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.
Dried Urine Test for Comprehensive Hormones (DUTCH) FAQs
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.
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.
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.
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.
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.
It depends on your insurance provider, you should check with them to confirm the coverage.
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.
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