When To Call a Doctor

The most common symptom of testicular cancer is a noticeable change in the size or shape of one or both testicles.

Call your doctor as soon as possible if you have any symptoms of testicular cancer, including:

• A swelling or lump in one or both of the testes. Pain in the testicles or scrotum may or may not be present.
• A feeling of heaviness in the scrotum.
• A dull feeling of pain in the abdomen, groin, or lower back.

Surveillance

Some early-stage testicular cancers are successfully managed with surveillance after surgery. This option involves frequent exams as well as blood tests and imaging tests to watch your condition. Surveillance may let men avoid the side effects associated with other follow-up treatments, such as chemotherapy and radiation therapy.

It is important to know that each treatment option, including surveillance, has its own risks. In choosing your course of treatment, your doctor should fully explain the potential risks and various outcomes so that you can be an informed, active participant at every stage of your treatment.

If you are concerned about your symptoms, talk to your doctor right away. Surveillance is not appropriate unless it is prescribed by a doctor.

Who To See

Health professionals who can evaluate your symptoms and your risk for testicular cancer include:

• General practitioners.
• Family medicine doctors.
• Nurse practitioners.
• Physician assistants.
• Internists.
• Urologists.

Health professionals who can manage your cancer treatment include:

• Urologists.
• Medical oncologists.
• Radiation oncologists.

To prepare for your appointment, see the topic Making the Most of Your Appointment.