Your Labs May Be “Normal”… But You Still Don’t Feel Like Yourself

Tired even after a full night of sleep?
Periods suddenly irregular, heavier, lighter, or disappearing altogether?
Weight changing even though you haven’t changed much?
More anxious, irritable, foggy, or just not quite yourself?

Hormone symptoms can show up in ways that are easy to dismiss — especially when basic bloodwork doesn’t give you a clear answer.

DUTCH hormone testing takes a deeper look at how your hormones are behaving, how your body is metabolizing them, and, depending on the test you choose, how your stress hormones change throughout the day or your reproductive hormones fluctuate throughout an entire menstrual cycle.

It can be especially helpful when you’re trying to understand symptoms such as:

  • Irregular or skipped periods, PMS, painful periods, fertility concerns, perimenopause or menopause symptoms
  • Fatigue, poor sleep, waking during the night, feeling “wired but tired,” or struggling to get going in the morning
  • Weight gain, difficulty losing weight, low motivation, brain fog, anxiety, irritability, mood changes, low libido, acne, hair changes, or other symptoms that make you wonder whether your hormones are playing a role

Instead of guessing, DUTCH testing allows us to gather much more information about what may be happening behind the scenes.

Which DUTCH Test Should I Choose?

We offer four DUTCH testing options so you can choose the level of testing that makes the most sense for your symptoms and goals.

DUTCH Complete™

A deep-dive starting point for a broad look at hormones, stress and hormone metabolism.

DUTCH Complete looks at sex hormones including estrogen, progesterone and androgens, along with estrogen metabolites, DHEA-S, cortisol and cortisone patterns, cortisol metabolites, melatonin and several organic acid markers. This combines the DUTCH Sex Hormones, Adrenal and Organic Acids panels.

This may be a good fit if you’re dealing with things like:

Fatigue • weight changes • PMS • perimenopause symptoms • mood changes • low libido • sleep problems • stress • acne • hormone concerns

Why we like it

Instead of looking at a single hormone level at one moment in time, DUTCH Complete can provide a much broader picture of your hormone production and metabolism.

DUTCH Complete — $499

Includes test + 60-minute results review & recommendations

DUTCH Plus®

The most popular test we run - For the person who wants the most comprehensive look at hormones PLUS a closer look at the stress response.

DUTCH Plus combines the information included in DUTCH Complete with the Cortisol Awakening Response (CAR).

Stress hormones can play a HUGE role not just in how you are feeling, but your hormones as well. Many are made in the same location with the same ingredients in your body. We highly recommend the addition of this cortisol measuring that is included in this test. The DUTCH Plus includes in addition to sex hormones, hormone metabolites and organic acid markers, multiple salivary cortisol and cortisone measurements, including your cortisol response after waking and an optional insomnia cortisol measurement.

This may be especially useful when your biggest complaints include:

Feeling exhausted in the morning • waking during the night • feeling wired at bedtime • chronic stress • burnout-type symptoms • anxiety • energy crashes • hormone symptoms PLUS significant sleep or stress concerns

Complete vs. Plus?

Think of DUTCH Complete as the comprehensive hormone + adrenal picture.

Think of DUTCH Plus as Complete plus an even closer look at how your cortisol system responds after waking.

DUTCH Plus — $650

Includes test + 60-minute results review & recommendations

DUTCH Cycle Mapping™

For women who need to see what their hormones are doing throughout the menstrual cycle — not just on one day.

Sometimes a single hormone measurement simply doesn’t tell the whole story.

DUTCH Cycle Mapping uses nine targeted urinary estrogen and progesterone measurements throughout the menstrual cycle to characterize the follicular, ovulatory and luteal phases.

This test can be particularly helpful when the question is:

“Am I ovulating normally, and what are my estrogen and progesterone doing throughout my cycle?”

It may be a great option for women experiencing:

Irregular cycles • skipped periods • fertility concerns • suspected ovulation problems • significant PMS • cycle-related symptoms • symptoms that dramatically change throughout the month

Why Cycle Mapping is different

Instead of capturing one snapshot, we get a movie of your cycle.

That can make it much easier to see patterns that could be missed when estrogen and progesterone are tested on a single day.

DUTCH Cycle Mapping — $550

Includes test + 60-minute results review & recommendations

DUTCH Cycle Mapping + Plus™

The most comprehensive option for cycling women who want both a full-cycle hormone picture and an in-depth look at hormones, metabolites and cortisol.

Cycle Mapping + Plus combines DUTCH Cycle Mapping with DUTCH Plus.

That means you get the repeated estrogen and progesterone measurements throughout your cycle plus evaluation of additional sex hormones and metabolites, cortisol/cortisone, DHEA-S, organic acid markers, melatonin and the salivary Cortisol Awakening Response.

This may be the best choice when there are multiple pieces to the puzzle, such as:

Irregular periods + fatigue
Fertility concerns + stress
Cycle changes + poor sleep
PMS + anxiety + energy crashes
Skipped periods + other hormone symptoms

If we want to understand what is happening throughout your menstrual cycle AND what the rest of your hormone/stress picture looks like, this is the most comprehensive of the four options.

DUTCH Cycle Mapping + Plus — $700

Includes test + 60-minute results review & recommendations

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What Happens After We Order A DUTCH Test?

1. Complete your test at home.
Your DUTCH kit includes instructions for collecting your samples from the comfort and privacy of home.

2. Send your samples to the lab.
Your samples are analyzed and your comprehensive DUTCH report is created.

3. Meet with us for a full 60-minute review.
This is where we connect the dots. We'll walk through your results together, explain what your hormone patterns mean, and discuss how they may relate to the symptoms you've been experiencing.

4. Leave with a plan.
You'll receive personalized recommendations based on your results — so you're not handed a complicated hormone report and left trying to Google your way through it.

Your test. Your results. A plan built around you.

Testing + 60-minute results review + personalized recommendations are included in the prices above.