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DUTCH Test — Comprehensive Hormone & Adrenal Assessment
Advanced DUTCH hormone testing to uncover patterns in sex hormones, cortisol rhythms, and metabolic function — empowering personalized, root-cause treatment plans.
Detect early and correct. Access 200+ lab tests every year to drive your personalized care plan. All for only $111/month*billed annually
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What Is DUTCH Test and Why Comprehensive Hormone Testing Matters?
DUTCH is the most advanced and comprehensive functional hormone test available today.
Unlike a simple blood draw that only measures how much hormone is floating in your bloodstream, the DUTCH test analyzes hormone metabolites. This tells us not just how much hormone you produce, but how your body is using and eliminating it. This distinction is critical. It allows us to see if you are clearing estrogen safely (cancer risk prevention), if your cortisol is crashing in the afternoon (adrenal fatigue), and if your testosterone is converting into forms that cause hair loss or acne.
How It Works: Simple, Stress-Free, and At-Home
We eliminate the stress of needles and clinical visits for this test.
Symptoms & Conditions the DUTCH Test Can Help Uncover
If you are dealing with chronic issues that standard medicine hasn’t solved, the DUTCH test can reveal the root cause.
- Chronic Fatigue & Burnout: Waking up tired or crashing midday.
- Sleep Disruption: Insomnia, frequent waking, or “tired but weird” feelings.
- Mood Changes: Anxiety, depression, irritability, or severe PMS/PMDD.
- Weight Loss Resistance: Inability to lose weight despite diet and exercise.
- Menstrual Irregularities: Heavy periods, painful cycles, or irregular ovulation (PCOS).
- Libido Issues: Low sex drive or sexual dysfunction in men and women.
- Stress Intolerance: Feeling overwhelmed easily or unable to handle daily stressors.
- Menopausal Symptoms: Hot flashes, night sweats, and brain fog.
Hormones & Pathways Evaluated in the DUTCH Test
This test provides a deep dive into your endocrine system.
Estrogen & Estrogen Metabolites
We measure Estradiol (E2), Estrone (E1), and Estriol (E3). Crucially, we see how you break them down. Are you clearing estrogen down the “safe” pathway, or the “pro-carcinogenic” pathway that increases DNA damage?
Testosterone & Androgens
We measure DHEA-S and Testosterone, plus their metabolites. This reveals if your androgens are converting to 5a-DHT (which causes hair loss and acne) or 5b-Androstanediol (which is less potent).
Cortisol & DHEA Patterns
Instead of a single cortisol check, we map your 24-hour cortisol rhythm. This shows us your stress response curve whether you have high cortisol (acute stress) or “flat-lined” cortisol (adrenal exhaustion).
Progesterone
We measure progesterone metabolites to assess your body’s production. This is vital for sleep, anxiety relief, and fertility tracking.
Neurotransmitter Metabolites
The test also includes organic acid markers for Vitamin B12 and B6, Glutathione, Dopamine, and Serotonin/Melatonin production, giving us insight into your brain health and mood.
What if your medical team actually helped you live a longer, healthier life?
Lives Improved
Client Satisfaction
Biomarkers Tested
Members improve biomarkers in 3 months
Benefits of DUTCH Testing vs Standard Hormone Panels
Why choose urine testing over blood?
- The “Movie” vs. The “Snapshot”: Blood tests give you one moment in time. DUTCH gives us the story of your entire day, including your sleep-wake cycle.
- Metabolite Insight: Blood tests cannot show metabolites. Only the DUTCH test reveals if your hormones are going down dangerous pathways or healthy ones.
- Adrenal Accuracy: Saliva or urine testing is superior for tracking the daily rhythm of cortisol (stress hormone) compared to a stressful blood draw that can artificially spike your levels.
- Non-Invasive: No needles, no fasting, and easy collection in the privacy of your home.
Why Choose Nava Health for Your Hormone Evaluation?
A test is only as good as the doctor interpreting it. The DUTCH test is complex and requires specialized training to read correctly.
- Expert Interpretation: Our providers are functional medicine experts trained to analyze hormone pathways. We translate the data into actionable health strategies.
- Integrative Solutions: We don’t just identify the problem; we fix it. We use the data to customize Bioidentical Hormone Replacement Therapy (BHRT), nutraceuticals, and lifestyle changes.
- Whole-Body Approach: We correlate your DUTCH results with your thyroid and gut health (using our 200+ point blood panel) to ensure no stone is left unturned.
What Clients Are Saying
Frequently Asked Questions
No. While it is famous for tracking female cycles, it is incredibly valuable for men. It helps men understand low testosterone, estrogen dominance (which can cause belly fat and mood issues), and adrenal health.
It depends on the type. If you are on a hormonal IUD or oral contraceptives, your natural hormone production is suppressed, so the test may not show your baseline levels. However, it is still useful for checking cortisol (adrenal) and organic acid markers. Your provider will advise you on the best time.
Because the analysis is highly detailed, results typically take 3 to 4 weeks to return from the lab. We schedule your review appointment to ensure we have the full report ready to discuss.
The DUTCH test is a specialty functional lab and is generally not covered by standard insurance. However, Nava Health offers member pricing to make this advanced technology more accessible. We can also provide a superbill for you to submit to your HSA/FSA.
Not at all. You simply saturate a small piece of filter paper with urine at 4 or 5 specific times during the day. You let them dry and put them in a bag. There are no jugs of urine to carry around, and no needles involved.