Testicular cancer is a relatively rare form of cancer that develops when cancerous cells form in the testicles. Despite being uncommon, it is the most frequent cancer affecting young adult men, and it often goes undetected due to myths, stigma, and a general lack of awareness.Some of the common symptoms include a hard lump in a testicle, a feeling of heaviness in the scrotum, swelling of the scrotum, pain in the lower back, swollen lymph nodes, and unexplained weight loss. However, many individuals delay seeking treatment due to embarrassment or misconceptions about the disease.What Are Symptoms Of Testicular Cancer?One of the most common myths is that testicular cancer, like other cancers, primarily affects the elderly. In reality, testicular cancer usually affects the younger population. It is the most common cancer among young adults, particularly those aged 15 to 45.Another widespread myth is that smoking and alcohol consumption are leading causes of testicular cancer. While these factors can contribute to overall health risks, they are not direct causes of this specific cancer. Key risk factors include:Undescended testis: During fetal development, testicles form inside the abdomen and descend into the scrotum before birth. If this descent is disrupted, the condition is known as an undescended testis. This abnormal location increases the risk of germ cells becoming cancerous.Family history: Having a father or sibling with testicular cancer increases the risk. Additionally, a history of cancer in one testicle raises the likelihood of developing it in the other.Testicular dysfunction: Various conditions affecting the normal function of the testicles can also increase cancer risk.Testicular Cancer Does Not Cause Severe PainPain is often thought to be an obvious warning sign, but this, too, is a myth. Testicular cancer does not typically cause severe pain. Instead, symptoms such as enlargement or a lump in the testis, sometimes accompanied by a dull ache or dragging sensation, are more common. In advanced stages, lumps in the abdomen or swelling near the neck—particularly above the left collarbone—may occur due to the spread of cancer to the lymph nodes.There is also a misconception that advanced imaging, like PET or MRI scans is required to detect testicular cancer. In reality, a simple ultrasound of the testicles is often sufficient to identify a tumour. In addition, blood tests measuring tumour markers—such as serum alpha-fetoprotein (AFP), human chorionic gonadotropin (HCG), and lactate dehydrogenase (LDH)—are valuable tools in raising suspicion and gauging the extent of disease. Contrast-enhanced CT scans of the abdomen and chest are used to determine if the cancer has spread to other parts of the body.Due to lingering stigma and misinformation, many men delay seeking help for symptoms. But early diagnosis significantly improves the chances of successful treatment. Awareness, education, and regular self-examinations are key to catching testicular cancer early. By dispelling myths and fostering open conversations about men’s health, we can encourage timely action and potentially save lives.