Q&A with Dr.P – WHY WON’T MY MAN LISTEN!!???

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My boyfriend has some issues..  I noticed the other day when i was down in the man part area that something was a little different. He himself has also expressed some discomfort in that area. I have looked up symptoms etc and all signs lead towards Testicular Cancer. I have tried and tried to get him to go to the doctor, but he won’t. What should i do to encourage him to go?  Amber, Boulder, CO


Amber, wonderful question.  This is one the BIGGEST problems with guys…  while we are caring and strong, we are stubborn – especially when it comes to sensitive areas like our genitals.  No guy wants to think he has anything wrong with his testicles or penis and the thought of cancer or surgery can be really scary.  For men with testicular cancer, the average time for a man to notice something in his testicles and come to medical attention is approximately 4-5 months in this country!!  Luckily our cure rate is still 95%, but we could probably get closer to 100% (with less chemotherapy and big surgery) if guys would go to the doctor a little sooner.  So you can stress to him that if he does have a problem, he would definitely want to address it sooner rather than later.

The other truth is that most problems “down there” are benign and don’t require surgery or treatment.  Hydrocele, varicocele, spermatocele are all benign growths in the scrotum.  None of which is dangerous.  So you can also stress to him that it’s likely nothing serious, but wouldn’t he want to know??
The last piece of this is that the evaluation only requires a physical examination by a physician and, only IF there is something abnormal, a scrotal ultrasound (painless, cheap (about $180 US and covered by all insurance), fast without radiation).
If he doesn’t listen to that, tell him Thomas and I are coming to drag him to the doctor!!
Dr. P

Global Art Exhibit | India

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We’ve talked a lot about different people and have used the term Born Ballsy to describe many of them. However, Yuvraj Singh brings a whole new meaning to the term and was legitimately born ballsy!! Yuvraj Singh is an incredible left batting and slow left arm orthodox cricket player who assisted in India winning their first title in nearly three decades. It was during the highlight of his Cricket career that he became short of breath and coughing up small amounts of blood which prompted Yuvraj to seek medical intervention. Yuvraj Singh was diagnosed with mediastinal seminoma located between his left lung and heart. This is an extremely rare and is a congenital condition that develops in the germ cells during the embryonic stage. So obviously he fits the description “Born Ballsy” to a “T”! As his father said during an interview about his son diagnosis, Yuvraj is a “sher” which is a term that’s means lion, and Yuvraj certainly has the heart (and tatay) of one. He received treatment, overcome his lung cancer and is back to being the king of his jungle!


As you can see, there is no question on why we chose this icon of the Indian Cricket scene. Not only is Yuvraj a great role model for future athletes, but he’s also a reminder that despite his great health, he was affected by this very rare form of cancer. In addition, it affects individuals when they are young, just like testicular cancer! The ballsy team can guarantee that Yuvraj Singh checks his samosas to ensure himself that he stays in the limelight of his very successful and recognized career.

#BornBallsy #TesticularCancerAwarenessMonth #CancerAwareness #LungCancer #India #YujrajSingh #Cricket

Global Art Exhibit | UK

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You know my method, Watson.

Each week we spend time catching up on the story line based on Sir Arthur Conan Doyle’s literary classic series, Sherlock, starring Benedict Cumberbatch and Martin Freeman. This drama has become the number one watched show in the UK, and we understand why; It’s fantastic! Those two nut balls have led admirable careers and have contributed greatly to the community through their years of charitable work.
However, the Ballsy team is using this opportunity to remind you to regularly check your own nuts to ensure they are clear of testicular cancer. It’s simple, just check’em lads, this isn’t bollocks!!


Checkemlads in a local organization dedicated to raising awareness to this delicate and sensitive topic and was established in 2003 by Phil Morris. Who is Phil Morris you ask? Well, he is a testicular cancer survivor and personally funded all the expenses needed to gain popularity and awareness for this incredible cause. In 2008, Phil applied and was successful in making Checkemlads a recognized registered charity in the UK.  Donations can be sent via text, or on their official website. ext Donation

This isn’t bollucks

We’ve adjusted the saying, “leave no stone unturned” to “leave no ball untouched”, so men… lets get the balls rolling!
The next time you’re watching Sherlock, make it part of your routine to check your ball-bag! Before the show, during commercials, or after, we don’t care! Just be proactive about your health and regard it as highly as you regard the newest television craze. The only way to ensure that you don’t miss out on any of the weekly action is to keep your balls in check.


