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This week, we’re going to take a slightly different approach and write about an important topic that we DON’T get many calls and emails about at Sex Sense, but we wish we did! You have penis, prostate and testicles or testicles? Do you know someone who does? Ever wondered what you/they should check and when? If you answered “Yes”, then read on!
The penis
Let’s start with the penile part of the penis, the prostate and testicles. Examining you regularly penis it can make you more aware of the state of your genitals and help you spot changes. Regular checkups also help ensure that problems affecting your penis are diagnosed as soon as possible.
Although it may be difficult to discuss problems affecting your penis with your doctor, don’t let the embarrassment stop you from taking charge of your health. The Mayo Clinic has a good one article about penile health which talks about how to recognize and prevent problems.
Penile discharge is normal when you engage in sexual activity, whether it’s masturbation or any type of sex. When a person with a penis is aroused (turned on), the penis may release a small amount of clear or white/grey discharge. This is called pre-ejaculation or sometimes known as pre-ejaculation. If that person then orgasms, the penis will release ¼ to 1 tsp. exclaim. Again, the color of this ejaculate will be clear or white/slightly greyish.
If you experience any discharge that is not associated with sexual activity or is different from your normal appearance, such as a change in consistency or colour, it is best to see a healthcare provider as this could be a sign of infection. Any sore that looks like warts, labial sores, sunburn, or rash on the penis should be examined by a doctor as soon as possible, as some things are time sensitive when it comes to examination.
Prostate
Now let’s go to the prostate. The prostate is a gland located just below the bladder and surrounding the tube (urethra) that drains urine from the bladder. Its main function is to produce seminal fluid that nourishes (yes, sperm must eat) and transports sperm. A digital rectal examination (DRE) to feel the prostate is recommended starting around age 50.
the tramp) and in the rectum. Your rectum is located directly behind your prostate. This allows them to feel for any irregular texture (like a lump) in the prostate.
Talk to a health care provider about your health risk factors for prostate cancer and the pros and cons of prostate cancer screening using a PSA test starting around age 50. The choice is up to you. There are differing opinions on whether or not to have the test and it may not be covered by BC Medical (MSP).
Those at higher risk may want to discuss the need for screening at an earlier age. This article has an interactive chart you can make to help you make the decision that’s right for you. It may be helpful to do a review before you see your HCP. Some people have concerns about prostate cancer, so I added a link from BC Cancer Agency.
The testicles
And last but not least, the testicles (or testicle, as the case may be). The Canadian Cancer Society (CCS) recommends that people be well aware of how their testicles look and feel so they can recognize any changes. Testicular cancer is uncommon and highly curable, but some people may benefit from regular screening. Testicular self-examination (TSE) can detect testicular cancer at an early stage.
Typically, testicular cancer symptoms include swollen testicles or a painless pea-sized lump in the area. Most people do not have a high risk of this cancer and do not need to have a monthly TSE. However, it may be recommended for those at high risk for testicular cancer. People with a history of an undescended testicle or a family or personal history of testicular cancer may be at higher risk. Talk to your doctor if you notice any change in your testicles.
Each testicle should feel firm but not hard. The surface should be very smooth, without lumps or bumps. A spongy tube-shaped structure (epididymis) can be felt on top and under the back of each testicle. One testicle (usually the left) may hang a little lower than the other. One testicle may also be slightly larger than the other. These differences are usually normal.
For more information on various health concerns related to your penis, prostate, or testicles, check out HealthLink BC. (Please note that they do not use gender-inclusive language – if you have specific questions about these body parts but prefer resources that are more trans and non-binary friendly, please contact us and we will be happy to provide information and resources that are trans and non-binary friendly!)
please note
Sex Sense is a free, pro-choice, sex-positive and confidential service. Our team of registered nurses, counselors and sex educators offers information and resources about sex, sexuality and sexual health.
This post contains general information that may not apply to everyone. It is not a substitute for professional medical diagnosis and treatment or counseling and other mental health support. If this is a topic that affects you, please respond with questions about your own specific situation. We will reply to you privately and provide the appropriate information resources.
