The DUTCH Hormone Test: A Comprehensive Look at Hormonal Health

The DUTCH Test (Dried Urine Test for Comprehensive Hormones) is one of the most advanced tools available for evaluating sex and adrenal hormone function. It provides a detailed picture of how hormones are produced, metabolised, and eliminated—offering far more depth than standard blood or saliva testing.

Who Is the DUTCH Test For?

The DUTCH Test is ideal for individuals who are experiencing symptoms related to hormonal imbalance, including:

  • Irregular menstrual cycles or PMS

  • Infertility or trouble conceiving

  • Perimenopause or menopause symptoms

  • Low libido or sexual dysfunction

  • Chronic fatigue or burnout

  • Sleep disturbances

  • Mood swings, anxiety, or depression

  • PCOS or suspected androgen excess

  • Weight gain, especially around the middle

  • Suspected estrogen dominance or poor detoxification

What Does the DUTCH Test Measure?

There are a few options for DUTCH tests including:

  • DUTCH Complete

  • DUTCH Adrenal

  • DUTCH Cycle Mapping

DUTCH Complete & Adrenal uses four dried urine samples collected over a 24-hour period to measure a comprehensive array of biomarkers. Collection differs for DUTCH Cycle Mapping.

Here’s whats included in the DUTCH Complete:

1. Sex Hormones and Metabolites

  • Estrogens: Estradiol (E2), Estrone (E1), Estriol (E3)

  • Estrogen Metabolites:

    • 2-OH-E1

    • 4-OH-E1

    • 16α-OH-E1

    • Methylated metabolites (e.g., 2-Methoxy-E1)

  • Progesterone Metabolites:

    • α-Pregnanediol

    • β-Pregnanediol

  • Androgens:

    • Testosterone

    • DHEA-S

    • Androsterone

    • Etiocholanolone

    • 5α-DHT (Dihydrotestosterone)

    • Androgen metabolites for 5α-/5β-pathways

2. Adrenal Hormones

  • Cortisol awakening response (CAR)

  • Diurnal pattern of free cortisol

  • Diurnal pattern of free cortisone

  • Cortisol metabolites (THF, aTHF, THE)

  • Cortisone metabolites

  • DHEA-S

3. Organic Acids

Some DUTCH panels also include markers for:

  • Vitamin B6 & B12 status

  • Glutathione (oxidative stress)

  • Neurotransmitter metabolites (e.g., dopamine, norepinephrine/epinephrine)

  • Melatonin (6-OH-melatonin sulfate)

4. Other Markers

  • Creatinine (for normalisation)

  • Daily free cortisol pattern (diurnal curve)

Interested in DUTCH hormone testing?

If you’re interested in DUTCH Hormone Testing then let’s chat!

Book in a free 20-minute discovery call to discuss where you’re at in your health journey and whether a DUTCH Hormone Test could help get to the root of your health concerns.

Book your 20-minute discovery call