If you’re experiencing persistent fatigue, mood swings, irregular cycles, PMS, or difficulty managing weight, standard hormone tests may not be providing the full picture.

The DUTCH (Dried Urine Test for Comprehensive Hormones) test provide a comprehensive analysis of hormone production, metabolism, and detoxification. Unlike traditional blood tests, which capture only a single moment in time, DUTCH testing measures hormone metabolites over an extended period, offering a more accurate reflection of hormonal fluctuations and imbalances.

By assessing how your body processes and eliminates hormones, the DUTCH test provides critical insights into conditions such as estrogen dominance, adrenal dysfunction, and progesterone deficiency. It helps uncover whether hormones are being effectively cleared or contributing to inflammation, fatigue, mood disturbances, fertility issues and menstrual irregularities.

DUTCH Testing Shows Us:

Estrogen metabolism patterns – Are your estrogen levels high? More importantly, is your body breaking estrogen down into protective or harmful metabolites that could contribute to symptoms like heavy periods, bloating, and estrogen dominance? Impaired estrogen metabolism has been linked to conditions such as endometriosis, where excess estrogen and inefficient detoxification can drive inflammation, pain, and abnormal tissue growth. Understanding how your body processes estrogen provides crucial insights into managing symptoms and supporting hormonal balance.
Progesterone & Pregnanaediol - Blood tests often measure total progesterone levels, which do not always correlate with symptoms. The DUTCH test assesses pregnanediol, a progesterone metabolite, giving a more accurate representation of bioavailable progesterone. This is particularly useful for evaluating progesterone’s role in conditions like PMS, PMDD, irregular cycles, and fertility concerns.
Cortisol rhythm and adrenal function – Unlike a single blood draw, the DUTCH test tracks cortisol patterns (production and clearance) throughout the day, identifying whether your adrenal glands are producing too much or too little cortisol - both of which impact energy, stress resilience, weight gain, progesterone production, and overall hormonal balance.

Before & After DUTCH Testing

Sarah, 35, presented to our clinic experiencing fatigue, extreme mood swings, and irregular cycles. She’d been told time and time again that her blood tests were “normal” - but she knew something wasn’t right.

Working with her practitioner, DUTCH testing revealed what standard tests had missed:

Estrogen dominance – her body wasn’t clearing estrogen properly, leading to bloating, heavy periods, and weight gain.
Low progesterone – causing her PMS, disrupted sleep, and extreme emotional changes.
Cortisol dysregulation – showing high morning cortisol followed by a midday crash - explaining her overwhelming exhaustion.

With these insights, a personalised treatment plan was implemented, including dietary changes, stress management, and supplementation to support estrogen detoxification, increase her body's natural progesterone production, and restore healthy cortisol balance.

Within 3 months:

Her energy levels moved from 3/10 to a steady 8/10
Mood swings dramatically reduced
Her cycles became predictable for the first time in 10 years

By providing a comprehensive view of your hormones and how they function in your body, the DUTCH test allows for highly targeted and personalised treatment strategies. It is a game-changer for women struggling with unexplained symptoms. If you’ve been told everything looks “normal” but you don’t feel it, testing may be right for you.