How often should men perform testicular self-examinations, and what are the key signs or changes they should be looking for?

The Vital Role of Testicular Self-Examinations in Men’s Health
Testicular self-examinations (TSEs) are a simple, yet incredibly important, tool for men to monitor their own health. While often overlooked, regular self-checks can be instrumental in the early detection of various conditions, most notably testicular cancer, which is highly curable when caught early. Understanding how and when to perform a TSE, along with knowing what changes to look for, empowers men to take proactive steps towards their well-being.
Frequency: When and How Often?
Most health organizations, including the American Cancer Society, recommend that men perform a testicular self-examination once a month. The best time to conduct a TSE is during or immediately after a warm shower or bath. The warmth relaxes the scrotum, making it easier to feel for any abnormalities.

Performing a Testicular Self-Examination: A Simple Guide
Performing a TSE is straightforward and takes only a few minutes. Here’s how to do it:
- Examine One Testicle at a Time: Gently roll each testicle between your thumb and fingers. Use both hands for better tactile feedback.
- Feel for Firmness and Smoothness: Each testicle should feel smooth and firm, without any lumps or bumps. It’s normal for one testicle to be slightly larger than the other, and for them to hang at different levels.
- Locate the Epididymis: Familiarize yourself with the epididymis, a soft, rope-like structure located at the back of each testicle. This stores and transports sperm and can sometimes be mistaken for an abnormal lump.
- Check for Abnormalities: Systematically feel the entire surface of each testicle, paying attention to any new or unusual findings.
What Key Signs and Changes Should You Be Looking For?
Being aware of your body’s normal state is crucial. Here are the primary signs and changes that warrant attention:
- A painless lump or swelling in either testicle: This is the most common sign of testicular cancer. It can be pea-sized or larger.
- Any change in the size or shape of a testicle: Notice if one testicle suddenly grows larger or smaller, or changes its overall contour.
- A feeling of heaviness in the scrotum: This sensation can be a subtle indicator of an underlying issue.
- A dull ache in the groin or lower abdomen: Persistent, unexplained aches can sometimes be related to testicular problems.
- Sudden collection of fluid in the scrotum: While often benign, fluid accumulation should be checked by a doctor.
- Pain or discomfort in a testicle or the scrotum: Although testicular cancer is typically painless, any persistent pain should be investigated.


When to Seek Medical Attention
It’s important to remember that not every lump or change indicates cancer. Many conditions, such as benign cysts or infections, can cause similar symptoms. However, if you discover any of the signs mentioned above, or notice anything unusual or concerning during your self-examination, it is crucial to consult a doctor without delay. Early diagnosis significantly increases the chances of successful treatment for testicular cancer and allows for prompt management of other conditions.
Do not wait for pain to develop, and do not try to self-diagnose. A healthcare professional can perform a thorough examination and order appropriate tests, such as an ultrasound or blood tests, to determine the cause of the change.

Empowering Your Health Through Regular Checks
Testicular self-examinations are a simple, free, and effective way for men to take an active role in their health. By dedicating a few minutes each month to this routine, you empower yourself with knowledge about your body and significantly improve the likelihood of early detection for any potential issues. If you notice anything out of the ordinary, remember to seek professional medical advice promptly. Your vigilance could be life-saving.
