DUTCH Hormone Test for Comprehensive Hormonal Health Insights in Singapore
Hormonal imbalance is one of the most under-recognised drivers of chronic symptoms, especially for women juggling work, family, and life in Singapore. PMS, PMDD, painful periods, menopause symptoms, fertility issues, stubborn weight, anxiety, brain fog, fatigue, and sleep problems all trace back to how your body produces, metabolises, and clears hormones across each day. A single morning blood test cannot capture that picture, and most people leave their GP appointment with the same advice they came in with.
At NutraNourish, we use the DUTCH Test (Dried Urine Test for Comprehensive Hormones), the most thorough hormone panel currently available, to map your full hormonal landscape from the comfort of your home. Across four dried urine samples collected in a single day, the DUTCH Complete measures sex hormones (estrogen, progesterone, testosterone, DHEA) and their metabolites, the cortisol diurnal pattern and cortisol metabolism, melatonin, and key organic acid markers including B6, B12, glutathione, neurotransmitter metabolites, and oxidative stress. Each report is interpreted by Dr. Menka Gupta and turned into a personalised hormonal health program addressing the root cause, not just the symptoms.
Find out exactly what your hormones are doing.
Get a complete picture of your sex hormones, cortisol rhythm, and hormone metabolism backed by functional medicine, interpreted by Dr. Menka Gupta.
Get To Know Dr Menka
Dr. Menka Gupta* has been practicing functional medicine since 2012 and is the first Institute for Functional Medicine Certified Practitioner (IFMCP) in South Asia. She has helped more than 12,000+ patients with complex and chronic health issues related to Digestive disorders, Anxiety, Depression, Chronic fatigue, Thyroid, Autoimmunity, Eczema, Autism. She has more than 25 years of experience in the health and wellness field in London and Singapore.
Dr. Menka Gupta*, MBBS, MSc, FMCP-M
IFM-Certified Functional Medicine Practitioner • 25+ Years Experience
✓ Medically Reviewed •
What is a DUTCH Test?
The DUTCH Test short for Dried Urine Test for Comprehensive Hormones is the most thorough hormone test currently available. Rather than measuring a single blood draw at one moment in the day, the DUTCH test collects four dried urine samples across one day, capturing not just hormone levels but how those hormones are produced, metabolised, and cleared by your body across a full daily cycle.
This matters because hormones do not sit at a fixed level cortisol, for example, follows a daily rhythm that peaks in the morning and falls through the day. A single blood test cannot capture that rhythm. The DUTCH test can, and it also goes a step further: it measures hormone metabolites, the breakdown products that reveal how your body is actually processing each hormone. Two people can have identical estrogen levels on a blood test but completely different metabolite profiles, and it is the metabolite pattern that often explains why one person has symptoms and the other does not.
The DUTCH Complete panel measures:
Sex hormones and their metabolites
estrogen (estradiol, estriol, estrone), progesterone, testosterone, DHEA, and the metabolic pathways through which each is processed
Cortisol rhythm and metabolism
free cortisol across four time points (the diurnal pattern), plus total cortisol metabolites, giving a complete view of adrenal function and stress response
Melatonin
your primary sleep hormone
Organic acid markers
nutritional indicators (B6, B12, glutathione), neurotransmitter metabolites, and oxidative stress markers
The test is processed by Precision Analytical, the US-based laboratory that developed the DUTCH platform. Results are interpreted by Dr. Menka and translated into a personalised functional medicine plan addressing not just hormone levels but the upstream drivers of imbalance stress, nutrient status, gut health, detoxification capacity, and lifestyle factors.
Who Should Take a DUTCH Test?
- ✓Feeling Ignored or dismissed by Healthcare Providers?
- ✓Have more questions than answers after your appointments?
- ✓Have a pervasive sense of malaise or ill-health?
- ✓Tired of assessments That Only Mask Symptoms?
- ✓Are you facing issues with fertility?
- ✓Overwhelmed by Balancing Health, Work, and Family?
- ✓Mood Fluctuations: Are you experiencing mood swings or unexplained irritability?
