Testicular self-examination

How the Test is Performed:
Place your right leg on an elevated surface about chair height. Gently feel your scrotal sac until you find the right testicle. Firmly and gently roll the testicle between the thumb and fingers to examine the surface. Repeat the procedure with your left leg elevated to examine your left testicle.

How to Prepare:
The test is best performed after a shower or bath so that the scrotal muscles are warm and relaxed.

How it Feels:
The test should not be uncomfortable.

Risks:
There are no risks.

Why this Test is Performed:
The test checks for cancer . Testicular cancer often develops without symptoms; therefore this procedure should be done monthly by every male between the ages of 15 and 40. After 40 the chances of cancer are rare, and monthly examinations are not necessary.

Normal Values:
The testicle feels firm but not hard. The surface is smooth. There are no lumps or bumps. One testicle may be lower and/or larger than the other.

Abnormal Results:
If a small hard lump (like a pea) or an enlarged testicle is found, consult the health care provider immediately. It may be testicular cancer .

Consult the health care provider also if:
  • one or both testicles are not located (the testicles may not have descended properly)
  • there is a soft collection of thin tubes above the testicle (may be varicocele , or a collection of dilated veins)
  • there is pain or swelling in the scrotum (it may be an infection or a blockage of blood to the area)



Cost:
There is no cost involved.

Special Considerations:
Lumps may be cancerous, requiring immediate treatment.


This is an internal view of the male reproductive system.