The DUTCH Plus Test UK is a hormone test that incorporates cycle mapping to help identify the root causes of hormone and adrenal imbalances in women.
The DUTCH Plus Test UK is a hormone test that incorporates cycle mapping to help identify the root causes of hormone and adrenal imbalances in women.
The DUTCH test is a Dried Urine test for Comprehensive Hormones. The DUTCH Plus with cycle mapping test is broken down into the 5 areas below:
DUTCH Sex Hormones
The DUTCH sex Hormone panel looks at hormone measurements including oestrogen, androgen (testosterone, DHEA, DHT) and progesterone metabolites. As well as the raw data this information is provided as a graphical representation so that any breakdown pathways can be easily understood.
DUTCH Adrenal
The DUTCH adrenal Panel looks at daily free cortisol and cortisone, in addition to looking at metabolites of cortisol and DHEA. It covers creatine measurements for the 4 testing measurements taken throughout the day.
DUTCH Organic Acid Tests (OAT)
The DUTCH Organic Acid tests give a comprehensive overview of potential hormone and metabolite imbalances or deficiencies that both effect our overall health and energy levels. This test looks at nutritioal organic acids such as Vitamin B6 and B12, biotin markers and glutathione. It includes the gut marker indican that can indicate potential dysbiosis is high.
In addition, it covers neurological inflammatory markers as some neurotransmitters such as dopamine and norepinephrine. Melatonin and oxidative stress are covered.
DUTCH Cortisol Awakening Response (CAR)
This gives information on adrenal function with cortisol awakening response so that cortisol levels can be mapped throughout the day to really pin point imbalances. It also shows the daily free cortisol and cortisone patterns.
Cycle Mapping
The DUTCH cycle mapping allows for the hormonal pattern to be “mapped” out throughout the menstrual cycle. This means that both oestrogen and progesterone measurements are taken throughout the cycle, with nine targeted measurements taken so that the follicular, ovulatory and luteal phases can be mapped. Ideally the cycle would show lower oestrogen levels at the early part of the cycle, with a surge around ovulation and then this dropping in the luteal phase of the cycle. Progesterone levels should rise significantly after ovulation and drop back down after your period. Disruptions in these key hormones can result in infertility or other conditions related to hormone imbalance.
Adding in the cycle mapping would be recommended in the following cases:
When cycle mapping would not be required:
The DUTCH Plus with Cycle Mapping Test is the most comprehensive test and covers the 5 areas above; Sex hormone and their metabolites, Adrenal hormones, Organic acid tests, Cortisol Awakening Response and Cycle Mapping. The DUTCH Plus test can help identify the root causes of hormone and adrenal imbalances in women.
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.
If you’re experiencing a hormonal imbalance, you may notice symptoms such as irregular menstruation (including heavy or painful periods), PMS, headaches, reduced libido, bloating, mood swings, fatigue, anxiety, depression, breast tenderness, and conditions like endometriosis, fibroids, acne, or weight gain all of which can be influenced by hormones. Completing the DUTCH Test with cycle mapping would be appropriate for individuals suffering from the above and an irregular period or no period so that the the different phases of cycle can be identified.
The DUTCH plus with cycle mapping has the benefit of assessing the Cortisol Awakening Response (CAR), which focuses on the hypothalamic-pituitary-adrenal (HPA) axis, for an in-depth insight into the adrenal function.
The CAR test is measured at five points throughtout the day and has the benefit of breaking down any adrenal imbalances. Typically, on waking cortisol levels should rise and we will see a sharp increase in this on the CAR. An hour after waking should be the cortisol high point of the day and gradually decline. Seeing how the body respinds to cortisol in this part of the day, acts as a mini stress test and interventions can be targeted dependent on where the dysfunction may lie.
The DUTCH Plus with Cycle Mapping Test is suitable for all women that want to have a look at their hormone levels and the impact on their menstrual cycle and well-being. It is especially suited to those suffering with infertility, PCOS, Irregular cycles, Partial hysterectomy, shifting luteal phase, long or short cycles, mid-cycle spotting, migraines, and PMS.
The DUTCH Plus test gives women information on how cortisol levels respond throughout the day and vital information that can help identify any imbalances.
At Smart Nutrition we pride ourselves in offering the best cost possible for the DUTCH Plus with Cycle Mapping Test for women.
The DUTCH Plus with Cycle mapping Test for Women measures the key female hormones oestrogen and progesterone, along with the stress hormones cortisol and DHEA-S. It also measures testosterone plus the breakdown products of the above. It covers 35 different hormones.
This test is suitable for any women wanting to investigate possible hormonal imbalances or hormone related conditions and where a single day measurement would be insufficient, such as:
In addition to the hormone conditions mentioned above, this test is really useful to anybody who is potentially suffering from a low or elevated Cortisol Awakening Response. Symptoms could include but not limited to:
DUTCH stands for Dried Urine Test for Comprehensive Hormones – it’s 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. The DUTCH Plus also incorporates five salvia samples throughout the day.
Before taking the DUTCH Plus with Cycle Mapping test female patients must have gone through puberty and have a menstrual cycle.
Please read the instructions that are included with the DUTCH test. The instructions explain the collection schedule for women with regular and irregular periods, no periods, and peri-menopausal women.
Some supplements may impact the result. If you take any of the following, please let your practitioner know: tyrosine, L-Dopa, D,L-Phenylalanine (DLPA), mucuna and quercetin.
2 weeks before
In terms of tyrosine, it needs to be stopped 2 weeks before collecting the samples for the DUTCH test.
2 days before
Stop taking vitamin B6 and the other vitamins/minerals.
48 hours prior to sample collection you will need to avoid the following foods: avocados, bananas and fava beans.
15 years and above.
Please return using the pre paid label and shipping instructions included with your test kit.
Your test results will be emailed to you.
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.
When is best to test after coming off the pill?
It’s advisable to wait three cycles before testing after you’ve come off the pill.
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.
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Please do not return samples to the laboratories that may arrive after Wednesday 27th March and up to and including Monday 2nd April.
The laboratories are closed from the 28th March – 2nd April for the Easter Holiday.
