DUTCH Complete Hormone Panel For Men – Urine
Who is the Dutch Complete Hormone Profile suitable for?
Over time, men experience a gradual loss of hormones produced in the gonads and adrenal glands. Declining testosterone and other anabolic hormones in men from the mid-30s onward may influence the age-related deteriorations in the body and function.
Testosterone and DHEA levels fall and oestrogen levels tend to rise. Male menopause, or what is also termed ‘andropause,’ can contribute to the following symptoms:
- Weight gain
- Loss of libido or lower sex drive
- Erectile dysfunction
- Hair loss
- Sleeping problems
- Increased prostate cancer risk
The rate of decline in testosterone levels varies in different individuals and is affected by chronic disease, such as obesity, illness, emotional stress, and medications; and this decline can be decelerated by management of health and lifestyle factors.
Many men feel this is part of getting older and do not realise that we can investigate the hormone imbalances and address them to help optimise health.
About the Dutch Complete Hormone Profile For Men
The Dutch Complete Hormone Profile for Men is a comprehensive assessment of sex and adrenal hormones and their metabolites.
It can help identify the root causes of hormone imbalances in men. The test includes markers providing information about adrenal (stress) hormones as well as reproductive hormones (oestrogen, progesterone and testosterone).
Balanced levels of sex hormones throughout life are crucial for optimal health. Sex hormones influence reproductive capability and sexual characteristics. They contribute to the determination of our body shape, sexual character, motivation, behaviour and fertility. They fluctuate throughout life and imbalances in these pathways can result in a variety of symptoms.
The sex hormones oestrogen, progesterone and testosterone belong to the steroid hormone group, which also includes DHEA, testosterone and cortisol. They work together to influence cellular physiology in many ways through connected pathways.
Additionally, the test can be used to gather baseline measurements for the administration and monitoring of hormone replacement therapy, such as testosterone.
What is being measured
The test measures testosterone, the stress hormones DHEA-S and Cortisol plus progesterone and oestrogen and their breakdown products – covering 35 different hormones.
- Oestrogen, progesterone and testosterone – the important sex hormones
- Daily free cortisol including 4 different samples taken over 24 hours providing information about stress patterns throughout the day
- Oxidative stress marker (8OHdG) providing information about free radicals and damage to cells
- Melatonin – the major modulator of circadian rhythms in the body associated with the sleep / wake cycle
- Organic acids including markers for vitamin B12 (methylmalonate), vitamin B6 (xanthurenate), glutathione (pyroglutamate), dopamine (homovanillate), adrenaline (vanilmandelate), and serotonin (5-hydroxy indole acetate). They provide information about metabolism / workings in the body’s pathways.
Type of specimen required for the test
DUTCH stands for Dried Urine Test for Comprehensive Hormones – it is a Urine hormone test.
The DUTCH test is simple and easy to do. Urine samples are taken using filter paper making the test suitable for use at home as there is no need for a blood draw or 24-hour total urine collection. You need to collect just four or five dried urine samples over a 24-hour period.
This test is suitable for adults only; minimum age for testing is 12 years old. Puberty needs to commenced.
Returning your sample
You will need to send your sample back to the lab via a next day postal service – If you are in the UK, Royal mail offer a suitable next day service. If you are outside of the UK then please check with your postal service for options. The cost of the test does not cover the return postage.
How long does it take to get my results
Test results take 10 working days
Test specific Q&A
What if I miss a collection?
Simply collect the sample as instructed the following day. All samples do not need to be collected in one 24-hour period.
Do I have to take the samples in the order listed?
No, they can be collected in a different order. If you wish you may start with sample #3, followed by #4, #1 & #2. If you begin with #3, collect the extra sample if you wake and urinate in the night.
How long can I keep the dried samples before sending them in?
While hormone levels are very stable in dried samples, they should be sent back as soon as possible. If you have to wait to send them in, place in freezer (in plastic bag) after drying.
Do I need to stop taking my hormones for this test?
This test is built to test patients “on” their hormones. Our suggestion is to follow the Hormone Schedule (listed previously), and any specific instructions given by your provider.
What if my sleep schedule is abnormal (night workers, etc.)?
Collect the bedtime sample (#2) before your longest stretch of sleep, the waking sample (#3) after this sleeping period, and sample #4 two hours later. The dinnertime sample (#1) should be collected 4-7 hours before bed.
What if I am unable to urinate at the specific time?
Simply drink some fluids and go as soon as you are able.
All sample reports are for representational and educational purposes only. Biomarkers, references ranges, results, and all other data may differ from actual reports. All data included in no way represents an actual patient. Any comparisons of results to actual patients, is completely incidental
This test is also available to practitioners – please do enquire if you are interested.