DUTCH Hormone Testing
Hormones don’t work in isolation — and symptoms don’t happen “for no reason.”
The DUTCH Test (Dried Urine Test for Comprehensive Hormones) offers a deeper look at hormone patterns, metabolism, and stress response to help connect the dots between how you feel and what may be happening beneath the surface.
Rather than diagnosing conditions, DUTCH testing helps identify functional patterns that can guide education, lifestyle support, and next steps.
 
 
What Is the DUTCH Test?
 The DUTCH Test is a dried urine hormone test that measures:
  • sex hormones (estrogen, progesterone, testosterone)
  • adrenal hormones (cortisol and cortisone)
  • hormone metabolites (how hormones are processed and cleared)
  • stress response patterns
It provides more insight than standard blood tests alone, especially when symptoms persist despite “normal” labs.



Who DUTCH Testing May Be Helpful For?
DUTCH testing may be supportive if you’re experiencing:
  • irregular or painful cycles
  • PMS or PMDD symptoms
  • suspected or diagnosed PCOS
  • fatigue or burnout
  • sleep disturbances
  • weight changes or stubborn weight gain
  • stress-related symptoms
  • hormone concerns with “normal” labs
Testing is optional and only recommended when appropriate.
DUTCH Testing Options
DUTCH Complete

The DUTCH Complete provides a comprehensive look at sex hormones and cortisol patterns through dried urine samples.

What It Measures

  • Estrogen, progesterone, testosterone
  • Hormone metabolites (how hormones are broken down)
  • Daily cortisol pattern
  • Melatonin (sleep support marker)

Best For

  • Cycle irregularity
  • PMS or hormone-related symptoms
  • Suspected estrogen or progesterone imbalance
  • Foundational hormone insight



DUTCH Plus

The DUTCH Plus includes everything in the DUTCH Complete plus salivary cortisol and cortisone, offering deeper insight into stress response and cortisol clearance.

What It Measures

  • All markers from DUTCH Complete
  • Salivary cortisol & cortisone
  • Cortisol awakening response
  • Cortisol clearance patterns

Best For

  • Chronic fatigue or burnout
  • Stress-related symptoms
  • Sleep disruption
  • Blood sugar or energy crashes
  • Suspected adrenal dysregulation


DUTCH Cycle Mapping

DUTCH Cycle Mapping tracks hormone patterns across the menstrual cycle, offering insight into ovulation timing, luteal phase support, and cyclical hormone fluctuations.

What It Measures

  • Estrogen and progesterone patterns across the cycle
  • Ovulatory and luteal phase trends
  • Cycle-specific hormone dynamics

Best For

  • Trying to conceive
  • Irregular cycles
  • Suspected ovulation issues
  • Luteal phase symptoms
  • Deeper cycle awareness

DUTCH Cycle Mapping Plus

DUTCH Cycle Mapping PLUS builds on standard cycle mapping by adding salivary cortisol and cortisone, allowing us to view how stress physiology interacts with hormone patterns across the cycle.
This option is especially helpful when cycle irregularity, PMS, fertility concerns, or luteal phase symptoms are influenced by stress, fatigue, or adrenal patterns.

What It Measures

  • Estrogen and progesterone patterns across the menstrual cycle
  • Ovulatory and luteal phase trends
  • Cycle-specific hormone fluctuations
  • Salivary cortisol and cortisone
  • Cortisol rhythm and stress response during the cycle

Best For

  • Irregular or unpredictable cycles
  • Trying to conceive with suspected stress involvement
  • PMS or PMDD symptoms
  • Luteal phase deficiency concerns
  • Fatigue that worsens at certain points in the cycle
  • PCOS patterns where stress may be influencing ovulation


Frequently Asked Questions
Is DUTCH testing diagnostic?
No. DUTCH testing does not diagnose medical conditions. It provides functional insight to support education and informed decision-making.
Do I need to stop supplements or medications?
Preparation instructions are provided after ordering. Some supplements may need to be paused temporarily for accurate results.
Can I take this test if I’m not cycling?
Yes. Some versions of the DUTCH test can be completed regardless of cycle status. Cycle mapping is designed specifically for those who are cycling.
Can this replace fertility tracking or medical testing?
No. This test complements other tracking methods and medical evaluation but does not replace them.
Not Sure Which DUTCH Test Is Right for You?
Choosing the right test depends on your symptoms, history, and goals.
A free clarity call can help determine whether testing is appropriate and which option may be the best fit.

Disclaimer
Functional testing and educational services offered through this practice are not intended to diagnose, treat, cure, or prevent any disease. Testing is used to identify functional patterns and support education and informed decision-making. Clients are encouraged to work alongside their licensed healthcare providers.

© Manda Knight, FSH
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