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Dried Urine Test for Comprehensive Hormones (DUTCH)

The serum testing method is the most widely accepted for hormone testing, but it does have some limitations. Unfortunately, when it comes to adrenal hormones, serum testing falls short since it cannot effectively measure free cortisol levels throughout the day. Additionally, there is a notable absence of comprehensive metabolite testing, especially concerning cortisol and estrogens.

That’s why our providers have opted for the Dried Urine Test for Comprehensive Hormones (DUTCH). This test is designed to be highly effective for most forms of hormone replacement therapy. With DUTCH lab results, we gain valuable insight into the best way of monitoring oral progesterone and vaginal hormones for your specific needs.

DUTCH Sample Report


If you have any of the following, DUTCH testing may be an option for you.

  • Fatigue
  • Weight gain
  • Mood swings
  • Depression
  • Poor sexual function
  • Hot flashes
  • Trouble sleeping
  • Hormone imbalance
  • Currently on hormone replacement therapy


  • Cortisol Awakening Response (CAR) $200
  • Complete $399
  • Plus (Complete + CAR) $499
  • Cycle Mapping $450
  • Cycle Mapping + Complete $550


Call our office to purchase a kit to take home.

You collect just four or five dried urine samples over a 24-hour period. Dried samples are stable for several weeks.

Avoid avocado, bananas, and fava beans 48 hours before collection.

Do not take oral DHEA 48 hours before, or any oral estrogen or pregnenolone 72 hours before collection.

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