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Unleashing the Power of DUTCH Comprehensive Hormone Testing: A Must for Women

As women age, their bodies undergo significant hormonal changes that can affect various aspects of their health and well-being. Hormone imbalances can lead to a host of symptoms, ranging from mood swings and weight gain to sleep disturbances and decreased libido. To address these concerns, healthcare professionals are increasingly turning to a revolutionary diagnostic tool known as DUTCH comprehensive hormone testing. In this article, we will explore the remarkable benefits of DUTCH testing and why it is invaluable for all women.

Understanding DUTCH Comprehensive Hormone Testing

The DUTCH test, an acronym for “Dried Urine Test for Comprehensive Hormones,” is a cutting-edge diagnostic method that provides a comprehensive analysis of hormone levels and metabolites in the body. Unlike traditional blood tests that only offer a snapshot of hormone levels at a single moment, DUTCH testing provides a more accurate and detailed picture of hormone production and metabolism over a 24-hour period.

Benefits of DUTCH Comprehensive Hormone Testing

1. Comprehensive Analysis

DUTCH testing measures a wide range of hormones, including oestrogen, progesterone, testosterone, cortisol, and their metabolites. This comprehensive analysis offers a holistic view of hormonal patterns, helping to identify imbalances, deficiencies, and potential underlying causes of symptoms.

2. Individualised Client Protocols

Every woman is unique, and so are her hormone levels. DUTCH testing provides personalised insights into an individual’s hormone profile, enabling practitioners to tailor treatment plans specifically to their client’s needs. By identifying imbalances, we can use targeted interventions, such as diet and lifestyle changes, nutritional supplements or natural remedies, to restore hormonal harmony.

3. Hormone Metabolism Evaluation

DUTCH testing goes beyond measuring hormone levels by examining hormone metabolites. This is crucial because imbalances in hormone metabolism can play a significant role in the development of various health conditions, including breast cancer and cardiovascular disease. By assessing hormone metabolites, DUTCH testing offers valuable information about how hormones are processed and cleared from the body.

4. Circadian Rhythm Insights

Hormones follow a natural circadian rhythm, with levels fluctuating throughout the day. DUTCH testing collects multiple urine samples over a 24-hour period, allowing for a comprehensive assessment of hormonal patterns. This helps detect abnormalities in hormone secretion, such as cortisol dysregulation, which can impact sleep, energy levels, and stress management.

5. Tracking Progress

DUTCH testing is not a one-time test. It can be used to track progress of diet and lifestyle changes and supplement interventions over time. Regular follow-up tests provide a clear indication of how protocols are influencing hormone levels and metabolism, enabling us to make necessary adjustments to your health plan to achieve optimal results.

6. Early Detection of Hormonal Disorders 

Hormonal imbalances, if left untreated, can lead to chronic conditions. DUTCH testing can help identify early signs of hormonal disorders, such as polycystic ovary syndrome (PCOS), adrenal fatigue, or thyroid dysfunction. Early detection empowers women to take proactive steps towards improving their hormonal health and preventing the development of more severe conditions.

Popular DUTCH Tests

1. DUTCH Complete

The DUTCH Complete is the flagship DUTCH test. It consists of four or five dried urine samples collected over the course of 24 hours. The DUTCH test looks at sex hormones and their metabolites, the overall diurnal pattern of free cortisol, and the total and distribution of cortisol metabolites in addition to OATs which provide insight into nutritional deficiencies, oxidative stress, gut dysbiosis, melatonin, neuroinflammation and more.

This is an effective test for monitoring most forms of HRT (hormone replacement therapy).

Appropriate for the following:

-Postmenopausal women

-Women on birth control

-Women with cycles that follow the expected pattern

2. DUTCH Plus

This test includes the DUTCH Complete + Cortisol Awakening Response (CAR). The CAR is the immediate rise in cortisol upon awakening (within the first 60 minutes). It is a mini ‘stress test’ to the body, an indication of an individual’s perception of stress and ability to cope with it. It provides an insight into HPA (hypothalamic-pituitary-adrenal) resiliency. The addition of the CAR to the DUTCH complete provides a more complete assessment of hormones and stress response.

