I previously sent this out in the Fall and wanted to give some follow up.  I saw a 13 yr old boy with pan-hypopit.  He also had bilateral cryptorchidism with bilateral orchidopexy at age 6 months.  His exam demonstrates extremely small testes.  I had recommended that they start testosterone when appropriate; however, his mom belongs to some support group and had heard about HCG therapy and wanted to try it.  I started him on 2000 IU 3 times/week.  He had labs done after about 6 weeks of treatment with no response.  Is it worthwhile to continue the HCG, and if so, how much would you increase the dose?  Alternatively, should he just start testosterone, and then re-visit this when he is older?  Thanks.Jay