DUTCH stands for dried urine test for comprehensive hormones.

What does the DUTCH test measure?

The DUTCH test takes hormone health to a new level by measuring not only your hormone levels but also their metabolites, giving you a complete picture of your hormone production and breakdown.

Sex Hormones & Metabolites

• • Estrogens: Essential for fertility, PMS, and menopausal symptoms, this hormone is crucial for overall health.
  • Estrogen Metabolites: Shows how your body processes and detoxifies estrogen, which can impact your risk for various cancers, cysts, and fibroids.
  • Testosterone: Vital for both men and women, the optimal levels of this hormone are linked to vitality, mood, fertility, and performance.
  • Progesterone Metabolites: Indicates your total progesterone levels, which can affect PMS symptoms and fertility.
  • Androgen Metabolites of DHEAS and Testosterone: Evaluates how well your body processes testosterone, which can impact hair loss, skin health, and prostate cancer risk.

• • Total Metabolized Cortisol: Reflects your cortisol production throughout the day and guides your treatment plan.
  • Total Cortisone: Shows how quickly your body deactivates cortisol to cortisone.
  • Free Cortisol: Indicates the active cortisol levels in your body and helps guide treatment.
  • Free Cortisone: Evaluates cortisol deactivation to cortisone, important for treatment planning.
  • Tetrahydrocortisone & Cortisol Metabolites: Provide insight into cortisol metabolism.
  • DHEAs: A precursor to testosterone and estrogen, its levels can indicate PCOS and adrenal insufficiency.

• • Neurotransmitters, B12, B6, Glutathione: New markers added to the DUTCH test.

• • 6-OH-Melatonin-Sulfate: Measures melatonin production, which affects sleep quality and overall health.

• • The Dutch test is a comprehensive hormone test that measures hormones and hormone metabolites (broken down hormones) in urine. It is an effective way to monitor the levels of hormones used in hormone replacement therapy (HRT) such as oral progesterone, vaginal hormone creams, patches and pellets.

    The Dutch test was designed to be optimally effective for most forms of HRT. It uses unique methods for improved monitoring of oral progesterone and vaginal hormones. The Dutch test measures melatonin levels as well.

    It’s important to note that the Dutch test is not the only hormone test available. Other tests include blood tests and saliva tests. However, the Dutch test has been shown to be more accurate than other tests.

If you’re experiencing symptoms like fatigue, anxiety, insomnia, depression, motivation, libido, estrogen dominance, and stress, it might be time to consider the DUTCH test.

This test can help identify the underlying cause of your symptoms so you can start addressing it.

But what if you’re feeling good and don’t have any symptoms? Should you still get tested?

It’s up to you, but we think it’s always a good idea to have a clear understanding of how your body processes hormones. That’s why we recommend the DUTCH Complete hormone test for all women, even if you’re feeling great.

Stay ahead of potential health risks by understanding your hormone levels. The results from this test can help you reduce the risk of illnesses such as breast cancer, ovarian cancer, and fibroids, especially if you have a family history of these conditions.

Don’t procrastinate, be proactive and informed about your health by keeping track of your hormones.

Millions of women suffer from hormone imbalances. Whether it is menopause, weight gain, fatigue, low libido, premenstrual symptoms (PMS), mood swings, or depression, these symptoms can lead to more serious problems if misdiagnosed. Identifying the root cause of chronic health issues is certainly correctable, but only if properly identified.

The DUTCH Test was created to provide insight into many of these concerns, working to deliver the most complete assessment of sex and adrenal hormones, along with their metabolites, in one easy-to-administer test. The dried urine collection process is great for baseline measurements of women with hormonal imbalances and for Hormone Replacement Therapy (HRT) monitoring.

After utilizing the DUTCH Test, you and I can collaboratively review your results and track and evaluate hormone levels, ensuring they are at their optimum balance.

The DUTCH Complete is the most advanced hormone test, offering an extensive profile of sex and adrenal hormones and melatonin, along with their metabolites, to identify symptoms of hormonal imbalances. Easily collected in the comfort of your own home, samples are then sent to our lab to be processed. The DUTCH Complete™ is the most accurate test providing a complete assessment of hormonal health.

