Thanks for your response. Let me fill in some gaps. I'm 30, diagnosed secondary in my early 20s due most likely to a pituitary lesion. Endos wanted to jump straight to trt only. Being young, I found a doctor who worked with hcg and clomid. Tried clomid, couldn't tolerate sides. Hcg worked good for me, and have done either gel or test cyp with hcg since.
My current predicament seems to be that I stopped responding to hcg. This is evidenceed by labs on hcg, total testosterone being 200 with a range of 350 - 800. Using the same dose I used to be somewhere in the 600 to 700 level. My hcg dosage has usually been 250 ius several times a week. Have tried larger doses with no difference. Physical symptoms are testicular shrinkage, tight uncomfortable testicles. Further, when I take a shot my testicles become uncomfortable and tight which was never the case. Have tried over 10 different batches with different manufacturers with no difference. Have tried pregnancy stick that showed hcg was working. A doctor has recently examined testicles and noted no obvious issues but they were in fact small.
I've made an appointment with a local urologist to discuss, but I'm hoping someone has experience with a doctor incase this doctor is unfamiliar with this issue as its complicated.