TESTICULAR SELF-EXAMINATION
The testicular self-examination is easy to do and does not take very much time to perform. Checking every month is a good way to become familiar with this area of your body and will help detect testicular cancer.
Set a date for the same day every month. An easy way to remember is choosing the first day of the month, the last day of the month, or your birth date. The best time to check your testicles is during or after a hot bath or shower. (Heat makes the testicles relax.)
Tumors can be felt. Boys and men from 15 to 35 years are at the highest risk because of hormonal activity.
PROCEDURE
A.If possible, do the self-examination in front of a mirror after a hot bath or shower.
B.Check for any swelling of the skin.
C.Support each testicle with one hand and examine it with the other hand.
D.Use both hands to feel all of the scrotal bag:
1.With one hand, lift your penis, and check your sac with the other hand. Feel any change in shape or size.
2.Look for red or blood veins that are bigger than they used to be.
3.The left side may hang slightly lower than the right (this is normal).
E.Check each testicle:
1.Place your left thumb on the front of your left testicle and your index and middle fingers behind it.
2.Gently but firmly roll the testicle between your thumb and fingers.
3.Then use your right hand to examine the right testicle the same way.
4.The testicles should feel smooth, rubbery, oval shaped, and slightly tender. They should move freely.
5.Locate the epididymis and spermatic cord. The epididymis is the irregular, cord-like structure on the top and the back of the testicle:
a.Gently squeeze the spermatic cord above your left testicle between your thumb and the first two fingers of your left hand.
b.Check for lumps and masses along the entire length of the cords.
c.Repeat on the right side, using your right hand.
F.Call your healthcare provider if you notice the following:
1.Any lumps, even small, pea-sized ones.
2.Any masses; sometimes feeling like a bag of worms.
3.A dull ache in the lower abdomen or in the groin.
4.A feeling of heaviness in the scrotum.
5.A significant loss of size in one of the testicles.
6.Pain or discomfort in a testicle or in the scrotum.
7.Any other changes you noticed since the last time you felt yourself for your examination.
G.Your healthcare provider may refer you to a urologist for further evaluation.
PATIENT TEACHING GUIDE