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Testicular cancer is the most common type of cancer in men ages 20 to 35. Beginning at age 15, you should examine your testicles monthly and continue the process through your 30s.

Some men experience dull pain in the lower abdomen and a feeling of heaviness and dragging. A monthly examination will allow you to become familiar with the size and feel of your testicles so any abnormality, such as a lump, can be brought to your doctor's attention.

When testicular cancer is found and treated early, it is highly curable.


The best time to do a TSE is after bathing or showering since the heat allows the scrotum to relax, which makes it easier to examine.

1. Place your index and middle fingers on the underside of your testicles and your thumbs on top.

2. Gently roll each testicle between your fingers using both hands. It is normal for one testicle to be larger than the other.

3. You should feel the epididymis on the top and back of each testicle. This is a cord-like structure that sperm travels through and should not be confused with an abnormality.

4. Be alert for a tiny lump, resembling a small pea, under the skin in front, or along the sides of your testicles.

5. Report any lumps or swelling to your doctor as soon as possible.