Screening Tests

There is no standard or routine screening test available or used for early detection of testicular cancer.  Testicular self examination (TSE) is a screening option, but there is little evidence to assess accuracy or benefits of screening.  Therefore the benefits of testicular self examinations are unknown.

Screening Guidelines

§ United States Preventative Services Task Force (USPSTF) recommends against routine screening for testicular cancer in asymptomatic (with no symptoms) adolescents and adult males.

American Cancer Society (ACS) recommends a TSE as part of a regular cancer-related check up.  ACS does not recommend regular testicular self-exams for men unless they have specific
risk factors.  Therefore, health care providers should educate at risk patients on how to perform a TSE.

National Cancer Institute: Based on fair evidence, screening for testicular cancer would not result in a decrease in mortality because therapy at each stage of diagnosis is very effective.  Based on fair evidence, screening for testicular cancer would result in unnecessary diagnostic procedures with attendant morbidity.

Should I perform testicular self examinations?

Most testicular cancers are first detected by the patient, either unintentionally or by self examination.  Most organizations and guidelines do not recommend regular self examinations for men unless they have specific risk factors. However, some healthcare providers may think otherwise and may advise patients to do testicular self exams every month starting at the age of 15 or onset of puberty.  Please see your healthcare provider for questions, concerns, or advice regarding testicular self examinations.