The DUTCH Test: Deep Insight Into Hormones and Health

Your Hormones in Full View: Where Science and Functional Medicine Come Together

Imagine this: you’re constantly tired, your sleep is restless, you are experiencing unexplained weight gain and anxiety. Standard bloodwork comes back “normal,” yet you know something is off.

This is where the DUTCH Complete (Dried Urine Test for Comprehensive Hormones) makes the difference. Instead of a quick snapshot, it provides a full picture of your hormones throughout the day and cycle. It shows not only levels, but also how your body processes and balances them.

Why the DUTCH Test?

In Functional Medicine — where we search for root causes, not just treat symptoms — the DUTCH Complete is considered the gold standard for hormone assessment.

Unlike standard labs that measure one or two markers, the DUTCH test maps the entire hormonal network: estrogen, progesterone, testosterone, DHEA, cortisol, melatonin, detoxification pathways, and even neurotransmitter activity. This integrated view explains patterns that otherwise remain invisible.

It’s especially valuable if you struggle with:
• Anxiety, stress, or low mood
• Chronic fatigue or burnout
• PMS, PCOS, endometriosis, or menopausal symptoms
• Sleep problems or waking at night
• Weight changes, low libido, or muscle loss

What Does the DUTCH Test Measure?

• Sex hormones and metabolites — estrogen, progesterone, testosterone, DHEA. These influence fertility, cycles, menopause, libido, and PCOS.
• Cortisol and adrenal function — your daily stress rhythm, showing whether your HPA axis (stress system) is balanced or exhausted.
• Melatonin — nighttime production, essential for falling and staying asleep.
• Estrogen metabolism — how your liver breaks down estrogen. Pathways like 2-OH, 4-OH, and 16-OH show risks for estrogen dominance, PCOS, or endometriosis.
• Methylation & detox markers — including COMT activity (an enzyme important for clearing estrogen and regulating mood).
• Organic acids (optional) — nutrients like B6 and B12, plus neurotransmitters like dopamine and serotonin that shape mood and focus.

Common Pattern: Estrogen Dominance

One of the most frequent imbalances we see is estrogen dominance — either too much estrogen compared to progesterone, or poor breakdown of estrogens in the liver.

This can feel like heavy or irregular periods, PMS, breast tenderness, mood swings, weight gain or endometriosis. The DUTCH test shows not only your hormone levels, but also which detox routes your body favors — crucial for guiding nutrition, stress regulation, and detox support.

Rhythms and Stress

What makes the DUTCH test unique is its ability to show rhythms instead of snapshots. It tracks your cortisol curve (circadian rhythm) across the day and, for women, the balance between estrogen and progesterone across the cycle (infradian rhythm).

These rhythms matter for energy, sleep, fertility, and resilience. When stress is chronic, the hypothalamus-pituitary-adrenal (HPA) axis often becomes dysregulated. The DUTCH test reveals whether your curve shows healthy resilience or signs of exhaustion and burnout.

Beyond Hormones: Neurotransmitters and Genetics

For a more complete picture, the DUTCH test can also assess neurotransmitters such as dopamine, serotonin, and norepinephrine. Imbalances here may underlie anxiety, irritability, or low mood.

It also highlights enzyme activity (like COMT and MAO) that influences both hormone and neurotransmitter balance. These pathways are partly genetic, but also shaped by lifestyle, diet, and stress — meaning you have the power to influence them.

Fertility and Conception

For couples hoping to conceive, the DUTCH test is a powerful tool. By mapping the balance of estrogen, progesterone, testosterone, DHEA, melatonin, and cortisol, it reveals the hormonal foundations for egg and sperm quality, cycle health, and fertility timing.

What to Expect at DNA Care

We start with an in-depth intake to understand your health history and symptoms. If a hormonal imbalance is suspected, the DUTCH Complete may be recommended.

Once your results are in, you’ll receive:
• A clear, visual report
• A personalized explanation of your profile
• Practical guidance on nutrition, lifestyle, and supplements
• A therapeutic plan designed to restore balance and resilience

Who Is the DUTCH Test For?

The DUTCH Complete is suitable for both women and men, of all ages. It is especially valuable for those dealing with stress, burnout, cycle or menopausal symptoms, low libido, unexplained fatigue, or fertility concerns.

A Path Toward Balance

The DUTCH Complete test offers deep insight into your hormones, stress response, detoxification, and neurotransmitter activity. By connecting your unique profile to your symptoms, we can build a clear and practical plan for long-term health.
Would you like to know what your hormones are trying to tell you?

At DNA Care, we combine science with Functional Medicine to help you restore energy, vitality, and balance.

“Hormones are the language in which your body tells its deepest story. When they are in balance, energy, mood, and vitality follow naturally.”

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