The kit includes:

• Easy directions and filter paper collection strips

• Requisition form for patient information, pertinent supplements, medications, hormone replacement and a health questionnaire

• Sealable return envelope

The results include:

• Analysis of 35 different hormones: estrogen, progesterone, testosterone, DHEA-S, and cortisol along with their metabolites

• Daily free cortisol patterns to provide insight into adrenal insufficiency or symptoms of chronic stress

• Graphical representation of results and embedded video tutorials to assist in the hormone assessment to share with your medical provider

• DUTCH OATs: Oxidative stress marker – 8-Hydroxy-2-deoxyguanosine (8-OHdG), melatonin (6-OHMS), and six organic acid tests (OATs) including markers for vitamin B12 (methylmalonate), vitamin B6 (xanthurenate), kynurenate, glutathione (pyroglutamate), dopamine (homovanillate), norepinephrine/epinephrine (vanilmandelate).

The DUTCH Plus takes hormone testing to a new level. In addition to sex hormones and their metabolites, the DUTCH Complete™ looks at the overall diurnal pattern of free cortisol, and the total and distribution of cortisol metabolites. The DUTCH Plus® adds the Cortisol Awakening Response (CAR) to bring another important piece of the HPA axis into focus.

The kit includes:

• Easy-to-follow Directions and Requisition Form

• (4) Urine Collection Strips and (6) Salivette™ Saliva Collection Tubes

• Resealable Plastic Bag

• Sealable Return Envelope

The results include:

• Analysis of 35 different hormones: estrogen, progesterone, testosterone, DHEA-S, and cortisol along with their metabolites, plus the cortisol awakening response (CAR)

• Graphical representation of results and embedded video tutorials to assist in the hormone assessment to share with your medical provider

• DUTCH OATs: Melatonin (6OHMS), 8-Hydroxy-2-deoxyguanosine (8-OHdG), and six organic acid tests (OATs) including markers for vitamin B12 (methylmalonate), vitamin B6 (xanthurenate), kynurenate, glutathione (pyroglutamate), dopamine (homovanillate), norepinephrine/epinephrine (vanilmandelate).

The kit includes:

• Easy-to-follow Directions and Requisition Form• (6) Salivette™ Saliva Collection Tubes• Resealable Plastic Bag• Return Envelope with Paid Return Label (Domestic Only)

The results include:

• Analysis of cortisol awakening response (CAR) from cortisone (5) and cortisol (5)

• Graphical representation of results

• Provider notes with specific additional information created specifically for the patient

The DUTCH Sex Hormone Metabolites is the ultimate test for HRT monitoring and great for baseline measurements as well. It is a unique method for more accurate vaginal hormone and oral progesterone monitoring. This test is run on LC-MS/MS: More sensitive than GC-MS or GC-MS/MS for sex hormone metabolites!

This kit includes:

• Easy directions and filter paper collection strips

• Requisition form for patient information, pertinent supplements, medications, hormone replacement and a health questionnaire

• Sealable return envelope

These results include:

• Extensive Estrogen Metabolites: E1, E2, E3, 2-OH-E1, 4-OH-E1, 16-OH-E1, 2-Methoxy-E1, 2-Methoxy-E2, 2-OH-E2, 4-OH-E2.

• Extensive Androgen Metabolites: Testosterone, DHEAs, DHT, and more (7)

• Progesterone Metabolites: b-Pregnanediol, a-Pregnanediol (2)

• Graphical representation of results and embedded video tutorials to assist in the hormone assessment to share with your medical provider

The DUTCH Adrenal provides free cortisol patterns that parallel saliva with the addition of metabolite measurements for an improved marker for total cortisol production. This test is run on LC-MS/MS: the most accurate way to test cortisol and metabolites!

This kit includes:

• Easy directions and filter paper collection strips

• Requisition form for patient information, pertinent supplements, medications, hormone replacement and a health questionnaire

• Sealable return envelope

The results include:

• Daily free cortisol pattern (4)

• Daily free cortisone pattern (4)

• Cortisol metabolites (a-THF, b-THF)

• Cortisone metabolites (b-THE)

• DHEAs