Doctors and researchers are calling for more widespread education on the disease, urging men to take control of their health and seek help if they notice any symptoms.
T:esticular c:ancer, a disease that has historically been associated with older age groups, is now becoming a serious health concern for young men. This alarming rise in T:esticular c:ancer diagnoses among men aged 20 to 40 is calling attention to the lack of awareness surrounding the condition and its early detection. While it remains the most common form of c:ancer among young men, new research is revealing disturbing trends that suggest that many are unaware of the risks, symptoms, and the importance of early screenings. As the disease continues to rise, doctors and researchers are urgently calling for increased education and awareness, particularly when it comes to self-exams and early detection.
What Is T:esticular c:ancer and Who Is Most Affected?
T:esticular c:ancer, although rare compared to other types of c:ancer, affects nearly 10,000 men in the UK every year. It is the most common c:ancer in men between the ages of 20 and 40, with about one in 270 men at risk of developing the disease. Despite the increasing number of diagnoses, a survey conducted by Ohio State University has revealed that nearly 90% of adults believe T:esticular c:ancer will not occur before a man’s 40th birthday. This lack of awareness is concerning, as it undermines the importance of early detection, which is critical for successful treatment outcomes.
T:esticular c:ancer predominantly affects the germ cells, the reproductive cells responsible for producing sperm. These cells are most active during a man’s younger years, which is why the disease is more commonly found in men between the ages of 20 and 40. The disease can be asymptomatic in its early stages, making it even more difficult to detect. It is important for young men to be aware of the symptoms and take proactive steps, such as performing regular self-exams, to detect any abnormalities early on.
The Alarming Statistics: A Growing Concern
In a recent study conducted by Ohio State University, researchers surveyed 1,008 adults in the United States. They found that a vast majority of respondents were unaware of the increasing prevalence of T:esticular c:ancer in young men. Only 13% of participants correctly identified T:esticular c:ancer as a condition that most commonly affects men under the age of 40. More concerning is that only 35% of respondents believed it was necessary to begin screening for the disease before reaching 40, despite the fact that early detection can significantly increase survival rates.
Dr. Shawn Dason, the urologist who led the study, expressed concern about the lack of awareness regarding the disease among young men. He noted, "T:esticular c:ancer does not typically come with painful symptoms. That's why routine self-exams are so important to detect any lumps or changes to the testicle." He emphasized that many men are surprised to learn that T:esticular c:ancer is most common among young men, adding, "It’s something you're just not expecting in your twenties or thirties. A lot of young men’s focus might be on developing their career, their day-to-day life. That’s a very different track of mind than perhaps your health."

Nathan Adrian, a five-time Olympic gold medallist, was diagnosed with t:esticular c:ancer at age 30 after feeling a hard lump and swelling

He revealed his diagnosis to raise awareness of the c:ancer, which is rising among young men
The Importance of Self-Exams and Early Detection
One of the most concerning aspects of T:esticular c:ancer is its tendency to develop without obvious symptoms. The most common signs of T:esticular c:ancer include the presence of a lump or swelling in the scrotum, and a feeling of heaviness in the scrotum. These symptoms are subtle and may not be painful, which is why self-exams are crucial for early detection. Dr. Dason highlighted that "routine self-exams can help catch any changes to the testicle early, which is crucial for the treatment of T:esticular c:ancer."
Despite the importance of self-exams, the Ohio State University survey found that just over half of the respondents believed that monthly checks for T:esticular c:ancer were necessary. Regular self-examinations can help men detect potential issues early, when the c:ancer is most treatable. Studies show that the earlier T:esticular c:ancer is caught, the better the survival rate. When diagnosed in the early stages, T:esticular c:ancer has a five-year survival rate of around 95%. However, if the c:ancer spreads, this survival rate drops to 73%.
The Rising Incidence of T:esticular c:ancer
Research shows that T:esticular c:ancer rates have been rising steadily, particularly among younger men. A 2024 study on T:esticular c:ancer in California found that, over the past two decades, the incidence of T:esticular c:ancer among men under the age of 39 had increased by about 10%. The rate of cases rose from six to 7.3 cases per 100,000 people. This increase in cases is thought to be a combination of better screening and an overall rise in c:ancer diagnoses among young people.
Data from the Centers for Disease Control and Prevention (CDC) further confirms this trend, with the rate of T:esticular c:ancer rising from 6.3 to 6.8 cases per 100,000 men aged 0 to 39 years between 1999 and 2021. This rising incidence has led experts to call for greater awareness and education about the disease, particularly among young men who may not consider themselves at risk.
Treatment Options: Surgery and Beyond
When diagnosed, the first line of treatment for T:esticular c:ancer is typically surgery to remove the affected testicle and tumor. This is followed by additional tests to determine if the c:ancer has spread. In cases where the c:ancer has spread, further treatment options may include surgery to remove affected lymph nodes, chemotherapy, or radiation therapy.
The fact that the vast majority of T:esticular c:ancer patients are diagnosed at an early stage means that treatment is generally successful. Dr. Dason noted, "We are really fortunate in T:esticular c:ancer that the vast majority of patients are diagnosed at an early stage. That means the vast majority of patients are diagnosed before the c:ancer has had an opportunity to spread to other parts of the body."
However, the lack of awareness and understanding about the disease means that many young men may not seek help until the c:ancer has advanced, which can make treatment more difficult.

