There is a hard lump in the testicle?
Hello, doctor! I have a question that has been troubling me.
I have health anxiety, so I tend to be sensitive to changes in my body.
Recently, while taking a shower, I noticed an oval-shaped hard lump below my right testicle (there seems to be a smaller one on the left side as well).
Out of curiosity, I researched online and found that it could be a sign of testicular cancer, which has made me very anxious.
Since I live in a rural area, there are no urology clinics nearby, but there is a family medicine clinic.
I went to see a family physician who performed a physical examination and said everything felt normal and that he did not detect any lumps.
However, he advised me to monitor it in case it grows.
About two weeks later, I noticed that the lump becomes more prominent after showering at night or sometimes after ejaculation, but by the morning, I can no longer feel it.
Because of my anxiety, I visited a second family medicine clinic (with a different physician), and after another physical examination, they also did not find any lumps.
The family physician mentioned that if it were testicular cancer, I would be able to feel it at any time, not just at night.
Despite this reassurance, I am still very anxious and would like to ask the doctor if I am being overly paranoid.
Should I consider getting an ultrasound at the hospital? Thank you, doctor!
Mr. Chen, 20~29 year old female. Ask Date: 2022/11/15
Dr. Du Shixi reply Urology
Hello: If you are certain that you have felt something, it is recommended to visit a urology department at a hospital.
Of course, testicular cancer is not common, so there is no need to worry too much.
Wishing you good health.
Reply Date: 2022/11/15
More Info
When it comes to testicular lumps, it's understandable to feel anxious, especially if you have a history of health anxiety. The presence of a lump or any change in the testicles can be concerning, and it's important to approach this situation with both caution and clarity.
Firstly, it's essential to recognize that not all lumps in the testicles are indicative of cancer. In fact, many lumps can be benign conditions such as epididymal cysts, varicoceles, or even normal anatomical variations. Testicular cancer, while serious, is relatively rare, especially in younger men. However, it is crucial to be vigilant and proactive about any changes in your body.
From your description, it seems that the lump you felt is not consistently present, which is a positive sign. Testicular cancer typically presents as a firm, non-painful mass that does not fluctuate in size or disappear. The fact that you can only feel the lump after certain activities, such as bathing or ejaculation, suggests that it may be related to changes in blood flow or fluid dynamics in the area rather than a solid mass.
Both physicians you consulted performed physical examinations and did not find any concerning lumps, which is reassuring. However, your anxiety and the persistence of your symptoms warrant further investigation if it helps ease your mind. An ultrasound of the testicles is a non-invasive and effective way to assess any abnormalities. It can provide clear images of the testicular tissue and help differentiate between solid masses and fluid-filled cysts.
If you decide to pursue an ultrasound, it would be a good idea to discuss your concerns with a urologist, who specializes in conditions related to the urinary tract and male reproductive system. They can provide a more comprehensive evaluation and guide you through the next steps based on the ultrasound results.
In the meantime, here are some general guidelines to consider:
1. Monitor Changes: Keep track of any changes in the size or consistency of the lump. If it becomes larger, more painful, or if you notice other symptoms such as swelling, discomfort, or changes in urination, seek medical attention promptly.
2. Self-Examination: Regular self-examinations can help you become familiar with your anatomy and detect any changes early. It's best to perform these exams after a warm shower when the scrotum is relaxed.
3. Manage Anxiety: If your health anxiety is affecting your quality of life, consider speaking with a mental health professional. They can provide strategies to manage anxiety and help you cope with health-related fears.
4. Stay Informed: Educate yourself about testicular health, but be cautious of information from non-medical sources. Reliable medical websites or resources can provide accurate information without causing unnecessary worry.
In conclusion, while your symptoms may not indicate a serious condition, it is always better to err on the side of caution. If you feel that an ultrasound would provide peace of mind, do not hesitate to pursue it. Your health and well-being are paramount, and addressing your concerns with a healthcare professional is the best course of action.
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