#BornBallsy #BeBallsy #TesticularCancerAwarenessmonth #Checkemlads #PhilMorris #Sherlock #MrBallsy

Global Art Exhibit | South Africa

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In a world so focused on celebrities and pop culture, Mr. Ballsy was inspired to combine these topics with art to draw attention to his mission in life – creating awareness for Testicular Cancer!

The media has a tendency to draw our focus away from issues that may make us feel uncomfortable or fearful. Testicular Cancer falls under this criteria and our Mr. Ballsy was inspired to use profound public figures as a way to bring awareness to this delicate topic. He achieves this by using art in a tangible way to keep the heart of his mission in perspective.

This Celebrity Balls Exposed art display is a unique part of the global awareness that the Mr. Ballsy campaign is initiating. There will be 10 major cities across the globe presented sporadically conveying the importance of detection, prevention, and treatment during Testicular Cancer awareness month this April.

Each Ballsy piece is customized to the particular country the public figure resides in and illustrates two very distinct characteristics, illuminating the balls of the matter.

Before occupying a canvas, each image was an idea; hand-drawn by Thomas Cantley, then brought to life with colour and digitally mastery by Nicole Richard.

This is our opportunity to raise awareness, and your opportunity to take heed of our advice!! Be in control of your health, and be ballsy!!

#TCGlobalAwareness #BornBallsy #TesticularCancerMonth #AprilCampaign #MrBallsy #BeBallsyNelsonMandelaFist

Nelson Mandela was Born Ballsy

Nelson Mandela was the face of peace, justice and equality worldwide and is a highly regarded public figure to the South African people. He put his life on the line (and his balls) for his beliefs. The cost of that was spending 27 years behind bars, but this never deterred him from his mission, and in the end he was the successor over oppression. The world will always remember Mandela for his courage and tenacity for his actions.29839_413026305752_884061_n

Be Ballsy and Love Your Nuts!

And look who it is peeking out from around mister Mandela, Torsten Koehler! Torsten is a former teacher and testicular cancer survivor. He used his experience to educate his students and young men about detection, which in turn saved the life of a 16 year old. He is the founder of “Love your Nuts” campaign and has also written a book! He is highly recognized for his contributions with educating people on the importance of this issue.

Mandela had it right when he said, “Education is the most powerful weapon which you can change the world”, and Torsten Koehler is doing just that! Koehler believes that “we are educating by going balls and talking nuts”. So with that in mind, let’s get the ball rolling and spread the knowledge of nuts!

#BornBallsy #StayBallsy #OneNut #LoveYourNuts #TorstenKoehler #NelsonMandela #TCGlobalAwareness #SouthAfrica #KnowledgeAndEducation #MrBallsy


Q&A with DR.P – I’m having a problem in the Bedroom, should I get checked out?

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I have been having issues in the bedroom and I was wondering if this has an effect regarding my post recovery? or is this simply just in my head ?  –Sean, New York, NY

Man in bed with nervous look


Sean, great question.  There are a couple of reasons men have “bedroom issues” following treatment for testicular cancer whether its following their orchiectomy, chemotherapy or a retroperitoneal lymph node dissection.
The first is an organic cause, hypogonadism, which is the medical term for low testosterone levels.  While it is not common, some men, even with one good testicle left, can have low testosterone levels that can lead to low energy levels, libido (sexual desire) and occasionally erectile function, which can translate into poor “bedroom performance.”  Technically, a fraction of one testicle should produce enough testosterone to give you a beard, erection and chase your partner around the bedroom.  Occasionally, surgery, chemotherapy and even testicular cancer itself, can cause suboptimal testosterone levels.  Checking an early morning testosterone level with your doctor (testosterone release is cyclic and highest in the early morning) can assess your hormone function.
The second cause has to do with self-confidence.  It takes a lot more than an erection to perform well in the bedroom.  Comfort, confidence and self-assuredness can all help performance – and the lack of thereof can have negative impacts.  Whatever your treatment course was, you are now missing a testicle, have at least one surgical scar and just went through the biggest scare of your life.  For most young men, the diagnosis and treatment of testicular cancer is a strong blow to confidence and the sense of invincibility that most young men have.  Surviving testicular cancer takes a lot more than just checking labs, CT scans and xrays – it also has to do with resolving the emotional and psychological issues surrounding the disease.  For some men, a testicular prosthesis helps them feel more normal.  For others, a short course of anti-depressant medication under the supervision of a doctor may help.  For some its a tattoo to commemorate their ordeal.  In Baltimore, we have regular “Beers, Bros and Balls” events, where testicular cancer survivors can meet, share their stories, common problems and solutions.  So finding a group of TC survivors in your area may also help you “recover” from this life-changing diagnosis.
So my advice: First, check a testosterone level.  If its abnormal its an easy fix.  If its normal it may give you the confidence to “perform well” in the bedroom.  Second, I would also connect with a testicular cancer expert and survivors (whether through social media or in person) – it will let you know you are not alone and help you through these issues.  A physician can help you navigate the medical side of this and other survivors can help you navigate the rest.  Good luck, you will be back to your studly self soon!
Doctor P

Q&A with Dr. P | Can pregnancy tests detect Testicular Cancer?

