DUTCH test (Dried Urine Test for Comprehensive Hormones) is a stress test and the complete analysis of your hormones using dried urine. All hormones are analyzed from a few samples of urine on a scrap piece of paper. So you don’t have to go to a lab to get your blood taken and the analysis is trustworthy and accurate. At the same time, it offers some exclusive features.
What does DUTCH complete analyze?
- Stress hormones four times a day, which means you also get to observe your circadian rhythm.
- Metabolites of your stress hormones, which are in fact the best indicator of the stress your entire body is experiencing.
- Other adrenal gland hormones, which help assess the HPA axis activity.
- Melatonin otherwise known as the “sleep” hormone.
- Female hormones and their metabolites, which help gather information about various diseases including estrogen dominance and cancer susceptibility.
- Male hormones and their metabolites, which help assess the activity of enzymes like 5α-reductase.
The full list of the analyzed hormones can be found at the bottom of this article.
The main advantages of DUTCH complete against other hormonal test
DUTCH complete is designed to get rid of the flaws of currently available hormonal tests that take samples from saliva, urine or blood. Its primary advantages are:
- easy and non-invasive gathering of samples at home,
- measuring cortisol, estrogen and androgen metabolites and consequently a better insight into the hormonal condition of your body,
- measuring other adrenal hormones, which help determine the activity of the gland,
- measuring cortisol four times during the day which helps determine your circadian rhythm,
- better testing procedures for people who are getting hormone therapy (HRT), especially for vaginal hormone applications.
Who is DUTCH complete appropriate for?
- chronic sleepiness and fatigue,
- poor sleep and insomnia,
- problems waking up and low energy levels in the morning,
- tiredness during the day (at your job, in front of the computer or in the car),
- unexplained swellings and bloating,
- too much energy in the evenings,
- lack of motivation for work,
- unexplained obesity,
- unexplained loss of muscle mass,
- low libido, dry vagina or erectile dysfunction,
- feeling burned-out,
- Polycystic Ovary Syndrome (PCOS),
- cancer, especially breast and prostate cancer (estrogen cancer),
- preventative when experiencing high amounts of stress,
- people who have night or shift work and/or frequent travel through time zones,
- sportsmen during training and competitions,
- menstrual problems,
- troubles with menopause,
- depression, anxiety and especially panic disorder,
- other unexplained symptoms.
How is the testing carried out?
The test is very simple. You will receive a package that contains five scraps of paper and the instructions. The preparation for the test isn’t hard and only requires excluding energy drinks and coffee from your diet for half a day. The test is carried out during a normal work day, which appropriately represents your levels of daily stress (which means you don’t carry it out during a weekend or a vacation).
Women during menstruation receive special instructions which day in the cycle they have to collect the samples, so that the results accurate.
The same goes if the person is taking hormone therapy.
Taking samples is also simple, you must urinate on the scrap of paper and then dry it on the open air. Then you write your information on the paper and pack it all up in to the included envelope and send it to the lab via mail.
It usually takes two weeks for the lab to analyze your samples. With the results I then find out how much stress your body is experiencing and if the adrenal glands are working properly. After that you receive both the analysis of the samples and the tests via e-mail.
What do the results look like?
The test is comprised of three groups; those are:
- On the first page you can find a summary of the entire test, which show three major sex hormone groups, circadian rhythm of the free cortisol, the total metabolites of cortisol and the adrenal hormone DHEA.
- The second group is a detailed scheme of sex hormones that shows the conversion in the body and the function of enzymatic systems.
- The third group displays stress hormones, their circadian rhythm, conversion and secretion.
What can I expect when I receive the stress test results?
Depending on the results you will receive a plan for changes that will affect your circadian rhythm and stress. The changes include diet, physical activity, lowering stress perception, relaxation techniques, sleep routines and if necessary nutritional supplements. The entire plan is prepared for you personally, according to your lifestyle so far and the test results.
Creatinine A (when waking up)
Creatinine B (morning)
Creatinine C (afternoon)
Creatinine D (at night)
Cortisol A (when waking up)
Cortisol B (morning)
Cortisol C (afternoon)
Cortisol D (at night)
Cortisone A (when waking up)
Cortisone B (morning)
Cortisone C (afternoon)
Cortisone D (at night)
Metabolized cortisol (THF + THE)
Melatonin (when waking up)
Evaluation of progesterone
Evaluation of methylation processes