Medical exams, whether they're for school, a sport, or camp, are usually
pretty straightforward. Many parts of the exam make sense to most guys: The
scale is used to weigh you, the stethoscope is used to listen to your heartbeat.
But why does the doctor need to touch and feel your testicles? What could
be going on down there - and isn't there a better, less embarrassing way for him
or her to check things out?
When you are healthy and going for a physical exam, the doctor is interested
in finding out specific things about your body and your health. He or she will
check your height and weight and take your blood pressure. You'll have your
heart listened to, and you may be asked to breathe deeply or cough, so the
doctor can hear sounds or problems with your lungs. He or she will examine your
eyes, ears, nose, and throat; test your reflexes by tapping your knees and
ankles; and take your temperature. For all these parts of the exam, the doctor
relies on tools and equipment to get the information that's needed.
However, for other parts of your body, the doctor must rely on his or her
sense of touch and training in knowing how things should feel. During the
physical, the doctor will touch your belly to feel for any problems with your
liver or spleen. He or she will feel the lymph nodes in your neck, armpits, and
groin to detect if there is any swelling, which can indicate an infection or
other problem. And he or she will also need to feel the testicles and the area
around them to detect two important things: a hernia or a tumor.
Hernias A hernia can occur when a part of the
intestine pushes out from the abdomen and into the groin or scrotum (the sac of
skin that the testicles hang in). Some people believe that this can only happen
when a person lifts something heavy, but usually this isn't the case. Most
hernias occur because of a weakness in the abdominal wall that the person was
born with. If a piece of intestine becomes trapped in the scrotum, it can cut
off the blood supply to the intestine and cause serious problems if the
situation isn't quickly corrected.
A doctor is able to feel for a hernia by using his or her fingers to examine
the area around the groin and testicles. The doctor may ask you to cough while
he or she is pressing on or feeling the area. Sometimes, the hernia causes a
bulge that the doctor can detect; if this happens, surgery almost always repairs
the hernia completely.
Testicular Cancer Although
testicular cancer is unusual in teen guys (it occurs in 3 out of 100,000 guys
between the ages of 15 and 19 in the United States), it is the second most
common cancer seen during the teen years. It is the most common cancer in guys
20 to 34 years of age. Comedian Tom Green and Tour de France champion bicyclist
Lance Armstrong have both successfully won recent battles with testicular
cancer.
It's very important that your doctor examines your testicles at least once a
year. When examining your testicles, your doctor will grasp one testicle at a
time, rolling it gently between his or her thumb and first finger. He or she
will feel for lumps and also pay attention to whether the testicle is hardened
or enlarged. The doctor will explain how to do testicular self-exams.
If you're a teen guy, learning how to examine yourself at least once a month
for any lumps or bumps on your testicles is very important. A tumor (growth or
bump) on the testicles could be cancer. Knowing how your testicles feel when
they're healthy will help you know when something feels different and possibly
abnormal down there.
Noticing any new testicular lumps or bumps as soon as possible gives the best
chances for survival and total cure if it turns out to be cancer.
Finally, keep in mind that even though it might feel weird to have a doctor
checking out your testicles, it's no big deal to him or her. Sometimes when a
doctor is examining that area, you might get an erection, something you
can't control. This is a normal reaction that happens frequently during genital
exams on guys. If it happens, it won't upset or bother the doctor, so there's no
need to feel embarrassed.
Reviewed by: Steven
Dowshen, MD Date reviewed: August
2004
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