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QUESTION: Let’s clear the air once and for all Dr.P! What’s the deal with pregnancy tests detecting testicular cancer? – Mr.Ballsy

ANSWER: Testicular cancer is one of the rare cancers that can secrete “tumor markers,” or molecules that can be detected in the blood. The three common tumor markers for testicular cancer are AFP (alpha-fetoprotein), HCG (human chorionic gonadotropin) and LDH (lactate dehydrogenase). You can learn more about each of these tumor markers at: http://urology.jhu.edu/testis/testis_cancer_markers.php.

prego-test-photoA recent story on the internet highlighted the story of a young man who was “diagnosed” with testicular cancer by using an over-the-counter pregnancy test. While I don’t know this patient, I’m sure his story is true – I’ve had a few patients in my practice who had a “positive” pregnancy test before coming to see me. However, this young man, Byron Geldard, had doctors in Cambridgeshire, Engand, puzzled when he presented with pain in his side and an uncertain malignancy that had spread around the body.

(This story was reported in The Telegraph, March 9, 2015: Teenager Diagnosed With Testicular Cancer After Pregnancy Test). The doctors in Great Britain used a pregnancy test to confirm the diagnosis of testicular cancer in Byron – creating a sensational news story.

While it worked in this circumstance, an over-the-counter pregnancy test is not a great test to diagnose testicular cancer. Knowing that testicular cancer would be the most common malignancy in an 18 year-old man and ordering simple blood tests could have also confirmed the diagnosis of testicular cancer in Byron. Since this story has been plastered around the internet and social media, here’s the truth about HCG, pregnancy tests and testicular cancer…

Pregnancy tests work by detecting HCG in the urine – the same protein that can be secreted by some testicular tumors. So, if you have a testicular tumor and it secretes HCG, a home pregnancy test may confirm that diagnosis. However, HCG is only rarely secreted by testicular tumors:

• Only 15% of early-stage seminomas and 20-40% of NSGCT (non-seminomatous germ cell tumors) will secrete HCG.
• Even in cases of advanced (metastatic spread to lymph nodes or other sites) testicular cancer, only about 50% of tumors (seminomas or NSGCT) will secrete HCG.

In addition, HCG levels need to be relatively high to be detected by the over-the-counter urine tests. Some urine pregnancy tests will detect HCG levels of 20 mIU/mL, but most rely on levels >100 mIU/mL. Of the minority of testicular cancer patients whose tumors secrete HCG, many patients will have HCG levels beneath the detecting capability of a home pregnancy test.

Therefore, HCG (and pregnancy tests) are an unreliable screening test for testicular cancer. If you feel an abnormality during testicular self-exam the first thing you NEED TO DO is contact a physician and make an appointment. If the doctor is concerned, an ultrasound (painless) and blood tests (mostly painless) are the next correct steps. If you’re curious while you wait, try a pregnancy test. If it’s positive then you know the diagnosis and find the nearest testicular cancer expert. If the pregnancy test is “negative” that does NOT necessarily mean that you do NOT have testicular cancer. Remember, upwards of 80% of testicular cancers will NOT secrete HCG so do not rely on a home pregnancy test to prove you are cancer free!

“Don’t let nobody touch it, unless that somebody’s me”

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Sigh, Adam Levine. You know just the words to a woman’s heart and well, other explicative body parts that just make us melt. Speaking of body parts, there’s a couple we need to address not just on Valentine’s Day, but every month of the year. Ladies, as you’re spending your Valentine’s Day with that special someone or watching 50 Shades of Grey in a sold out theatre, think about two very important things… balls.

50shadesofgrey-image_webI know when you hear, “balls,” you probably think of one of two things, the bouncy air-filled object that’s used in sports or those two dangling sacks of flesh hanging from a man’s scrotum. I am not talking about the balls on the court, rather, the special balls in your life and your bedroom.

cosmo-articleIn Cosmoplitan’s article, “Two spots he’s dying for you to touch,” you can read a long list of reasons why touching your man’s balls is really, really hot. “His testicles are actually covered by a thin layer of muscle that extends into his abdomen, so as he gets more excited, he experiences pleasurable contractions that radiate throughout his body, magnifying his climax,” says clinical sexologist Rachel Ross, MD, PhD. However, before or after the explosive climax, I challenge you to magnify your focus on performing a routine self-less exam on your man, which could save his life.