- ✓Menstrual Irregularities: Is your menstrual cycle unpredictable or accompanied by severe symptoms?
- ✓Sleep Challenges: Do you struggle with insomnia or unrefreshing sleep?
- ✓Weight Concerns: Have you noticed unexplained weight gain or difficulty in losing weight?
- ✓Skin and Hair Changes: Are you dealing with acne, hair loss, or other skin and hair issues?
If you’re nodding your head “YES” to any of these, this is for YOU.
Turn your dream of a vibrant personal life and the focus to conquer your health goals into a reality.
Which Health Issue Does It Help?
- Fatigue
- Stress
- Anxiety
- Fertility problems, polycystic ovarian syndrome (PCOS)
- Sleep problems
- Hair loss
- Decrease in muscle mass or bone density
- Depression
- Aching joints
- Resistant weight loss
- Menopause
- Loss of libido
- Lowered immunity
- Endometriosis, PMS, painful periods, fibrous breasts, fibroids, tender breasts, moodiness, and more
- Risks of estrogen-related cancers such as breast, cervical and uterine cancers
- Pelvic pain, endometriosis vulvodynia, erectile dysfunctions
- Brain fog
Benefit of Good Hormonal Health
- Better sleep
- Improved Energy
- Good mood
- Better menstrual symptoms
- Vitality
Benefits of DUTCH Testing
Why Is DUTCH Testing Important?
Imagine waking up to exhilarating possibilities, where your health struggles are a distant memory. Balance hormones lead to:
Step-by-Step Process
DUTCH Hormone Test Procedure
The DUTCH Complete Hormone Test is a simple, non-invasive at-home test that uses dried urine samples collected on filter paper. Four samples are taken at specific times over a single day to capture how your hormones rise and fall across a full daily cycle, something a single blood draw cannot do. There are some specific prep steps required to ensure accurate results, so please follow the instructions below carefully.
The DUTCH Hormone Test is performed at home over a single day. It includes:
How It Works
01
Before Collection
- Schedule the right collection day. For menstruating women, the test is usually performed during the luteal phase of your menstrual cycle (typically between days 19 to 22 of a 28-day cycle), unless otherwise instructed.
- For men, samples can be collected on any day.
- Read all kit instructions carefully before starting.
- Plan your 4 collection times for the day: first morning urine on waking, 2 hours after waking, around dinner time, and at bedtime.
- Follow your normal sleep-wake schedule on collection day so the timed samples accurately reflect your daily hormone rhythm.
- Make sure you have a clean, dry surface ready to lay the cards flat for drying after collection.
02
Collecting the Sample
- Use the 4 dried urine collection cards (filter paper strips) provided in the DUTCH kit.
- Collect your first sample first thing in the morning, immediately upon waking.
- Collect your second sample 2 hours after waking.
- Collect your third sample around dinner time.
- Collect your fourth and final sample at bedtime, just before going to sleep.
- Apply urine to each designated collection card exactly as instructed in the kit.
- Label each card clearly with your name, date of birth, and the time of collection.
03
After Collection
- Allow each collection card to air-dry completely before packing. Drying typically takes a minimum of 24 hours.
- Do not seal or package the cards while they are still damp, since moisture can compromise sample integrity.
- Once all 4 cards are fully dry, place them into the provided packaging.
- Complete the requisition form included in the kit with all required details.
- Store the sealed package at room temperature until you are ready to ship it out.
04
What Happens Next
- Schedule a courier pick-up, we arrange shipping to Precision Analytical Lab in the USA.
- The lab analyses your samples for sex hormones, cortisol patterns, melatonin, and organic acid markers.
- Results typically take 3 to 4 weeks from the date the lab receives your samples.
- Dr. Menka Gupta personally reviews your report and walks you through it in your 1-hour consultation.
- Receive your personalised DUTCH Hormone Health Program covering nutrition, supplements, and lifestyle adjustments.
Your Complete Report
What Will A DUTCH Test Tell Me?
The DUTCH Complete Hormone Test gives you a deep, multi-layered view of your hormonal health from a single day of dried urine samples. Specifically, it tells you:
Program Inclusions
What You Get / Kit Inclusions with the Hormone Health Program?
