Based on your history, it is reassuring that your erectile dysfunction, ejaculatory changes, and swelling have resolved after stopping finasteride. Temporary sexual side effects are known to occur with finasteride and often improve after discontinuation.
The testicles can normally appear to vary slightly in size or position due to contraction and relaxation of the cremasteric muscle, which is influenced by temperature, physical activity, and anxiety. If your general surgeon has examined you and found no abnormality, this is reassuring.
Testicular cancer typically presents as a persistent, painless, hard lump or a sustained enlargement of one testis, rather than intermittent changes in size. Online symptom searches can sometimes highlight serious but less likely conditions and may increase anxiety.
If you develop a persistent lump, significant asymmetry, severe pain, rapid swelling, or any new concerning symptoms, you should consult a urologist for a clinical examination and, if indicated, a scrotal ultrasound.
Next Steps
--Follow up with a urologist if symptoms persist or worsen.
--Avoid repeated self-examination throughout the day, as this can increase anxiety and lead to misinterpretation of normal findings.
Health Tips
--Perform a testicular self-examination once a month after a warm bath or shower.
--Avoid relying on internet searches for diagnosis.
--Seek medical evaluation promptly if you notice a persistent hard lump, progressive enlargement, or severe pain