How to Do a Testicular Self-Exam (Slideshow) (for Teens) (2024)

Testicular self-exams (TSE) can help you check for things like 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 testicl*s, making it easier to tell if something feels different in the future.

How to Do a Testicular Self-Exam (Slideshow) (for Teens) (1)

A testicular self-exam (TSE) is an easy way for guys to check their own testicl*s to make sure there aren't any unusual lumps or bumps - which can be the first sign of testicular cancer.

Try to do a TSE every month so you become familiar with the size and shape of your testicl*s. This makes it easier to tell if something feels different or abnormal down there.

How to Do a Testicular Self-Exam (Slideshow) (for Teens) (2)

Step 1: Getting Started

Choose the right time to do your exam. It's best to do it during or just after a hot shower or bath.

The scrotum (skin that covers the testicl*s) is most relaxed then, which makes it easier to feel the testicl*s for lumps.

Lumps may be as small as a piece of rice or a pea.

How to Do a Testicular Self-Exam (Slideshow) (for Teens) (3)

Step 2: Place Your Hand

Examine one testicl* at a time.

Start by gently gripping the top of the scrotum, with your thumb on top and your fingers underneath. Pinch gently so that the testicl* stays put and won't move during the exam.

Between your fingers, you should feel the spermatic cord. This connects the testicl* to the rest of your body.

How to Do a Testicular Self-Exam (Slideshow) (for Teens) (4)

Step 3: Feel for Lumps

With your free hand, glide your thumb and fingers along both sides of the testicl*, from top to bottom. Feel for any lumps or bumps.

Then, glide your fingers over the front and back of the testicl*.

On the back at the top, you should feel the epididymis, a tube that carries sperm. This is a normal lump and may feel tender to the touch.

How to Do a Testicular Self-Exam (Slideshow) (for Teens) (5)

Tell your doctor right away if you notice any swelling, lumps, or changes in the size or color of a testicl*. Also tell your doctor if you have any pain or achy areas in your groin.

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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© 2024 The Nemours Foundation/KidsHealth. All rights reserved.

Medically reviewed by: T. Ernesto Figueroa, MD

Date reviewed: October 2021

How to Do a Testicular Self-Exam (Slideshow) (for Teens) (2024)

FAQs

How to perform testicular self exam step by step? ›

Set aside five minutes while you're in the shower. A warm shower will relax the scrotum and the muscles holding the testicl*s, making an exam easier. Starting with one side, gently roll the scrotum with your fingers to feel the surface of the testicl*. Check for any lumps, bumps or unusual features.

What is the proper sequence for a testicular self exam? ›

It may help to do TSE in front of the mirror, so you can see as well as feel what you're doing. Check one testicl* first, then the other. Gently roll one testicl* using the fingers and thumbs of both hands. Feel along the underside of the scrotum to find the epididymis that sits at the back of the testicl*.

Is a testicular exam awkward? ›

A testicular exam can make a guy feel a bit awkward or embarrassed. But just like checking a person's blood pressure, it's a normal part of a physical exam. The doctor checks the testicl*s and the area around them to make sure everything is healthy and that a guy doesn't have any problems, like a hernia.

What age should testicular exams start? ›

When should I do a TSE? The testicular exam should begin at age 15 and continue through age 40. It is important to do the exam every month in order to find any changes. The best time to examine your testicl*s is right after a hot bath or shower.

Can you refuse a testicular exam? ›

You always have the right to refuse to answer certain questions or to decline a physical examination of any part of your body.

Do testicular exams hurt? ›

The exam should be painless. Find and become familiar with the epididymis, the soft, tube-like structure located on the backside of each testicl*. Lumps found on the epididymis are normal, not harmful.

Is the testicular self exam no longer recommended? ›

Because regular testicular self-exams have not been studied enough to know if they reduce the death rate from this cancer, the ACS does not have a recommendation on regular testicular self-exams for all men.

Why does my testicl* hurt when I touch it? ›

Common causes of testicl* pain include: Injury. Infection or swelling of the sperm ducts (epididymitis) or testicl*s (orchitis). Twisting of the testicl*s that can cut off the blood supply (testicular torsion).

Why is my testicl* hard as a rock? ›

Causes of testicular lumps and scrotal swellings. Lumps and swellings in the testicl*s and scrotum can have lots of different causes. Most are caused by something harmless, such as a build-up of fluid (cyst) or swollen veins. Sometimes they can be a sign of something serious, such as testicular cancer.

At what age do doctors stop checking your private parts? ›

Generally around puberty is when it becomes a concern to check development however it can depend on the doctor. Usually ages 11 to 40 will be when your genitals will be examined.

What is a shy testicl*? ›

✳️ In a normal boy, both testes are fixed to the. scrotal wall.. ✳️ Failure of the fixation cause upward movement of. testicl*s, either unilaterally or bilaterally.. ✳️ This situation is known as "retractile (shy) testis"..

Should I shave before a testicular exam? ›

Should I shave before a testicular exam? No, you don't need to shave your scrotum or do any other preparation before a healthcare provider performs a testicular exam. But you may want to wear comfortable clothes that you can easily pull down or remove, such as athletic pants or shorts.

Do doctors check your private parts during a physical exam for males? ›

Physical Exams: Your provider will examine your genitals, including the penis, testicl*s, and scrotum. They may ask you to cough while examining the groin to help check for inguinal hernias. Digital Rectal Exam: You will be asked to take off your underwear and provided a gown or cloth to cover yourself.

Can you join the military with one testicl*? ›

A big YES for sure. Go through medical policy by armed forces. It is clearly mentioned that if one of paired testis is removed after surgery with other one is in normal size and shape; you're FIT.

How to give yourself a testicular exam? ›

With your free hand, glide your thumb and fingers along both sides of the testicl*, from top to bottom. Feel for any lumps or bumps. Then, glide your fingers over the front and back of the testicl*. On the back at the top, you should feel the epididymis, a tube that carries sperm.

What does a testicular lump feel like? ›

A testicular lump may feel hard or soft to the touch and vary in size. It also may feel painful, tender or swollen, but some lumps may be completely painless.

How does a male perform a testicular self exam What should he do if he notices changes or lumps? ›

Examine one testicl* at a time using both hands. Roll it between your thumb and fingers. Feel for a pea-sized lump. If you see or feel something like that, contact your doctor.

How do I check myself for testicular torsion? ›

Signs and symptoms of testicular torsion include:
  1. Sudden, severe pain in the scrotum — the loose bag of skin under your penis that contains the testicl*s.
  2. Swelling of the scrotum.
  3. Abdominal pain.
  4. Nausea and vomiting.
  5. A testicl* that's positioned higher than normal or at an unusual angle.
  6. Frequent urination.
  7. Fever.

How do you test for testicular function? ›

You may have: A physical examination of your testes. Blood tests to evaluate hormone levels. Urine tests to check for infection or other diseases.

References

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