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Top 8 Reasons to Use The DUTCH Test

Top 8 Reasons to Use The DUTCH Test

Persistent fatigue. Mood swings. Unexplained weight gain. PMS. Hormone imbalances can cause a variety of unrelated symptoms. Traditional hormone testing methods often fall short of providing the insights needed for effective treatment. The DUTCH Test, or Dried Urine Test for Comprehensive Hormones, offers a unique and in-depth look at hormone levels, metabolites, and diurnal variations. This insight can help understand the root cause of many health conditions.

Top 8 Reasons to Use The DUTCH Test

1. Tackling Fatigue with Precise Diurnal Cortisol Measurement

Many suffer from chronic fatigue without understanding its underlying cause. The DUTCH test offers detailed cortisol patterns throughout the day, unlike a single-point measurement from blood tests. This insight can pinpoint issues with adrenal function, guiding targeted interventions to restore energy levels.

Dr Tom Guilliams says, “Cortisol measured correctly and at the right times can be a window to many things”. Understanding cortisol dysregulation and diurnal cortisol measurements can be used to help patients suffering from chronic stress and fatigue. Take a look at one of our recent success stories in tackling fatigue using the DUTCH test measurements.


2. Addressing Weight Management Challenges

Hormonal dysfunction plays a significant role in weight gain and difficulty losing weight. By analyzing hormones such as estrogen, progesterone, and testosterone and their metabolites as well as adrenal stress hormones, the DUTCH test helps identify the root cause of weight management challenges, paving the way for personalized functional medicine protocols to improve these issues

Dr. Carrie Jones, medical director at Precision Analytical, says, “The DUTCH test not only helps you understand what’s going on with estrogen, is it high or low, but also lets you see how is your body processing it.”. This additional information is extremely important in guiding a Functional Medicine practitioner in addressing underlying causes of weight gain and other hormone related health issues.

3. Unraveling Mood Swings and Emotional Well-being

Fluctuations in hormone levels can significantly impact mood and emotional health. The DUTCH test provides a comprehensive hormone profile, explaining the hormonal drivers behind mood swings and emotional disturbances. This information is invaluable in developing targeted treatments to improve mental health.

4. Improving Fertility and Reproductive Health

For those facing fertility challenges or reproductive health issues, understanding hormonal status is crucial. The DUTCH test not only evaluates reproductive and adrenal hormones but also offers insights into hormone metabolites, shedding light on potential obstacles to fertility and guiding more effective treatment protocols.

5. Supporting Menopause and Andropause Management

Transitioning through menopause or andropause can be a turbulent time due to shifting hormone levels. The DUTCH test provides a detailed analysis of hormone changes, assisting in the management of symptoms such as hot flashes, insomnia, and libido changes. Tailored hormone replacement therapy or functional medicine interventions can be more accurately prescribed, improving quality of life during these transitions.

6. Assessing “Vitality” Hormone

The DUTCH test also measures levels of DHEA-S, a key hormone produced by your adrenal glands. Often referred to as the “feel-good” or “vitality” hormone, DHEA is critical in maintaining your body’s overall health and well-being. Low levels of DHEA-S can lead to a range of issues, including fatigue, decreased muscle mass and bone density, depression, aching muscles, reduced immunity, and a diminished sex drive.

In my experience, addressing low DHEA-S can significantly improve quality of life, underscoring the test’s value in a comprehensive health assessment.

7. Enhancing sleep quality and duration: 

The DUTCH test helps us check overnight levels of melatonin, the body’s primary sleep hormone. By analysing metabolites of cortisol and melatonin, it can identify dysregulations that may contribute to insomnia, frequent waking, and poor sleep quality.  

In my experience, the ability of the DUTCH test to provide detailed information on melatonin and cortisol rhythms is a powerful diagnostic tool for treating sleep disorders. Correcting these imbalances through functional medicine protocols can significantly improve sleep quality, which is foundational to overall health.

8. Assessing Estrogen dominance: 

Estrogen dominance occurs when the body produces too much estrogen as compared to the amount of progesterone. Symptoms of estrogen dominance can be heavy menstrual bleeding, painful menses, breast tenderness, endometriosis, fibroids or inability to lose weight. The DUTCH test not only gives levels of estrogen and progesterone but also estrogen metabolism. Equipped with this knowledge, we can create a functional medicine protocol that will improve estrogen metabolism. This leads to improvement in symptoms of estrogen dominance.


The DUTCH test is a solution-oriented approach to common yet complex hormonal health issues. By measuring your hormone levels and their metabolites, it offers detailed insights into your hormonal health. This allows patients and practitioners to address the root causes of symptoms, leading to more effective and personalized functional medicine programs. If you’re struggling with symptoms that defy explanation, consider the DUTCH test as a critical step towards uncovering the answers and reclaiming your health.

In conclusion, the Dutch Test offers valuable insights into your hormonal health, empowering you to make informed decisions about your well-being. Remember, understanding your body’s intricate balance is the first step toward optimal health and vitality.

Frequently Asked Questions

When to take DUTCH Test OR What are the specific conditions or symptoms that might prompt a healthcare provider to recommend the DUTCH Test?

Healthcare providers might recommend the DUTCH Test for individuals experiencing symptoms of hormonal imbalances such as irregular menstrual cycles, symptoms of estrogen dominance, unexplained fatigue, mood swings, sleep disturbances, and issues related to stress and cortisol levels. It’s particularly useful for those who have not found answers through more conventional testing methods and are looking for a comprehensive hormonal overview to address complex symptoms or conditions like PCOS, endometriosis, and infertility.

How does the DUTCH Test compare to other hormone testing methods in terms of accuracy and reliability?

The DUTCH Test offers a detailed view of hormone levels over time. This is different from blood tests that provide a snapshot at a single point in time. Saliva tests usually donot capture the full range of hormone metabolites. Its accuracy and reliability come from the ability to measure hormone metabolites from dried urine samples, offering insights into how hormones are being processed by the body. This comprehensive analysis can help in understanding the root causes of hormonal imbalances more effectively than some other methods.

What are the steps involved in taking the DUTCH Test, and how does one interpret the results?

The DUTCH Test involves collecting urine samples at specific times over the course of a day, which are then dried and sent to a lab for analysis. This method allows for the measurement of hormones and their metabolites at different times, providing a detailed picture of the body’s hormonal rhythms. Interpreting the results typically requires the expertise of a healthcare provider trained in functional medicine. They can provide insights into the intricate balance of hormones and recommend personalized treatment plans based on the test findings.

When to take the DUTCH test? Is there any best time?

Ideally the DUTCH complete or sex hormone test is done on days 19, 20, 21, or 22 (or 5-7 days after ovulation is the goal) if the first day of bleeding is considered day 1. Short Cycle: Adjust the collection by the number of days a woman is short of 28 days. Read more about how menstrual cycle impacts your hormones levels.

Is DUTCH test good for fertility?

The DUTCH Cycle Mapping test measures estrogen and progesterone levels throughout the entire cycle. If you have irregular cycles or are struggling with fertility, the insights from this test can help us understand the underlying hormonal issues and help with a comprehensive plan for conceiving.

If you are concerned about your hormone health then you may also like to read the blog mentioned below:

Dr Menka Gupta


Dr. Menka Gupta, an IFM certified Functional Medicine Doctor, is now a member of IFM Certified Practitioners. IFM, the global leader in Functional Medicine, offers the gold standard IFM Certification Program (IFMCP).

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