sperm from the testicles. It feels like a small bump on the side of the testis, which might be mistaken for an abnormal growth if you are unaware of the area.
4. Hold each testis in your hand, feeling whether its size or weight have changed since your last self-exam.
5. Look at your testes in the mirror to see if there are any changes.
6. Hold an individual testis in both hands and roll it slowly with the thumb and fingers of your hand, feeling for small lumps or areas of soreness. The most common first finding of testicular cancer is a small, firm lump attached to the testis.

If you notice any changes, lumps, or other abnormalities, see your doctor right away.

In addition, if you feel aching in the lower abdomen or groin, or a feeling of heaviness in the scrotum, tell your doctor. This may be a warning sign of cancer.