Why Men Still Aren’t Talking About Testicular Cancer — and Why That Needs to Change

Why Men Still Aren’t Talking About Testicular Cancer — and Why That Needs to Change

Testicular cancer is the most common cancer among men ages 15 to 35, yet it remains one of the least discussed. Despite high survival rates at all stages, especially when caught early, many cases are diagnosed later than they should be—often because men hesitate to speak up, seek care, or even acknowledge symptoms.

“Testicular cancer is highly treatable, especially when caught early,” says Thomas Jang, MD, MPH, FACS, chief of urologic oncology at Rutgers Cancer Institute and RWJBarnabas Health. “But stigma and lack of awareness still prevent many young men from seeking care when something doesn’t feel right.”

The Silence Around Men’s Health

For many men, particularly young men, conversations about health, especially something as personal as testicular health, can feel uncomfortable or even taboo. Cultural expectations around masculinity often discourage vulnerability, making it less likely that symptoms are discussed with friends, family, or even doctors.

That silence can have real consequences.

“Many patients often wait longer than they should before getting checked,” Dr. Jang explains. “Sometimes they noticed a change but dismissed it, or they felt embarrassed bringing it up. That delay can make a difference in how advanced the cancer is at diagnosis.”

The Signs That Are Often Missed

One of the challenges with testicular cancer is that early symptoms can be subtle and easy to ignore. Common warning signs include:

• A lump or swelling in one testicle
• A feeling of heaviness in the scrotum
• Dull ache in the lower abdomen or groin
• Sudden fluid buildup

“These symptoms aren’t always painful, which is part of why they get overlooked,” says Dr. Jang. “Pain isn’t always the first signal, so men may assume it’s nothing serious.”

A Simple Habit That Can Save Lives

One of the most effective tools for early detection is also one of the simplest: a monthly self-exam.

Health experts recommend that men become familiar with how their bodies normally feel so they can quickly notice any changes. The exam takes just a few minutes and can be done at home.

“Self-awareness is key,” Dr. Jang says. “If something changes, don’t wait. Getting evaluated early can lead to a much better outcome.”

Progress in Treatment

The good news is that testicular cancer is one of the most treatable forms of cancer, even in more advanced stages. Advances in surgery, chemotherapy, and follow-up care have led to survival rates exceeding 95% in many cases.

“Treatment has come a long way,” Dr. Jang notes. “Most patients do very well, especially when the cancer is found early. That’s why awareness and early action are so important.”

Changing the Conversation

As awareness grows around preventive care and men’s health, it is time for testicular cancer to be part of the conversation.

Breaking the stigma starts with normalization, talking openly, sharing information, and encouraging routine self-checks without embarrassment.

“This is a cancer that primarily affects young men in the prime of their lives,” Dr. Jang says. “We need to make it normal to talk about it, to check, and to seek care. That shift can save lives.”