Dried Urine Test for Comprehensive Hormones (DUTCH)
The DUTCH test looks at sex hormones and their metabolites, the overall diurnal pattern of free cortisol, and the total distribution of cortisol metabolites in addition to OATs, which provide insight into nutritional deficiencies, oxidative stress, gut dysbiosis, melatonin, neuroinflammation, and more.
This advanced hormone testing was developed to improve on available hormone testing options. DUTCH offers the most extensive profile of sex and adrenal hormones along with their metabolites. Additionally, the daily (diurnal) pattern of free cortisol is included, along with melatonin (6-OHMS), 8-OHdG, and six organic acids. This unique combination of clinical information is not available by any other method.
We can use this valuable tool to help optimize hormone health and address hormone-related symptoms such as fatigue, weight gain, hair loss, and mood swings.
This test can be valuable information for men as well as women. As testosterone and DHEA levels fall, and estrogen levels rise, men undergo their own form of menopause, called 'andropause'.
Signs of declining testosterone levels include a decrease in muscle mass, abdominal weight gain, chronic fatigue, brain fog, and loss of executive function. Testosterone deficiency can be harmful to men's sexual health and self-confidence, enhancing the risk for mood disorders. Other factors that can negatively impact male testosterone levels like poor lifestyle habits, unhealthy diets, lack of exercise, toxic exposure, high visceral fat, and increased stress all accelerate this natural process.
To order a DUTCH Complete test and practitioner analysis, click here.
For some women, testing reproductive hormones (progesterone, estrogen, etc.) on a single day is sufficient. In other scenarios, the clinical picture cannot be properly captured without “mapping” out the hormonal pattern throughout their menstrual cycle.
WHEN IS DUTCH CYCLE MAPPING™ RECOMMENDED?
Women struggling with infertility
Women with cycling hormones and no menses
Partial hysterectomy (ovaries intact but no uterus)
Ablations
Mirena IUD (no actual menstrual bleeding due to IUD but still has hormonal symptoms)
Women with irregular cycles
PCOS
If the luteal phase shifts from month-to-month
Not sure when to test due to long or short cycles
Women whose hormonal symptoms tend to fluctuate throughout the cycle
PMS, mid-cycle spotting, migraines, etc.
WHEN IS DUTCH CYCLE MAPPING™ NOT NEEDED? (DUTCH COMPLETE™ IS SUFFICIENT)
Postmenopausal women
Women on birth control
Women with cycles that follow the expected pattern
To order a DUTCH Cycle mapping test and practitioner analysis, click here.