Testicular Cancer

1. Could a painless lump in my testis be a sign of testicular cancer and should I see a doctor?

   Testicular cancer is usually not painful. If there is a lump, seek early medical attention. Although it may not be cancerous, it is better to have it checked.
   



2. I only have one testis. Should I be concerned about cancer, especially if it did not descend before birth?

   Normally, two testes are formed in the embryo, which descend before birth to lie in the scrotum. Occasionally one or both testes do not descend. There is a higher chance of cancer developing in undescended testes; therefore it is advisable to seek early medical attention. Surgery may be required to bring the testis back into the scrotum.
   



3. Will cancer treatment for testicular cancer affect my ability to have children in the future and how can that be mitigated?
   

   Yes, fertility will be affected by chemotherapy and as such your physician will likely refer you to a reproductive clinic for cryopreservation of your sperm to be used at a later stage post treatment should the need arise. 
   

References