Advanced Hormone Testing

Your hormones tell a story.
Sometimes standard bloodwork only gives us part of the picture. When clinically appropriate, advanced hormone testing may help us better understand patterns in hormone metabolism, adrenal function, menstrual cycle physiology, and the way your body is processing hormones over time.

What is DUTCH Testing?

DUTCH testing is an advanced at-home hormone assessment that uses urine sampling to provide a more detailed look at hormone production and metabolism. Depending on your symptoms and goals, testing may include evaluation of estrogen metabolites, progesterone, androgens, cortisol patterns, and other markers related to hormone balance.

When We May Consider DUTCH Testing

In cases of:

  • Irregular cycles

  • PMS or PMDD symptoms

  • PCOS-related concerns

  • Perimenopause or menopause

  • Fertility concerns

  • Fatigue or stress-related symptoms

  • Hormonal acne or hair changes

  • Unexplained hormone symptoms despite “normal” basic labs

Testing Options

DUTCH Complete
A comprehensive look at sex hormones, hormone metabolites, and the daily cortisol pattern.

DUTCH Cycle Mapping
Designed for cycling women when we need to understand estrogen and progesterone patterns across the menstrual cycle.

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How It Works

  1. Meet with your provider
    We review your symptoms, history, goals, medications, supplements, menstrual history, and prior labs.

  2. Determine whether advanced testing is appropriate
    DUTCH is not necessary for every patient. Testing is selected based on your individual clinical picture.

  3. Complete testing at home
    Your collection kit is completed according to the specific testing instructions.

  4. Results review + personalized plan
    We review the findings together and integrate them with your symptoms, standard laboratory testing, medical history, and overall care plan.

Advanced Testing Is One Piece of the Picture

At The Healing Mantle, we do not treat a lab result in isolation. Advanced hormone testing is used alongside your medical history, symptoms, physical findings, conventional laboratory testing, and clinical evaluation to help guide personalized care.

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Ready to understand your hormone picture more deeply?

Schedule a Healing Mantle Consultation