DUTCH Cycle Mapping Plus

The DUTCH Cycle Mapping Plus kit provides for home sample collection and features urine and saliva collection devices:

• Easiest sample collection protocol
• 25 urine filter paper collection strips – for a complete cycle estimation of estradiol and progesterone
• 6 Salivette saliva collection tubes – for Cortisol Awakening Response analysis
• Patient information form, covering patient data, supplementation, medication use, hormone replacement, and health questionnaire
• Return package

The presence of both urine strips and saliva tubes in the kit is due to the test itself requiring the collection of both types of samples because it estimates hormone fluctuations throughout the cycle by using urine and the morning cortisol peak by using saliva, the most precise method for CAR measurement.

The DUTCH Cycle Mapping Plus is among the most thorough hormone reports offered:

• Nine (9) precise tests of estrogen and progesterone at strategic points throughout the entire menstrual cycle, examining the follicular, ovulatory, and luteal phases comprehensively
• Test for 35 distinct hormones and hormone metabolites, including estrogen, progesterone, testosterone, DHEA-S, and cortisol; plus the full Cortisol Awakening Response (CAR) test
• Charting of the hormone patterns throughout the cycle, allowing both practitioners and patients to easily see what’s going on for the month
• Video tutorials embedded into the report to aid in explaining results to the practitioner
• DUTCH OATs (Organic Acid Tests): oxidative stress marker 8-OHdG, melatonin (6-OHMS), and 6 organic acid tests, including B12 (methylmalonate), B6 (xanthurenate), kynurenate, glutathione (pyroglutamate), dopamine (homovanillate), and norepinephrine/epinephrine (vanilmandelate) 

While the regular DUTCH Cycle Mapping test looks at irregular cycles, fertility, and hormonal changes by phases of the cycle, the Cycle Mapping Plus digs deeper and looks at sexual and adrenal hormones, metabolism, and adrenal function. This test is ideal for:

• Estrogen dominance – when elevated levels of estrogen compared to progesterone are seen throughout the cycle
• Androgen dominance (or PCOS) – when the levels of testosterone and other androgens need to be seen in addition to the rest of the cycle
• Preconception health – when a woman wants to have the most complete hormone profile before conception
• Cortisol Awakening Response (CAR) testing – when the response to stress and the adrenal system function are of primary concern, along with the reproductive hormones

If your symptom profile includes migraines, fertility issues, PCOS, morning fatigue, stress, in addition to the hormonal imbalances associated with your menstrual cycle, then the DUTCH Cycle Mapping Plus is made just for you.

Captures what single-day tests miss

Salivary hormone testing might fail to detect key progesterone and estrogen peaks without proper timing, a serious issue for women who have irregular cycles. With the DUTCH Cycle Mapping Plus test, several first morning urine tests are conducted and calibrated in accordance with the length of the cycle, allowing for the capture of ovulatory and luteal peaks of any cycle length.

Better testing drives better treatment

Having a complete graphical representation of the menstrual cycle enables providers to monitor ovulation and discover the source of spotting or migraines during mid-cycle and determine ovarian health. Along with the information about metabolites and CAR, this will allow creating an individually tailored therapy plan for each patient.

Analytically rigorous methodology

Estrogen and progesterone metabolites are analyzed nine times with the help of liquid chromatography tandem mass spectrometry – the most precise method of detecting these hormones in urine.

DUTCH Cycle Mapping Plus is the only test that offers a combination of full-cycle hormone mapping, metabolism profiling, CYP450 analysis, and organic acids. It’s the most comprehensive test that applies to women who experience symptoms that affect reproduction, adrenals, and metabolism altogether.

In case you have doubts concerning which test is best suited for you – the DUTCH Cycle Mapping or the Cycle Mapping Plus – feel free to book a free consult at dutchtesting.org.