This test includes 4 dried urine samples + 5 saliva samples collected over the course of 24 hours.

Appropriate for the following:

-Women struggling with infertility

-Women with cycling hormones and no menses

-Partial hysterectomy (ovaries intact but no uterus)

-Women with irregular cycles


-If the luteal phase shifts from month-to-month (second half of the cycle – from ovulation until period commences)

-Not sure when to test due to long or short cycles

-Women whose hormonal symptoms tend to fluctuate throughout the cycle

-PMS, mid-cycle spotting, migraines, etc

3. DUTCH Cycle Mapping™

The DUTCH Cycle Mapping™ maps the the sex hormones progesterone and oestrogen pattern throughout the menstrual cycle. It provides the full picture of a woman’s cycle to answer important questions for patients with month-long symptoms, infertility, and PCOS. Nine different oestrogen and progesterone measurements are taken throughout the cycle to characterise the follicular, ovulatory, and luteal phases.

For some women, hormone testing on one day is sufficient, however for others it is not. Sometimes the full picture can only be seen when mapping out the entire cycle.

An expected cycle looks like this:

Day 1- the first day of menses. Oestrogen and progesterone are low

Day 1- day 14 (Follicular Phase) – Oestrogen rises until it peaks at ovulation around Day 14

Day 14 – Ovulation

Day 14- day 28 (Luteal Phase) – Oestrogen starts to fall and levels off, whilst progesterone rises and then drops back down at the end of the cycle

Any significant difference from this can lead to hormone imbalance or infertility.

The DUTCH Cycle Mapping is appropriate for the following:

-Women struggling with infertility

-Women with cycling hormones and no menses

-Partial hysterectomy (ovaries but no uterus)


-Women with irregular cycles

-Not sure when to test due to long or short cycles

-Women whose hormonal symptoms tend to fluctuate throughout the cycle

-PMS, mid-cycle spotting, migraines, etc

Is DUTCH testing necessary for Women over 40? 

While DUTCH comprehensive hormone testing can provide valuable insights into a woman’s hormonal health, whether it is necessary for women over 40 depends on their individual circumstances. Here are some factors to consider:

1. Are Symptoms Present?

If a woman over 40 is experiencing symptoms commonly associated with hormonal imbalances, such as hot flashes, mood swings, weight gain, or low libido, DUTCH testing can be beneficial. It can help identify specific hormone imbalances and guide appropriate treatment interventions.

2. Assess Ongoing Treatment

If a woman has already undergone hormone replacement therapy (HRT) or tried various diet, lifestyle or natural remedies and is not experiencing the desired results, DUTCH testing can be useful. It can help assess the effectiveness of these ongoing changes and guide adjustments or different approaches.

3. Health Conditions Present

Women over 40 with existing health conditions related to hormonal imbalances, such as polycystic ovary syndrome (PCOS) or thyroid dysfunction, may benefit from DUTCH testing. It can provide a comprehensive evaluation of hormone levels, metabolites, and circadian rhythms, helping to tailor health plans and monitor progress.

4. Personalised Approach to Healthcare

Some women may prefer a personalised and targeted approach to their healthcare. DUTCH testing offers a comprehensive analysis of individual hormone profiles, allowing for personalised health plans based on specific imbalances and deficiencies.

5. Preventative Approach to Your Health

DUTCH testing can help identify early signs of hormonal disorders and provide an opportunity for preventive measures. Women over 40 who are proactive about their health and want to optimize their hormonal well-being may find DUTCH testing valuable in detecting imbalances before they develop into more severe conditions.

DUTCH Comprehensive Hormone Testing is a Game Changer

DUTCH comprehensive hormone testing is a game-changer in women’s healthcare. By providing a detailed analysis of hormone levels, metabolites, and circadian rhythm patterns, DUTCH testing offers a comprehensive understanding of a woman’s hormone status. Armed with this valuable information, together we can create personalised health plans to restore hormonal balance, improving mood, energy, sleep and overall well-being and help women lose unwanted weight.

If you’re a woman experiencing symptoms of hormonal imbalance and wish to discuss whether DUTCH testing might be appropriate for you, contact me or book your discovery call now.



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