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According to the American Cancer Society, by the end of 2023, testicular cancer is expected to affect over 9,000 American men, resulting in nearly 500 deaths.
These numbers may seem distant and impersonal, but they became very real to me when I was diagnosed with testicular cancer in June 2023. As a doctor, I thought I understood the experience of being a cancer patient, but it was only when I found myself in that position that my perspective truly changed.
Being diagnosed with testicular cancer was a shocking and bewildering experience. I experienced a rollercoaster of emotions, including fear, confusion, and anger, as I faced the uncertainty and unfamiliarity of my diagnosis.
I felt like I was on an island by myself, desperately seeking answers to the questions that mattered the most to me. (iStock)
During this time, I realized that our medical education, despite teaching us about the scientific and artistic aspects of medicine, never fully prepares us for the firsthand experience of being a cancer patient.
I understand the inclination to view testicular cancer as a distant concern, but as I opened up about my diagnosis, I discovered that many individuals in my personal and professional circles had their own stories of battling this disease. It became clear that there was a sense of secrecy and shame surrounding testicular cancer.
Testicular cancer can evoke feelings of shame and embarrassment due to its location in a private and intimate part of the male body. I empathize with those affected by these emotions.
However, by avoiding open discussions about testicular cancer, we perpetuate fear, isolation, and misinformation among newly diagnosed individuals. That is why I chose to break the silence and share my story.
While testicular cancer is relatively uncommon, affecting about 1 in 250 men, it primarily affects younger men between the ages of 20 and 34. Symptoms may include heaviness in the scrotum, swelling, or pain. In many cases, however, there are no symptoms or only a small painless lump on the testicle.
Regular self-examinations are crucial, and it is recommended that men consult their doctors regarding performing monthly testicular self-exams.
As a 32-year-old, I was considered to be within the typical age range for testicular cancer. I discovered my condition through a self-examination in the shower. Although the lump was not painful, it felt abnormal and raised concerns.
While specific risk factors for testicular cancer remain uncertain, having an undescended testicle at birth is a well-established risk factor. Family history may also play a lesser role. Nevertheless, the exact cause is still unknown, and sometimes, it is simply a matter of unfortunate chance.
There are two main types of testicular cancer: seminomas and non-seminomas. Both types are treatable, especially when detected early. Treatment may involve surgery, regular monitoring, and potentially chemotherapy. Every case is unique, and it is essential to have a thorough discussion with a healthcare professional about the available treatment options.
In my case, the cancer was a seminoma, which tends to be less aggressive. Fortunately, it was caught early, allowing for surgical intervention and ongoing monitoring.
Following my diagnosis, I realized that quality of life was just as important as the quantity of life. Many men with testicular cancer are able to return to a healthy lifestyle with unaffected sexual function and the ability to have children. However, this may vary depending on the treatment required and the psychological impact of the disease.
We must remove the stigma around discussions of men’s health. It is crucial for men to communicate openly with their doctors if something feels off or abnormal with a testicle. Ignoring potential issues is dangerous and can have serious consequences.
Being diagnosed with testicular cancer and undergoing treatment does not threaten one’s masculinity. It is merely a stroke of bad luck. Taking charge of one’s health is the most empowering response.
For me, after surgery and ongoing medical surveillance, I can appreciate the support of my wife and the joy of a future life ahead.
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