The DUTCH Test for Hormones

The Dried Urine Test for Comprehensive Hormones (DUTCH) can provide valuable insights into various aspects of women’s hormonal health and fertility.

Most of the woman that I see are successful business women or busy, burned out mamas who consistently put other people and projects ahead of themselves which takes a huge toll on the mind and body which leads to hormonal symptoms.

The DUTCH test measures levels of key hormones such as estrogen, progesterone, testosterone, and cortisol along with the metabolites of these hormones. By assessing hormone levels at key points within your cycle, this test can identify imbalances or irregularities in hormone production and metabolism that may be contributing to your hormonal symptoms such as irregular menstrual cycles, trouble conceiving, mood swings, fatigue, acne, hair loss (or growth in unwanted areas), or weight gain around the abdomen.

The information from the DUTCH test allows us to create personalized diet and lifestyle recommendations (along with supplements, if necessary) to support you in optimizing your hormone pathways so that you can feel your best or support you on your journey to grow your family.

Let's Break it down!


The DUTCH test provides insights into adrenal function by measuring cortisol levels and cortisol metabolites throughout the day. This can help identify abnormalities in your body’s stress response system which leave you tired, stressed, anxious, or unable to manage stress.


In addition to simply measuring estrogen levels, the DUTCH test assesses the metabolism of estrogen through various pathways, including the production of protective or potentially harmful estrogen metabolites. This provides insights into estrogen metabolism patterns that may influence breast health, reproductive function, and overall hormonal balance. 


The DUTCH test additionally evaluates progesterone levels to help assess luteal phase function which is critical for women experiencing fertility challenges, irregular menstrual cycles, anovulation, or symptoms related to progesterone deficiency (hello peri-menopause).


Insight in to testosterone levels and androgen metabolites can help provide information on androgen metabolism and potential imbalances that may affect fertility, libido, and symptoms such as acne or hirsutism (excess hair growth).

Steroid Hormone Pathway

What does the DUTCH test measure?

  • Estrogen and Estrogen Metabolism (phase 1 and 2)
  • Progesterone 
  • Androgens (DHEA-S, Testosterone)
  • Hormone Metabolites 
  • Cortisol rhythms, cortisol and their metabolites
  • DHEA-S⁣
  • Melatonin⁣
  • Neurotransmitter markers
  • Nutritional organic acids for B12, B6, & glutathione⁣
  • 8-OHdG (a sign of oxidative damage)

*Test samples are easily collected in the comfort of your own home and sent to the lab to be processed

Why the DUTCH test?

  • Irregular Menstrual Cycles: Are you constantly guessing when your next period will arrive, or concerned about potential leaks due to heavy flow?
  • Mood Swings and Irritability: Are you tired of feeling like you’re on an emotional rollercoaster?
  • Fatigue and Low Energy: Do you struggle to get through the day without feeling exhausted? Maybe you have brain fog or lack motivation?
  • Difficulty Conceiving: Are you having trouble getting pregnant? Are you unsure of whether or not you are ovulating?
  • Hormone-related condition: Have you been told you have PCOS (polycystic ovary syndrome) or endometriosis. Do you find yourself frustrated with hair loss and hirsutism?
  • Symptoms of PMS: Do you dread the arrival of your period due to symptoms like bloating, breast tenderness, and mood changes?
  • Other hormonal symptoms: Are you experiencing weight gain (or weight loss resistance), low libido, or insomnia?

If you’re experiencing any of the above symptoms, you could be a good candidate for the DUTCH test.


View a Sample Report:

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