Why Choose Nutranourish’s Dutch Hormone Health Program?
- Accurate & Comprehensive Hormone Testing: The DUTCH test revolutionizes hormone testing by providing comprehensive insights into sex hormones and their metabolites.
- In-Depth Cortisol Analysis: It offers a detailed view of the diurnal pattern of free cortisol, crucial for understanding stress and energy levels.
- Comprehensive Cortisol Metabolite Assessment: The test goes beyond basic cortisol levels, examining the total and distribution of cortisol metabolites for a complete picture of adrenal health.
- Organic Acids Test (OATs) Included: Provides valuable insights into nutritional deficiencies, oxidative stress, gut dysbiosis, melatonin levels, neuroinflammation, and more, contributing to a holistic health overview.
- Root Cause of Hormone-Related Symptoms: Ideal for addressing various symptoms like fatigue, weight gain, hair loss, and mood swings through a detailed hormonal understanding.
- Personalized Functional Medicine Plans: With the data from the DUTCH test, our leading functional medicine expert crafts personalized strategies to address your unique hormonal health needs.
- Integrated with hormone, thyroid, and gut testing: Cortisol rarely behaves badly in isolation. We can combine the Adrenocortex profile with DUTCH hormone, thyroid, and GI-Map testing to give you a complete picture, all coordinated under one practitioner.
How it works
- Enrol on our Dutch Hormone Health program
- Ship the urinary samples to Precision Lab
- Get results in 3 weeks
- Consult Dr Menka to create your hormone health program.
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Frequently Asked Questions (FAQ)
When will the dutch test kit be delivered?
The lab test kit will be arranged within 3 days – 2 weeks of the payment. For Singapore clients: The lab test kit will be arranged within 3 working days of the payment. For Overseas clients: The lab test(s) will be arranged within 1-2 weeks of the payment.
How is the functional testing done?
For Singapore clients: You will also receive an email with instructions on how to send the samples to the lab overseas with our courier partner. After the collection of the sample is done, you will need to let us know one working day in advance and we will arrange a courier to pick up your samples and take them to the respective laboratories. For Overseas clients: The instructions to courier the lab kit with our courier partners will be in the kit itself or will be emailed to you
Do I need special paper works for custom clearance and shipping of samples?
Yes, For the local and overseas client – The required documents will be sent to you by email upon shipping confirmation.
Where are the labs for functional testing based?
This is the top Advanced Hormonal functional testing lab called Precision lab in the USA.
Can I collect the sample for my DUTCH test a day before sending it?
For the Dutch test, you would need to leave the collection device open to dry for at least 24 hours before you can courier them.
When to send the samples?
Monday to Friday.
Sample Type?
Urine sample.
When is it ideal to collect the DUTCH Hormone Test Samples?
Men – Anytime. Women – “Collection day” is between day 19 to day 22 from the first day of the period for a 28-day cycle. If your cycle is longer or shorter then the instructions on when to collect the samples will be in the instruction sheet. Feel free to drop us an email in case you have any further queries. Your kit will have 4 sheets of laboratory paper to collect your samples. You are instructed to urinate on the paper at 4 different times: once around dinner time, once before bed, once when you wake up, and once 2 hours after waking. Please fill in the requisition form with your details and symptoms.
What can ruin my specimen collection?
Please follow the instructions given In the kit so that the samples are collected properly. As rarely, the samples are not good to be assessed and will need recollection. eg: You will be given specific instructions on how much water to drink so as to not dilute the urine.
What happens if there is an issue with my samples?
We will notify you as soon as the lab notifies us to resend the samples. Please note that there will be a lab kit and courier fees charged to you.
Are the DUTCH hormone lab test kits covered by Insurance?
If your insurance is comprehensive and covers functional medicine, nutrition, wellness then only the lab test can be covered. Please check with your insurance provider to check if they cover these services.
How long does it take to receive my results from the lab?
It will take approximately 4 weeks to receive your results.
If I have questions about my DUTCH hormone test results, whom should I ask?
