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.
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