If you're navigating perimenopause, chronic fatigue, stubborn weight, low libido, or mood shifts — a simple blood panel often isn't enough. That's where DUTCH testing comes in.
DUTCH stands for Dried Urine Test for Comprehensive Hormones. It's a functional medicine lab that gives us a far more complete picture of your hormonal health than a standard blood draw ever could.
What it actually measures
Unlike a single-point blood test, DUTCH maps out:
- Your sex hormones — estrogen, progesterone, testosterone — and how your body metabolizes them
- Cortisol patterns across the entire day (the "free cortisol curve")
- Melatonin and sleep-related markers
- Organic acids that hint at nutrient deficiencies and oxidative stress
- Estrogen metabolites — the pathways that matter for long-term breast and hormonal health
Why it matters
Two women can have the same estrogen number on a blood test and completely different experiences. One feels great. The other has insomnia, cystic acne, and migraines. DUTCH reveals why: it's often about how you metabolize estrogen, not just how much you make.
You can't optimize what you can't see. DUTCH illuminates the full hormonal story.
Who benefits
- Women in their late 30s through 50s experiencing perimenopausal symptoms
- Anyone considering or on bioidentical hormone therapy
- Patients with chronic stress, burnout, or fatigue not explained by standard labs
- Men experiencing low T, mood shifts, or recovery issues
- Anyone pursuing longevity and metabolic optimization
The process
Simple. You collect dried urine samples at home over a single day, mail them back, and within 2 weeks we sit down together and review a detailed 15+ page report. From there, we build a targeted protocol: lifestyle, supplements, bioidentical hormones if indicated, and follow-up testing.
Curious if DUTCH is right for you?
Schedule a wellness consultation with Dr. C to review your symptoms and decide if functional hormone testing makes sense.