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The DUTCH test (Dried Urine Test for Comprehensive Hormones) is a laboratory test used to determine levels of hormones in the body by assessing the amount of hormone metabolites excreted in urine. It is an advanced laboratory exam designed to evaluate hormones, hormone metabolism, and adrenal function. The test is performed by collecting multiple samples of urine throughout the day, enabling it to provide an overall picture of hormones that cannot be achieved with blood tests.
We help identify and treat hormone imbalances that may contribute to fatigue, unexplained weight changes, mood instability, sleep disturbances, reproductive concerns, and stress-related symptoms.
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DUTCH Test Process
Step 1: Online Medical Consultation
A licensed healthcare professional assesses your symptoms, medical history, and current health issues to determine if the DUTCH test is appropriate for you.
Step 2: At-Home Test Kit Delivery
Once you’ve been approved for testing, the DUTCH test will be shipped to your home with detailed instructions on how to complete the test.
Step 3: Sample Collection
Urine samples are then collected at different times during the day by using dried filter paper to capture your hormone levels throughout the day.
Step 4: Laboratory Analysis
These samples are analyzed by a certified laboratory using validated methods for hormone and metabolite testing.
Step 5: Results Review
The clinician interprets the results and discusses them with you, and recommends what steps you should take following the results.
Conditions Commonly Evaluated With DUTCH Testing
The DUTCH Test is frequently used during the evaluation of:
- Chronic fatigue or low energy
- Weight gain or metabolic resistance
- Irregular menstrual cycles
- Perimenopause and menopause
- symptoms
- Low libido or sexual dysfunction
- Mood instability or anxiety
- Sleep disturbances
- Suspected adrenal dysfunction
- Hormonal acne or hair thinning
DUTCH Tests Available
Two primary DUTCH testing options are available, depending on clinical needs and symptom presentation.
DUTCH Complete Test
The DUTCH Complete Test is a comprehensive assessment of sex hormones, adrenal hormones, and metabolites of hormones, including: estrogens, progesterones, testosterone, DHEA, and cortisol. It is performed using multiple samples over the course of a day.
In addition to these hormones, this test also measures melatonin and a variety of organic acid markers, making it possible for care providers to assess sleep patterns, oxidative stress, and the nutritional factors present in metabolic pathways that could be affecting a person’s hormonal health.
DUTCH Plus Test
The DUTCH Plus test takes the complete DUTCH test and adds saliva samples to evaluate advanced adrenal and cortisol levels, including an exact measurement of the Cortisol Awakening Response (CAR) in the first hour after waking.
The expanded test data can be used to identify very subtle levels of adrenal dysfunction, chronic stress patterns, and hormonal imbalances that may not be evident in a basic hormone test.
What Is the DUTCH Test?
The DUTCH Test is a dried urine hormone test used to assess free hormones and metabolized hormones. The results from this test help you understand how your body produces, processes, and eliminates hormones. In addition to assessing your body’s endocrine system, the DUTCH Test can provide insight into how well your body has been regulating hormones.
Standard hormone tests require a blood sample to be collected at a specific time by a medical professional in a lab, which is then analyzed in a laboratory. In contrast, the DUTCH Test provides a convenient at-home collection of dried urine samples and laboratory analysis to produce a complete picture of hormone balance and daily rhythm patterns.
Testimonials - Everyone Loves Us.
I chose DUTCH Testing after years of confusing blood test results. The at-home process was simple, and the report finally explained what was happening with my hormones in a way that made sense.
Stephanie O. Larson
Using DUTCH Testing felt reassuring from start to finish. The instructions were clear, the kit arrived on time, and the final report helped guide a much more focused conversation with my doctor.
Andre Maglione
I appreciated how practical DUTCH Testing was. Collecting samples at home was easy, and the insights from the report helped me make real changes with confidence.
Martha Allen
Why the DUTCH Test Is Different
Traditional hormone testing often measures hormone levels at a single moment. The DUTCH Test provides a broader perspective by:
- Measuring daily hormone rhythm patterns
- Evaluating hormone metabolism, not only hormone levels
- Assessing adrenal output alongside sex hormones
- Offering non-invasive at-home testing
Providing clinically actionable data - This approach allows for deeper insight into hormonal function and regulation.