Lance Armstrong, a famous cyclist, was also diagnosed with t:esticular c:ancer in 1996 at the age of 25 years
Personal Stories: Raising Awareness Through Experience
Several high-profile individuals have shared their experiences with T:esticular c:ancer, helping to raise awareness about the disease. Lance Armstrong, the famous cyclist, was diagnosed with T:esticular c:ancer at the age of 25 in 1996. Armstrong underwent surgery to remove his affected testicle, followed by chemotherapy, and later went on to win seven Tour de France titles. His experience has been a powerful reminder of the importance of early detection and the potential for recovery.
Olympic swimmer Nathan Adrian, a five-time gold medalist, was diagnosed with stage two T:esticular c:ancer in 2018 at the age of 30. While training for the Tokyo 2020 Olympics, Adrian discovered a swelling in his scrotum and sought medical help. After surgery to remove the tumor and further tests to check for the spread of the disease, Adrian made a full recovery and returned to swimming just weeks later. His story emphasizes the importance of monitoring one’s health and acting swiftly if any abnormalities are detected.
Another powerful story comes from JMichael Shipman, who was diagnosed with T:esticular c:ancer at the age of 21 in 2017. Shipman discovered a large lump on his right testicle and sought treatment immediately. After surgery and one round of chemotherapy, Shipman was able to recover and is now an advocate for T:esticular c:ancer awareness. His decision to freeze his sperm before chemotherapy was a precautionary measure, as chemotherapy can sometimes lead to infertility.

JMichael Shipman, from Texas, was also diagnosed with the cancer at the age of 21
Raising Awareness: The Need for Change
The Ohio State University survey reveals a critical gap in knowledge and awareness about T:esticular c:ancer. With nearly 90% of adults unaware that the disease can affect men under 40, and only 35% considering screening necessary before this age, it is clear that more needs to be done to educate young men about the risks of T:esticular c:ancer.
Experts are calling for increased awareness campaigns, particularly targeting young men in their 20s and 30s. Self-exams, early screening, and better understanding of the disease can make a significant difference in improving outcomes for those diagnosed with T:esticular c:ancer.
As Dr. Dason noted, "It’s something you're just not expecting in your twenties or thirties, and that’s why awareness is so critical." Educating young men about the importance of self-exams and seeking medical attention if they notice any abnormalities could save lives and increase survival rates for this increasingly common c:ancer.
Conclusion: The Importance of Early Detection and Awareness
T:esticular c:ancer is a serious health concern for young men, and the rising incidence of the disease makes it crucial to address the lack of awareness surrounding it. Early detection through regular self-exams and prompt medical attention can significantly improve the chances of successful treatment and survival. Doctors and researchers are calling for more widespread education on the disease, urging men to take control of their health and seek help if they notice any symptoms. By increasing awareness and promoting self-exams, we can ensure that more young men receive the treatment they need and increase survival rates for this common yet often overlooked c:ancer.