Dutch hormone testing

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  /

Who DUTCH testing is for

You may need a DUTCH test if:

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:

cortisol rhythm

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.

Progesterone Metabolites

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

Estrogen Metabolites

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 and Testosterone

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

Neurotransmitters and Nutrients

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

Complete the Questionnaire

Helps determine the most suitable version of the DUTCH test for you.

Receive and Take Your Test

Shipped directly to your home with complete instructions. Collect your samples and send them back.

One-on-One Consultation

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.

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.

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

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.

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.

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.

No. The DUTCH Hormone Test can be ordered as a standalone service or as part of one of the programs offered.

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.

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