If you’ve been struggling with symptoms like fatigue, mood swings, poor sleep, low libido, or irregular cycles, and can’t seem to find clear answers, it might be time to dig deeper into your hormone health. One powerful tool I use is the DUTCH test. But what exactly is it, how does it work, and how do you know which version is right for you?
Let’s break it down.
What Is DUTCH Testing?
DUTCH stands for Dried Urine Test for Comprehensive Hormones. It offers a detailed look at your hormone picture by analysing hormones and their metabolites in dried urine samples. Unlike conventional blood or saliva tests, DUTCH provides insights into how your body is processing hormones, not just how much is circulating at a given moment.
How Does DUTCH Testing Work?
The test involves collecting dried urine samples on filter paper over a 24-hour period, typically consisting of four or five samples spaced throughout the day. Some versions of the DUTCH test also include saliva samples to capture the cortisol awakening response (CAR), which reflects how your body reacts to stress upon waking.
This collection method is simple, non-invasive, and can be done at home, making it accessible and practical while still delivering highly accurate, in-depth results.
What Can DUTCH Tests Measure?
Depending on the panel chosen, DUTCH tests can measure:
- Sex hormones: estrogen, progesterone, testosterone, and their metabolites
- Adrenal hormones: cortisol, cortisone, DHEA
- Melatonin: for insight into sleep/wake cycles
- Organic acids (on certain panels): like B-vitamin markers, oxidative stress, neurotransmitter metabolites
This combination provides a full-spectrum view of hormonal function, including how well your body is metabolising and detoxifying these hormones.
The Different Types of DUTCH Tests
Not all DUTCH tests are the same. Here’s a quick overview of the most popular ones:
1. DUTCH Complete
This is the foundational test that covers:
- Sex hormones
- Cortisol and cortisone (over 24 hours)
- Hormone metabolites
- Melatonin
Best for: A broad look at sex and adrenal hormones, ideal for most people starting out.
2. DUTCH Plus
Includes everything in the DUTCH Complete, plus saliva samples to assess the Cortisol Awakening Response (CAR).
Best for: People dealing with stress, burnout, fatigue, or sleep disturbances.
3. DUTCH Cycle Mapping
Maps estrogen and progesterone patterns across an entire menstrual cycle.
Best for: Women with irregular cycles, fertility concerns, PCOS, or unclear hormonal symptoms tied to their cycle.
4. DUTCH Complete + Cycle Mapping
Combines the full hormone/adrenal picture with detailed cycle data.
Best for: Complex cases where both daily hormone rhythms and monthly fluctuations need evaluation.
Who Should Consider DUTCH Testing?
DUTCH testing may be especially helpful if you’re experiencing:
- Chronic fatigue or burnout
- PMS or irregular periods
- Fertility struggles
- Perimenopausal or menopausal symptoms
- Anxiety, depression, or mood swings
- Trouble sleeping
- Suspected PCOS or endometriosis
- Low libido or erectile dysfunction
It’s also useful if you’ve had normal blood hormone results but still feel “off.” DUTCH can reveal underlying imbalances that routine lab work might miss.
How to Choose the Right DUTCH Test for You
Choosing the right test depends on your symptoms, cycle status, and health goals. Here’s a quick guide:
- New to hormone testing? → Start with DUTCH Complete
- Struggling with fatigue or stress? → Go for DUTCH Plus
- Irregular periods or fertility issues? → Try DUTCH Cycle Mapping
- Complex, multi-symptom concerns? → Consider DUTCH Complete + Cycle Mapping
If you’re unsure which DUTCH test is right for you, book a free call with me to find the best option for your needs
What Happens After the Test?
Once you send your samples back to the lab, results usually arrive within 2-3 weeks. The lab provides a detailed report, but it’s intended for trained practitioners like myself. I’ll review your hormone patterns, identify any imbalances, and help you create a targeted plan that may include lifestyle changes, supplements, or further testing.
Final Thoughts
Hormone imbalances can affect everything from energy and sleep to mood and metabolism, but they’re often overlooked or misunderstood. DUTCH testing is a powerful tool that can uncover hidden issues and help you take control of your health.
If you’re tired of guessing and want real answers, DUTCH might be exactly what you need.
Curious about whether DUTCH testing is right for you?
Book a free chat with me to discuss your health concerns and determine which DUTCH test is the best fit for you. The path to feeling better often starts with understanding what’s happening under the surface.