2. PERFORM THE TSE

At this point, you and your testicles should be pretty excited about performing the TSE. Try to contain yourself (or all three of you) and read over the next section carefully. Men between the ages of 15-40 should perform monthly TSEs around the same time each month. If you've never performed a TSE before, it's certainly normal to feel some anxiety during your first time. Just try to relax and think about the favor you're doing for your testes. We're sure they'd thank you if they could.

Performing the TSE

  1. Draw a warm bath. This is the best way to relax both you and your scrotum. If you haven't cleaned the tub in… uh… ever, then you can also take a hot shower. Warm water is key for relaxing the scrotal structures.

  2. Get familiar with your body. Let's be honest: Aside from your Spiderman Underoos, no one knows your testicles better than you do. Maybe one's a little larger or hangs a little lower; these are normal differences. So, while in the tub, continue to take notice of the weight, shape and coloration of each testicle and report any noticeable changes to your doc. While testicular cancer is not necessarily reflected in changes in scrotal skin, a change in color could be a warning sign for something else, so it's a good idea to mention any differences to your physician.

  3. Mount up. Place your right leg on an elevated surface, like your sink or toilet, giving yourself clear and easy access to your scrotum. Hint: Make sure the surface is dry. Slipping would suck. Trust us.

  4. Do the deed. If you're right-handed, then place your left hand under your right testicle, lightly supporting it. Next, using your right hand, gently roll that testicle between the thumb and index finger, feeling for anything unusual. It should feel smooth and firm, but not hard. There should not be any bumps or lumps. Repeat for the left testicle, elevating your left leg instead. (If you are left-handed, simply reverse hands.)

Keep in mind that the above steps are general guidelines for the TSE put forth by the National Cancer Institute and physicians, and they may be adapted on an individual basis. For instance, heavier guys may find it easier to do the procedure laying on their backs or sitting down "Indian style." You should feel free to change to procedure as you see fit, so long as you're able to thoroughly inspect the contours of each testicle with your hand.