DUTCH TEST

What Is The DUTCH Test?

If you have concerns about your hormonal health and suspect that you may have a hormonal imbalance, or if you are struggling to understand the reasons for your symptoms, a DUTCH test may be a perfect solution for gathering answers.  

When it comes to functional testing, DUTCH is one of the most advanced and comprehensive. It offers the most accurate way to assess your hormonal health. 

The Dutch model of hormone testing was developed to improve on available hormone testing. The DUTCH complete and DUTCH Plus offer the most extensive profile of sex and adrenal hormones along with their metabolites.  Additionally, the daily (diurnal) pattern of free cortisol is included along with melatonin (60HMS) and 8-OHdG (an oxidative stress marker) This unique combination of clinical information is not available by any other method.

DUTCH Testing Offers

Effective Hormone Replacement Therapy (HRT) Monitoring 

Dutch testing was specifically made to be effective for most forms of hormone replacement therapy. Unique methods are used for improved monitoring of oral progesterone and vaginal hormones. 

The Easiest Patient Collection

You will collect four to five dried urine samples over a 24-hour period. With the DUTCH Plus you will also collect 6-7 salivary samples within the same 24-hour period. Dried urine samples are stable for weeks and can provide the MOST information about your hormones. The collection is done in the convenience of your own home.

No spitting into tubes, blood draws, or carrying around jugs of urine.  

Traditional Hormone testing options include – serum, urine or saliva.

Each of these testing methods is a viable option but all have significant limitations and can be inconvenient. Blood and saliva tests do not measure metabolized cortisol (all that your body is making) or estrogen & androgen metabolism (how your body is using it), nor do they track hormone replacement as thoroughly. Test sensitivity in traditional methods is not sufficient, particularly for postmenopausal women to discern the different types and levels of estrogen that may be impacting their health. DUTCH addresses these shortfalls giving you more pieces to your hormone puzzle. A wealth of information, rather than just hormone levels can be determined from this one single test. 

One of the most important measurements revealed is how well you are able to clear or eliminate estrogens from your body. Whether you make it or take it, you must eliminate it once it has served its purpose. The inability to eliminate estrogen well, especially if your body makes more of the “bad type” through metabolism, can put you at risk for a host of problems such as estrogen-related cancers – breast, cervical, and uterine.

DUTCH Complete Measures 

• Estrogen
• Progesterone
• Testosterone
• DHEA and DHEAS
• Melatonin
• Free cortisol pattern
• Total cortisol
• Metabolized cortisol
• Neurotransmitter metabolites
• Estrogen metabolites
• Androgen metabolites
• 6 Nutritional organic acids 
  • vitamin B6 (xanthurenate / kynurenate) 
  • vitamin B12 (methylmalonate)
  • glutathione (pyroglutamate)
  • dopamine (homovanillate)
  • norepinephrine / epinephrine (Vanilmandelate)
• Oxidative stress (8-oHdG)

DUTCH Plus Measures all in the DUTCH complete plus salivary cortisol and cortisol awakening response for the best assessment of adrenal function and diurnal pattern. 

Testing with DUTCH may help guide treatment for the following health problems 

• Menopause and Perimenopause symptoms 
• Weight-loss resistance
• Infertility 
• PCOS
• Insomnia and sleep disturbances
• Fatigue
• HPA axis dysregulation & adrenal exhaustion 
• Acne
• PMS or PMDD
• Painful, irregular, or heavy periods
• endometriosis
• Estrogen Dominance 
• Fibroids & 
• Painful or fibrocystic breasts
• Poor stress tolerance
• Anxiety, depression, mood swings
• Migraines 
• Faulty estrogen metabolism and methylation
• Sluggish liver detoxification 
• Sluggish COMT activity
• Monitoring or starting BHRT
• Performance
• Loss of libido
• And more….

If you wish to evaluate your hormone health and more using the DUTCH test or if it has been recommended by Dr. Krail-Javier, DNP please see collection instructions below. You can also call the office or message us through the secure portal for assistance.