DUTCH Hormone Testing

The most comprehensive hormone test available. Finally, answers.

Standard blood hormone panels measure a snapshot of your hormone levels at a single point in time, and often come back "normal" even when your symptoms are anything but. If you've been told your labs are fine while still dealing with fatigue, weight gain, mood swings, poor sleep, low libido, or unexplained chronic pain, the problem isn't that nothing is wrong. The problem is that the test wasn't looking deeply enough.

DUTCH stands for Dried Urine Test for Comprehensive Hormones. Developed by Precision Analytical, it is the gold standard in functional hormone testing, measuring not just your hormone levels, but how your body produces, uses, and eliminates hormones. That distinction is everything. Two patients can have identical estrogen levels and completely different health outcomes depending on which metabolic pathways their body uses to process it.

At Optimum Health, DUTCH testing is interpreted by our naturopathic doctors and integrated directly into your treatment plan, connecting your hormonal picture to your physical symptoms, recovery capacity, energy, mood, and long-term health risks.

What DUTCH testing measures:

• Sex hormones, Estrogen (E1, E2, E3), progesterone, and testosterone, plus their downstream metabolites including estrogen detoxification pathways linked to breast cancer risk and hormonal symptoms

• Androgens, DHEA, DHT, and androgen metabolites that explain symptoms like hair loss, acne, PCOS, and low libido in both men and women

• Adrenal hormones, Full cortisol mapping across the day, including the cortisol awakening response, free cortisol rhythm, and metabolized cortisol, the most comprehensive picture of stress hormone function available

• Organic acids, Nutritional markers (B6, B12, biotin), neurotransmitter metabolites (dopamine, norepinephrine, epinephrine), oxidative stress markers, gut health indicators, melatonin, and neuroinflammation markers

Who DUTCH testing is for:

• Women with PMS, PMDD, irregular cycles, perimenopause, or menopause symptoms

• Men experiencing fatigue, low testosterone, reduced performance, or mood changes

• Anyone on hormone replacement therapy (HRT) or bioidentical hormones who wants to monitor their levels precisely

• Athletes with unexplained fatigue, slow recovery, or performance decline

• Patients with chronic stress, adrenal burnout, or HPA axis dysfunction

• Anyone who has been told their hormones are "normal" but still doesn't feel well

What to expect: DUTCH testing uses dried urine samples collected at specific times over a 24-hour period, no needles, no clinic visit for the test itself. Your sample is sent to the Precision Analytical laboratory and results are returned as a detailed clinical report. Your provider at Optimum Health will review your results in plain language, explain what your hormone patterns mean for your specific symptoms, and build a targeted treatment plan that may include nutritional therapy, botanical medicine, lifestyle modification, or hormone support.