How do I check for testicular cancer?

Lots of people talk about checking themselves to try and spot cancer early. It’s good to be aware of what your body is normally like, so it’s easier to notice if anything changes. 

Checking yourself for symptoms of cancer is different to cancer screening. Screening means testing people for early stages of a disease before they have any symptoms.

There is no national screening programme for testicular cancer in the UK. This is because there isn’t a reliable test that can pick up testicular cancer at an early stage.

What do I look for?

You should make an appointment to see your doctor about any changes you find. Cancers are easier to treat when they are found early.  

It helps to know what your testicles usually look and feel like, and to be aware of their normal size and weight. This can make it easier to spot anything that is unusual for you or doesn’t go away. 

It’s a good idea to look at and feel your testicles every now and then. Some people find it easier to do this during or after a warm bath or shower. But there’s no need to do it regularly in a set way at a set time. There is a lack of evidence to show that doing regular self-checks in a certain way are of benefit.  

Check your testicles for:

  • the size and weight

  • any lumps or swellings

When to see your doctor

You should see your doctor if you have:

  • a lump or swelling in part of one testicle
  • a testicle that gets bigger
  • pain or discomfort in the testicle or scrotum. The scrotum is the sack of skin that surrounds the testicles
  • a heavy scrotum

Your symptoms are unlikely to be cancer but it's important to get them checked by a doctor.

What to do if you think you are at risk of testicular cancer?

Speak to your GP if you think you are at higher risk of testicular cancer.

Your GP can talk to you about what you can do to find testicular cancer early. This includes checking your testicles for lumps and swellings, or any other changes.

  • EAU Guidelines on Testicular Cancer

    D Nicol and others

    European Association of Urology, 2024

  • Suspected cancer: recognition and referral
    National Institute of Health and Care Excellence (NICE), June 2015 (updated October 2023)

  • Scottish referral guidelines for suspected cancer
    Healthcare Improvement Scotland, May 2014 (updated September 2022)

  • Testicular seminoma and non-seminoma: ESMO-EURACAN Clinical Practice Guideline for diagnosis, treatment and follow-up
    J. Oldenburg and others
    Annals of Oncology, 2022 Volume 33, Issue 4, pages 362 – 375

  • Advances in diagnosis and treatment of testicular cancer

    M Chovanec and Liang Cheng

    BMJ, 2022.

Last reviewed: 
20 Jan 2025
Next review due: 
20 Jan 2028

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