Dried Urine Test for Comprehensive Hormones (DUTCH)

Dried Urine Test for Comprehensive Hormones (DUTCH)

What is a DUTCH test?

This test is a non-invasive, comprehensive assessment of sex and adrenal hormones and their metabolites. It also includes daily, free cortisol patterns, organic acids, melatonin and more.

Hormonal imbalances may cause a variety of symptoms, including painful menstruation, breast soreness, weight gain, mood swings, food cravings, bloating, fatigue, brain fog and more. Moreover, ongoing hormonal dysregulation may increase the risk of endometriosis, uterine and ovarian cysts, and in some cases even oestrogen-driven cancers.

The DUTCH test may help with the assessment of existing hormonal imbalances. Understanding what biochemical imbalances contribute to your symptoms would allow the development of a targeted approach to address them.
The test is also very helpful for monitoring the effectiveness of Hormone Replacement Therapy.

Benefits of doing the DUTCH test

The DUTCH test provides a comprehensive assessment of your hormonal picture across a range of sex and adrenal hormones. It also evaluates the metabolism of these hormones, which depends on your nutrient status and genetic predisposition.
Understanding how effectively your body produces metabolises and detoxifies sex and adrenal hormones would help with developing a personalised strategy addressing your existing imbalances.

Additionally, the test provides an assessment of the key nutrients required for hormonal metabolisms, such as Vitamin B12, Vitamin B6 and Glutathione. A deficiency of any of these nutrients may aggravate your symptoms.

Furthermore, the DUTCH test also evaluates:

  • Melatonin level, which may be a contributing factor in insomnia, sleep disorders and more.
  • Neurotransmitters levels (dopamine, noradrenalin, adrenalin, serotonin) which may play a role in mood disorders, depression and fatigue.

What can DUTCH test results tell me?

The DUTCH test results may help with finding the root causes underlying your hormonal imbalances, such as:

  • Abnormal daily cortisol pattern may explain your low energy, insomnia and fatigue.
  • “Oestrogen dominance” or elevated oestrogen (or its metabolites) may be a contributing factor in painful and/or heavy periods, breast and ovarian cysts, endometriosis, infertility, and more.
  • Low progesterone levels may play a role in PMS, mood swings, bloating, headaches and infertility
  • Testosterone imbalances may explain low libido, low motivation, hair loss and acne.
  • DUTCH test results can also help monitor the effectiveness of Hormone Replacement Therapy.

What markers are measured in the DUTCH test?

The DUTCH Complete test measures:

Sex hormones and their metabolites, such as Oestrone, Oestradiol, Oestriol, Oestrogen metabolites (2-OH-E1, 4-OH-E1, 16-OH-E1, 2-Methoxy-E1, 2-OH-E2, 4-OH-E2), Progesterone metabolites (b-Pregnanediol, a-Pregnanediol), Testosterone and 5a-DHT..
Adrenal hormones and their metabolites (DHEA-S, Androsterone, cortisol, cortisone, b-THF, a-THF, b-THE)
Free cortisol daily pattern.
Free cortisone daily pattern
Organic acids (markers of Vitamin B12, B6 and Glutathione)
Neurotransmitter metabolites (dopamine, noradrenalin, adrenalin, serotonin)
Oxidative stress & DNA damage marker (8-OHdG)

See a sample report here

Investment: £525

Dried Urine Test for Comprehensive Hormones Results

Dried Urine Test for Comprehensive Hormones (DUTCH) FAQs

What is the DUTCH test?

The DUTCH test is a urine test that measures sex and adrenal hormones and their metabolites, including cortisol, DHEA, oestrogen, progesterone, and testosterone. It also measures melatonin, certain neurotransmitter levels and organic acids.

How is the DUTCH test different from other hormonal tests?

Both blood and saliva tests could be used to measure hormones. However, the DUTCH test measures both hormones and their metabolites (or intermediate products), giving a far more complete picture of a person’s hormonal metabolism.  Additionally, the DUTCH test measures melatonin, certain nutrients crucial for hormonal detoxification (such as Vitamin B6, Vitamin B12, Glutathione) and some neurotransmitters. 

What can DUTCH test results tell me?

DUTCH test results could identify what may be contributing to your symptoms. Some of the key hormonal imbalances include high or low cortisol levels, abnormal daily cortisol patterns, elevated oestrogen levels compared to progesterone, and testosterone imbalances.  It may also help guide treatment, including hormone replacement therapy.

How do I collect the samples for the DUTCH test?

The test kit includes instructions on how to collect your urine samples at specific times of the day and where to send them for analysis.

How long does it take to get the results?

The results will be available within 2-3 weeks of the lab receiving your samples. Your practitioner will then contact you to schedule your interpretation consultation. 

Can I order a DUTCH test online?

Yes, you can order a DUTCH test online through https://gutphilosophy.com/ and then schedule your interpretation consultation.

Is the DUTCH test covered by insurance?

It depends on your insurance provider, you should check with them to confirm the coverage.

What should I do with my results?

Your test results will be interpreted by a trained practitioner and discussed with you during one-hour interpretation consultation.  Based on your test results, you will receive personalised and targeted dietary and lifestyle recommendations, including supplementation.


What My Happy Clients Say!

“Elena has inspired me to start my health optimisation journey. She has done several functional tests for me (microbiome etc) and helped identify and treat a few issues they showed. It transpired I had candida (which explained some issues I had for years) and through following Elena’s advice, this has been sorted.

She has also tweaked my diet, encouraging me to include food groups I used to ignore and making sure my morning smoothies were balanced, teaching me optimum nutrition for better health. She has also given me advice on sleep, stress management, and weight loss. I have now lost 6kg following Elena’s recommendations and have never felt better.”

Fiona N.


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Hello, I’m Elena your data-driven Functional Nutritionist to help you achieve your goals.

I’m here to help you feel your best through nutritional and lifestyle changes.



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