PRICING
| Service | Description | Price |
| Free Consultation | Medical evaluation to determine DUTCH test eligibility | $0 |
| DUTCH Complete Test | Comprehensive hormone and metabolite analysis, including cortisol rhythm, sex hormones, melatonin, and organic acids | $399 |
| DUTCH Plus Test | Expanded hormone panel with advanced adrenal and cortisol awakening response testing | $599 |
Hormones Measured With the DUTCH Test
The DUTCH Test evaluates multiple hormone groups that influence physical, metabolic, and emotional health.
Estrogen
Reproductive function, cardiovascular health, mood regulation, and bone density are all dependent on estrogen’s involvement in both processes. The DUTCH test evaluates estrogen levels and identifies estrogen dominance or the inability to detoxify based on your body’s use of the hormone.
Understanding how estrogen is broken down can help you determine if you have symptoms of too much estrogen or inefficient detoxification. Those symptoms may include heavy periods (cycles), premenstrual syndrome (PMS), perimenopausal symptoms, and other hormone-induced discomforts.
Progesterone
Progesterone plays an important role in regulating menstrual cycles, supporting pregnancy, and maintaining balance within the nervous system. Testing for progesterone metabolite levels can provide information on luteal phase functioning and overall levels of hormonal homeostasis.
A low level or imbalance of progesterone may lead to irregular cycles and difficulty conceiving, sleeping, or having a higher level of anxiety.
Testosterone and Androgens
All adult bodies are impacted by testosterone and other androgen hormones, which influence muscle strength, desire for sex, motivation levels, available energy, and metabolic rate. The DUTCH Test measures testosterone production and the use of these hormones.
Using the DUTCH Test for these two things will help to determine much of the cause for low sexual desire, tiredness, changes in mood, and symptoms of too much androgen.
Cortisol and Adrenal Hormones
Cortisol is the hormone that your body uses (produces) to cope with stress, inflammation, immune function, and manage blood sugar levels. The DUTCH Test measures how much cortisol you produce (amount of free-cortisol), both over the course of the day and how much total cortisol you produce.
Measuring both types of cortisol gives an overall assessment of adrenal function, as well as an understanding of how much your daily rhythm has been disturbed, and how the prolonged effects of stress have affected adrenal function.
Melatonin and Organic Acid Markers
Measuring melatonin will give insights into how the body regulates its sleep/wake cycles and how well the body can establish a balance within its circadian rhythms. Measuring organic acid markers will provide information on how well nutrients are being used, how well mitochondria function, and how much oxidative stress is occurring.
When combined, these markers provide clarification for reasons for fatigue, sleep problems, and overall efficiency of metabolic function.
Start Your DUTCH Test Consultation
A comprehensive understanding of hormone balance begins with accurate testing. We offers clinician-guided DUTCH testing designed to provide deeper insight into hormonal health through convenient at-home collection and professional medical review.
Potential Benefits of DUTCH Testing
When ordered and interpreted by a licensed medical provider, DUTCH testing may help:
Identify hormone imbalances
An analysis of metabolites provides detailed evidence regarding whether hormone secretion is deficient or if the hormone itself is affecting symptoms due to impaired processing of hormones.
Evaluate adrenal and stress response patterns.
Testing the rhythmicity of cortisol can indicate how the body is reacting to stress on a daily basis, as well as whether or not adrenal output is functioning as expected.
Assess hormone metabolism pathways
Understanding how hormones are metabolized additionally assists physicians with more precise clinical decision-making.
Support personalized treatment planning
A complete assessment will provide physicians with complete and accurate data that they can use to provide better care based on patient-specific physiology rather than general hormone levels.
Clarify unexplained or persistent symptoms
DUTCH testing may uncover patterns missed by routine blood tests.
Frequently Asked Questions
What does the DUTCH Test measure?
Using dried urine specimens, the DUTCH Test analyzes hormones that are produced, metabolized, and have a daily rhythm. This test includes sex hormones, adrenal hormones, melatonin, and organic acid markers.