You may book a consultation with our functional medicine practitioner who has been helping patients worldwide with hormonal issues for over a 15 years now. They have helped many clients with various health issues as they explain your report and make a functional medicine protocol to help with these hormonal imbalances.
How many follow up sessions do I need to get the best out of the Dutch Hormonal Health program?
Usually the Dutch Hormonal Health program will need 1-2 follow up sessions to do the step by step hormone healing program. The number of follow up sessions will depend on your Dutch hormone result.
What hormones does the DUTCH test measure?
Here are some areas that Dutch test uncovers:
Estrogen (Estradiol, Estriol and Estrone); Progesterone and their metabolites; Testosterone and their metabolites; Diurnal Variations of Cortisol; Nutritional organic acids; Deficiencies of B6, B12, and glutathione; Neurotransmitter metabolites; Melatonin; Hormone metabolites (the breakdown products of hormones which can tell us how your body is effectively, or ineffectively using the hormone – this may be the cause of one’s hormone imbalance); Oxidative Stress (DNA damage).
What type of samples are required for the DUTCH hormone test?
The DUTCH hormone test requires urine samples, collected using a dried urine collection method. Samples are taken at specific times throughout the day to evaluate hormone levels, hormone metabolism, and daily hormone patterns.
What symptoms can the DUTCH test help investigate?
The DUTCH Complete Hormone Test helps explore underlying hormone patterns that may be linked to a wide range of symptoms. It looks at how your body produces and processes key hormones, offering deeper insight than standard tests.
It may help investigate symptoms related to: Energy & mood Fatigue, stress, anxiety, low mood, brain fog; Sleep & recovery Poor sleep, lowered immunity, muscle or bone loss; Weight & metabolism Resistant weight gain or difficulty losing weight; Hair & skin Hair thinning or hair loss; Reproductive & sexual health Fertility concerns, PCOS, menopause symptoms, low libido, erectile dysfunction, pelvic pain; Menstrual & hormone-related symptoms PMS, painful periods, endometriosis, fibroids, breast tenderness, mood swings; Long-term hormone balance Estrogen-related health risk patterns.
By connecting symptoms with hormone patterns, the DUTCH test supports more personalised and targeted care.
Do I need to stop supplements or medications before the DUTCH test?
Most supplements and medications do not need to be stopped before taking the DUTCH Test. The test is designed to reflect your body’s hormone patterns under normal, real-world conditions.
However, some hormones, medications, and supplements may influence results. Please consult your practitioner if you are taking: Oral contraceptives, hormone replacement therapy, corticosteroids, or other hormones; 5-HTP, Tryptophan, SAMe, Tyrosine, L-Dopa, DLPA, Mucuna, Quercetin, or St. John’s Wort.
In some cases, timing adjustments or temporary changes may be recommended based on DUTCH Test guidelines to ensure accurate results. Do not stop any medication or supplement without medical guidance. Your practitioner will help interpret your results in context and advise on any necessary preparation.
How do I make sure the sample collected is correct?
Collect your urine samples at the recommended times (morning, 2 hours after waking, afternoon, and before bed). Use the collection cards as instructed, allow each sample to fully dry, and avoid touching the urine spots. Wash your hands before handling the cards, complete all required samples, and return them promptly using the provided envelope. Following these steps helps ensure accurate results for your practitioner.
Does the DUTCH Test look at thyroid?
No, it doesn’t. No, it doesn’t test thyroid function, but it can help identify the root causes of thyroid hormone imbalances.
Do you offer the DUTCH Hormonal Health Program online globally?
Yes, we offer online consultations for patients globally and assist with arranging advanced laboratory tests from US labs, as well as delivering pharmaceutical-grade supplements directly to their homes. For example, you can also explore our dedicated DUTCH Hormonal Test & Health Program for India to access insights and consultation options tailored specifically for patients in India.
