Based on what you have described, testicles can normally appear to change in size due to temperature, muscle contraction (cremasteric reflex), and body position. This alone is not a typical sign of testicular cancer. Finasteride can cause sexual side effects such as erectile dysfunction, reduced libido, and decreased ejaculate volume in some individuals, even within a short period.
Since you have already been examined by a general surgeon and no concerning findings were noted, that is reassuring. However, if you notice a persistent painless hard lump in the testis, one testis becoming persistently enlarged, severe pain, or increasing swelling, you should consult a urologist promptly. If anxiety persists despite a normal examination, a scrotal ultrasound can provide reassurance and rule out significant pathology.
Avoid relying on internet searches or AI alone for diagnosis, as they often list serious but uncommon conditions and can increase anxiety.
Next Steps
* Stop or continue finasteride only after discussing it with the doctor who prescribed it.
* Schedule a consultation with a urologist if symptoms persist or if you are concerned.
* A scrotal ultrasound with Doppler may be performed if clinically indicated or for reassurance.
Health Tips
Most cases of changing testicular size without a lump or abnormal examination are benign. Sexual side effects from finasteride are usually reversible after discontinuation in many patients, though recovery may take some time. Avoid repeated self-examination multiple times a day, as it can worsen anxiety.