As women, we are constantly reminded about self-examination to prevent breast cancer, and as women, we should encourage our men to join in on this practice. We need to remind the men in our lives to take preventative measures with regards to their health.

First, let’s get educated.

There are many potential risk factors with regards to the nuts in our life, but the truth is no ball sack is safe. Lets throw the ball around a bit and get a better idea of what we’re talking about:

Testicular Cancer is a malignant tumor that starts in the cells and without early detection, can potentially spread to other parts of the body. In fact, 90% of all TC starts in the germ cells, or in laymen terms their potential swimmers. The warning signs are simple, but not easy to juggle (see what I did there): Feeling a lump or pain in the testes, Heaviness or dragging feeling in the lower abdomen or scrotum, Dull pain in the abdomen and groin are all signs of concern.

Now, back to the magnified climax…

This weekend, get some red-hot lingerie, read a page out loud of 50 Shades of Grey, put on his blindfold and play ball. Pay extra attention to anything that may be irregular. A gentle squeeze or slight tug is all you need to ensure you protect the family jewels, and let’s face it, he’s going to enjoy the extra attention. It is good practice to perform a routine exam monthly, although some men would tell you a daily exam is what’s necessary.

Now, are you ready to get dirty?

For Valentine’s Day, I have saved a present just for you. Adam Levine may have the voice, Cosmo may have the instructions, the ladies of the Mr. Ballsy Team may have the facts… but feast your eyes… Mr. Ballsy has the scar, and of course lots of other complimentary features. You’re welcome.


I know you’re all probably distracted by Mr.Ballsy bearing it all, and we have to admit he’s rocking it better than Adam Levine’s shoot with cosmopolitan UK for Testicular Cancer awareness. The one thing we can learn from these two men is:

Detection can be sexy, and we want you to make it intimate on Valentine’s Day.

#BeBallsy #TouchYourMan #50ShadesofBalls #MrBallsy

Howie Mandel: Celebrity Balls Exposed

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Yes. Howie Mandel has some monstrous balls. Why SO monstrous you ask? Well, aside from the obvious, it’s to get your attention. Now that we have it, Mr. Ballsy drew this sketch just for you as a reminder to check the balls in your life. Testicular Cancer is real and the most effective way to survive TC is prevention. Now onto why we chose Howie Mandel as one of our, “Celebrity Balls EXPOSED!”


Despite his lifelong struggle with obsessive compulsive disorder (OCD), attention deficit hyperactive disorder (ADHD) and his nearly crippling mysophobia; an irrational fear of germs, Howie has become a successful public figure and a pioneer and creator for many entertainment ventures.

His entertainment career started very early, and in fact, led him to being expelled from school for impersonating members of the school board. From here he became a salesman and opened up his own business. However, this didn’t stop him from following his heart (and lets face it, his balls) and devoting his time to comedy at Yuk Yuks in Toronto. His staple act was placing a latex glove over his head and blowing it up with his nose, which is fitting considering to this day he won’t shake hands without wearing one. Instead he is known for greeting contestants, celebrities, and colleagues with a fist pump.

Howie revealed to Ability Magazine in 2011 about his struggles with his condition: “I don’t remember a time when I didn’t feel there was an issue. But I wasn’t diagnosed until adulthood. I’ve always felt a little bit different, and I always knew I wasn’t as comfortable with life as everybody else seemed to be. But I didn’t know what I could do about it. When I was a kid, I didn’t know anybody who went to a psychiatrist. There was always a stigma attached to mental health issues. I think there still is. But now I’m taking care of myself.”

Howie Mandel has embraced his conditions and is completely open about them. He often pokes fun at himself allowing others to see that despite the internal struggle they may face they can still become anything they want. With his balls in a vice.. he has proceeded to star in countless movies and TV shows while being the Creator and Executive Producer of the 8 season, Emmy-nominated, children’s show Bobby’s World.

His “ballsy” nature is an inspiration to us all and a reminder to keep our health in check; because we all have the balls to overcome anything.

Now, #beballsy and share this post. Mr. Ballsy is giving the world comedic relief, but most importantly, he wants to create awareness for Testicular Cancer, and that’s worth sharing. Until next time…
Who will be exposed by #mrballsy next?  #cancer #mentalhealth #awareness #letstalk

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