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Testicular Cancer: Symptoms, Risk Factors, and Management Strategies

By Dr. Tushar Aditya Narain in Surgical Oncology , Urology , Cancer Care / Oncology , Uro-Oncology , Robotic Surgery

Jan 05 , 2026 | 2 min read

Testicular cancer: it's a topic many men shy away from, but understanding it could result in early diagnosis and save lives. In this blog post, we'll break down what you need to know about testicular cancer, from recognizing the signs to exploring diagnosis and treatment options, all in simple language.

Understanding Testicular Cancer

Let's start with the basics. In testicular cancer, abnormal cells grow in one or both testicles. These are the small, egg-shaped organs located inside the scrotum, responsible for producing sperm and hormones.

Symptoms of Testicular Cancer

Knowing the signs and symptoms is necessary for early detection. Look out for:

  • Lump and Swelling: A painless lump or swelling in the testicle is the first sign.
  • Testicular Pain: Some men may experience discomfort or aching in the testicle or groin.
  • Changes in Size or Shape: If one testicle becomes larger or feels different than the other, it's worth checking out.
  • Heaviness: Feeling a sense of heaviness or pressure in the scrotum could be a sign of trouble.

Risk Factors of Testicular Cancer

Some factors may increase the risk of developing testicular cancer:

  • Age: It's most common in young and middle-aged men, typically between 15 and 35 years old.
  • Family History: Having a family member who had testicular cancer increases the risk of having testicular cancers.
  • Cryptorchidism: Men born with undescended testicles have a higher risk of developing this cancer in the undescended testis.
  • Personal History: If you've had testicular cancer in one testicle, the other one is at higher risk.

Diagnosis of Testicular Cancer

If you notice any of these symptoms, don't hesitate to see a doctor. Diagnosis typically involves:

  • Physical Examination: The doctor will check the testicles and may order further tests if needed.
  • Ultrasound: This painless test makes use of sound waves to create images of the testicles and can help detect any abnormalities.
  • Blood Tests: These tests check for certain markers that might indicate the presence of testicular cancer. The commonly used blood markers are Beta Human Chorionic Gonadotropin (BHCG), Alpha FetoProtein (AFP) and Lactate Dehydrogenase (LDH).

Treatment Options for Testicular Cancer

The good news is testicular cancer is very treatable, especially when caught early. Treatment options include:

  • Surgery: It is one of the most common options to remove the affected testicle. The surgery is a high inguinal orchidectomy  in which the whole testicle with its spermatic cord is removed through an inguinal incision. Don't worry, you can still lead a normal life with one testicle.
  • Chemotherapy: If the cancer has spread outside the testicles and your blood markers are high, chemotherapy  drugs can kill cancer cells.
  • Radiation Therapy: In some cases, targeted radiation can help destroy cancer cells.
  • Surveillance: For very early-stage cancer, your doctor might recommend regular check-ups instead of immediate treatment.

Staying Vigilant

Even after treatment, it's essential to stay vigilant. Attend follow-up appointments as recommended by the doctor to monitor for any signs of recurrence.

Conclusion

Testicular cancer is a serious condition, but with awareness, early detection, and effective treatment, the outlook is positive. Remember to perform regular self-exams, know the signs, and don't hesitate to seek medical attention if something seems off. With proactive care and support, we can tackle testicular cancer head-on and improve outcomes for men everywhere.