Take a Comprehensive Look at your Hormones
If you have been told everything looks “fine” but you still wake at night, feel unlike yourself before your period, or cannot explain the changes in your weight, mood, or energy, there is likely a measurable reason.
DUTCH testing does not just check hormone levels. It maps how your body is producing cortisol, converting estrogen, clearing hormones through methylation, and whether key hormones like progesterone and DHEA are depleted.
When we see the full pattern, we stop chasing symptoms and start correcting the root cause.
the new standard in women’s functional medicine /
You may need a DUTCH test if:
- You fall asleep exhausted but wake between 2 and 3 AM wide awake with your heart pounding.
- You feel like a completely different person the week before your period. More anxious. More irritable. Less patient. Less yourself.
- Your cycles shortened from 28 days to 23 to 25 and your bleeding has become heavier or clotting has increased.
- You have breast tenderness that starts mid-cycle and does not let up until your period arrives.
- You feel like you are doing everything right and your body is not responding the way it used to.
- You are gaining weight around your midsection despite eating less and exercising more than you used to.
- You have tried eliminating foods, cleaning up your diet, or adding supplements, but your bloating and fatigue keep coming back.
- Your libido disappeared and you cannot tell if it is stress, hormones, or something else.
- You were told your labs were normal, but no one tested your cortisol rhythm, estrogen metabolites, progesterone metabolites, DHEA, or neurotransmitter markers.
- You have spent money on supplements that helped briefly or not at all and you still do not have clarity.
What this test actually reveals
DUTCH does not just tell us whether a hormone is high or low. It shows how your body is producing, converting, and clearing hormones across an entire day and cycle. That distinction matters. Here is what we can see:
Whether your cortisol is low in the morning when it should help you wake up. Whether it is elevated at night when it should be falling. Whether you are producing too much cortisol overall or struggling to clear it. This is often why you fall asleep exhausted but wake wired at 2 AM.
Whether your progesterone is strong enough in the second half of your cycle to support sleep, mood, and emotional regulation. Low progesterone is often behind: • Intense PMS • Shortened cycles • Breast tenderness • Increased anxiety before your period
Not just how much estrogen you have, but which pathway your body prefers. We can see: • 2-OH, 4-OH, and 16-OH pathways • Whether estrogen is being safely cleared • Whether methylation is strong enough to finish the job This helps explain heavy bleeding, water retention, midsection weight gain, and persistent breast tenderness.
DHEA is the precursor hormone your body uses to make testosterone and estrogen. If DHEA is depleted from chronic stress, it can impact: • Energy • Libido • Motivation • Muscle tone • Recovery from workouts
DUTCH also includes organic acid markers that reflect serotonin and dopamine turnover, along with indicators of B12 and B6 sufficiency. These influence: Brain fog, Motivation, Mood stability, Sleep quality
how it works /
How It Works
Helps determine the most suitable version of the DUTCH test for you.
Shipped directly to your home with complete instructions. Collect your samples and send them back.
After results return, you’ll have a 60-minute consultation with a doctor to review findings and begin your personalized plan.
Frequently Asked Questions
What is the DUTCH Hormone Test?
The DUTCH (Dried Urine Test for Comprehensive Hormones) is an advanced hormone test that measures estrogen, progesterone, testosterone, cortisol, and how your body is metabolizing these hormones.
It provides a more complete picture than standard bloodwork, helping identify imbalances that may be missed otherwise.
How is this different from standard lab testing?
Traditional bloodwork gives a snapshot of hormone levels at a single moment in time. The DUTCH test goes deeper by showing how your body is producing, using, and clearing hormones, as well as your cortisol rhythm throughout the day.
What symptoms can this test help explain?
This test is often used to evaluate symptoms such as:
- Fatigue or burnout
- Weight resistance
- PMS or irregular cycles
- Mood swings or anxiety
- Sleep issues
- Perimenopause or menopause symptoms
How do I take the test?
The DUTCH test is completed at home using simple urine samples collected throughout the day. Detailed instructions are included to guide you through the process.
How long does it take to get results?
Once your sample is submitted, results are typically available within a few weeks. You’ll then review your results with a provider to understand what they mean and what to do next.
Will I understand my results?
Yes. Your results are reviewed with you in a clear and understandable way so you can fully grasp what’s happening in your body and how to move forward.
Do I need to be in a program in order this test?
No. The DUTCH Hormone Test can be ordered as a standalone service or as part of one of the programs offered.
What happens after I get my results?
After reviewing your results, you’ll receive guidance on next steps, which may include nutrition, lifestyle adjustments, supplementation, or enrolling in a program for deeper support.