Testicular Self-Exam (TSE): 30 Seconds That Can Save Your Life
From University Health Services
studentaffairs.psu.edu/health
Why Perform a Testicular Self-Exam?
Testicular cancer is the most common form of cancer in men aged 20 to 40. It is highly treatable and curable if detected early, but can be life-threatening if ignored.
Performing regular testicular self-exams is one of the best ways to catch changes early.

How Do I Perform the Exam?
Follow these simple steps for a thorough self-check:
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Examine one testicle at a time, repeating the process for the other.
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Use both hands to examine each testicle.
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Hold the testicle between your thumbs and fingers.
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Roll the testicle gently between the fingers with slight pressure.
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This should not cause pain or discomfort.
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Check both testicles regularly—monthly is ideal.
🔍 Tip: The best time to perform the exam is after a warm shower, when the skin is relaxed and the testicles are easier to feel.
What Am I Looking For?
Normal testicles feel smooth and spongy. It’s also normal for one testicle to be slightly larger than the other.
Look for:
- Hard lumps
- Pea-sized bumps
- Irregularities at the front or sides of the testicle
- Changes in size, shape, or consistency
- Pain or discomfort during the exam
Familiarize yourself with the epididymis—a soft, rope-like structure running along the back of each testicle—so you don’t confuse it with a lump.
🟥 IMPORTANT:
If you find a hard lump or feel any pain or discomfort, contact your doctor right away for an evaluation.
Do not delay.
Who’s at Risk?
You may have a higher risk of testicular cancer if you have:
- A history of undescended testicles
- A family history of testicular cancer
- A personal history of testicular cancer
Does Every Lump Mean Cancer?
Not all lumps are cancerous.
Many are harmless, but it’s crucial to have any lump checked by a doctor.
If cancer is detected early, treatment is usually simple and highly successful.
If left untreated, it can spread and become more difficult to cure.
✅ Key Takeaway
Testicular cancer can be cured completely if it’s detected early and treated promptly. But it can be deadly if it’s not.
Performing regular self-checks is a fast, easy way to protect your health.
If you have any questions or concerns, talk to your healthcare provider.