📚 References (20 sources)
- 1Newman M, Pratt SM, Curran DA, Stanczyk FZ. Evaluating urinary estrogen and progesterone metabolites using dried filter paper samples and gas chromatography with tandem mass spectrometry (GC-MS/MS). BMC Chemistry. 2019;13(1):20. View source
- 2Newman M, Curran DA. Reliability of a dried urine test for comprehensive assessment of urine hormones and metabolites. BMC Chemistry. 2021;15(1):18. View source
- 3Samavat H, Kurzer MS. Estrogen metabolism and breast cancer. Cancer Letters. 2015;356(2):231-243. View source
- 4Tsuchiya Y, Nakajima M, Yokoi T. Cytochrome P450-mediated metabolism of estrogens and its regulation in human. Cancer Letters. 2005;227(2):115-124. View source
- 5Stalder T, Kirschbaum C, Kudielka BM, et al. Assessment of the cortisol awakening response: expert consensus guidelines. Psychoneuroendocrinology. 2016;63:414-432. View source
- 6Adam EK, Quinn ME, Tavernier R, McQuillan MT, Dahlke KA, Gilbert KE. Diurnal cortisol slopes and mental and physical health outcomes: a systematic review and meta-analysis. Psychoneuroendocrinology. 2017;83:25-41. View source
- 7Russell G, Lightman S. The human stress response. Nature Reviews Endocrinology. 2019;15(9):525-534. View source
- 8Tordjman S, Chokron S, Delorme R, et al. Melatonin: pharmacology, functions and therapeutic benefits. Current Neuropharmacology. 2017;15(3):434-443. View source
- 9Teede HJ, Tay CT, Laven JJ, et al. Recommendations from the 2023 international evidence-based guideline for the assessment and management of polycystic ovary syndrome. Fertility and Sterility. 2023;120(4):767-793. View source
- 10Rosenfield RL, Ehrmann DA. The pathogenesis of polycystic ovary syndrome (PCOS): the hyperandrogenic mediator and intrinsic ovarian steroid imbalance. Endocrine Reviews. 2016;37(5):467-520. View source
- 11Santoro N, Roeca C, Peters BA, Neal-Perry G. The menopause transition: signs, symptoms, and management options. Journal of Clinical Endocrinology & Metabolism. 2021;106(1):1-15. View source
- 12Davis SR, Lambrinoudaki I, Lumsden M, et al. Menopause. Nature Reviews Disease Primers. 2015;1:15004. View source
- 13Mesen TB, Young SL. Progesterone and the luteal phase: a requisite to reproduction. Obstetrics and Gynecology Clinics of North America. 2015;42(1):135-151. View source
- 14Vingren JL, Kraemer WJ, Ratamess NA, Anderson JM, Volek JS, Maresh CM. Testosterone physiology in resistance exercise and training: the up-stream regulatory elements. Sports Medicine. 2010;40(12):1037-1053. View source
- 15Marchand GB, Carreau AM, Weisnagel SJ, et al. Increased 5α-reductase activity and adrenocortical drive in women with polycystic ovary syndrome. Reproductive Sciences. 2016;23(7):904-912. View source
- 16Bulun SE. Mechanisms of disease: endometriosis. New England Journal of Medicine. 2009;360(3):268-279. View source
- 17Stewart EA, Cookson CL, Gandolfo RA, Schulze-Rath R. Epidemiology of uterine fibroids: a systematic review. BJOG. 2017;124(10):1501-1512. View source
- 18Hellhammer DH, Wüst S, Kudielka BM. Salivary cortisol as a biomarker in stress research. Psychoneuroendocrinology. 2009;34(2):163-171. View source
- 19Ervin SM, Li H, Lim L, et al. Gut microbial β-glucuronidases reactivate estrogens as components of the estrobolome that reactivate estrogens. Journal of Biological Chemistry. 2019;294(49):18586-18599. View source
- 20Lord RS, Bralley JA. Clinical applications of urinary organic acids. Part 2. Dysbiosis markers. Alternative Medicine Review. 2008;13(4):292-306. View source
Your Hormones could help you prevent Chronic Conditions
Learn how your HORMONES affect anxiety, mood, fertility problems, sleep problems and hair loss and get actionable insights to help you manage and prevent hormonal dysfunction.