Do They Check Your Testicles During a Physical?

Many individuals wonder if a testicular examination is part of a routine physical. This article explains whether this examination is typically performed, its reasons, and what to expect.

The Testicular Examination During a Physical

A testicular examination is a standard part of a comprehensive physical for adult males, often included during annual check-ups. This examination helps healthcare providers assess the health of the reproductive system, encompassing the penis, scrotum, and testicles. This routine screening allows for the early detection of potential issues. It contributes to a thorough evaluation of a man’s well-being.

What the Examination Aims to Detect

The primary goal of a testicular examination is to identify specific health conditions and abnormalities. Doctors carefully check for testicular cancer, which is the most common cancer among men aged 15 to 35. Early detection significantly improves treatment outcomes and chances of cure.

The examination also helps detect inguinal hernias, which occur when tissue, such as part of the intestine, protrudes through a weak spot in the abdominal muscles. Other conditions checked include hydroceles, which are fluid accumulations around the testicle, and varicoceles, characterized by enlarged veins within the scrotum. Additionally, the doctor looks for epididymitis, an inflammation of the coiled tube at the back of the testicle that stores sperm. Any unusual lumps, swelling, changes in size, or alterations in texture are also closely monitored during this assessment.

What to Expect During the Exam

During a testicular examination, the healthcare provider typically conducts the assessment in a private setting to ensure patient comfort. The doctor usually maintains a professional and respectful demeanor throughout the process.

The examination begins with a visual inspection of the scrotum for any abnormalities, such as swelling, lumps, or skin changes. Following the visual check, the doctor performs gentle palpation. This involves feeling each testicle individually, rolling it gently between the thumb and fingers to detect any lumps, tenderness, or changes in consistency.

The epididymis, a soft, tube-like structure behind each testicle, is also assessed. In some instances, the patient may be asked to cough while the doctor examines the groin area, which helps in checking for hernias. The entire process is quick, lasting only a few minutes, and is not painful.