DUTCH Complete Test

Introduction to the DUTCH Complete Test

The popular DUTCH Complete test by Precision Analytical has become one of the leading hormone analysis testing options on the market. DUTCH® stands for Dried Urine Test for Comprehensive Hormones, which uses an innovative and easy at-home sampling of sex and adrenal hormones to uncover imbalances. There are a few types of DUTCH testing available; the most comprehensive urine test is the DUTCH Complete.

Hormones, the messengers of the body, are small proteins or steroids that are made in one part of the body, travel through blood and interstitial fluid, and set off a response in another part of the body. The study of hormones, endocrinology, is a complicated field as many hormones interact with one another, causing multiple primary and secondary responses. The delicate balance between hormone production, transportation, utilization, metabolization and excretion can be tricky to determine based on symptoms or simple blood tests alone. The DUTCH Complete test measures over 30 hormones and markers in urine to enable a more complete hormone picture to be revealed. Hormone imbalances can lead to fatigue, weight gain, changes in menstrual cycles, hair loss, infertility, mood swings, depression, body temperature extremes and conditions such as PCOS, hypothyroidism, BPH, diabetes and more.

The DUTCH Complete test is unique, although several other companies have similar tests. Extra markers in the urine are measured, such as melatonin, vitamins, anti-oxidants, neurotransmitters and markers of inflammation. This helps to provide a more complete picture of hormonal health and can lead to individual and comprehensive treatment plans. Results may indicate benefits to be had with the use of herbs, hormones, nutrition and lifestyle changes and also can point to persons with a higher risk of hormone- related conditions or diseases. 

How the DUTCH Complete Test Works

The DUTCH Complete hormone test can be performed by both men and women. It is important to carefully choose the right day to test so that accurate hormone levels are reported. For men and women without a period, any average day can be chosen. This means a day in which sleep patterns are representative of you and your lifestyle, and the amount of stress/activity is also pretty normal for you.

Additional intense exercise is usually avoided when testing so that cortisol levels are not elevated from your baseline. Excess caffeine should be avoided (no caffeine is better!) as it can stimulate cortisol as well.

Women with a menstrual cycle will be instructed as to the best day of the cycle to test on. In general, those with a 28-day cycle will test on Day 19, 20 or 21 of their cycle, with Day 1 being the first day of flow. The testing window is adjusted depending on cycle length. Women with irregular cycles can also test and are advised to choose dates that fall in the second half of the cycle.

The DUTCH tests use several samples of urine to extract hormone levels from. The DUTCH Complete includes a cortisol curve, which requires 4 or 5 samples within the same 24 hours. The test comes with comprehensive instructions and videos to make completing the test a relatively easy task. An absorbent paper is used to extract hormones from the dried urine and is calibrated based on the dilution of urine.

Hormones can be evaluated by urine, saliva and blood. Depending on the type of hormone tested, different samples may not give the same information. For example, the best way to evaluate thyroid hormone levels is by blood, and experts believe that saliva is the best way to look at a 4-point cortisol curve. When an understanding of the used hormones, or metabolic byproducts of hormones, is desired, urine analysis prevails. From a urine test, we can learn about the amounts of the 3 types of estrogen and how the body breaks down the highest risk form. Knowledge is power! Liver metabolism of estrogen can be influenced by supplementation, and thus, higher risk forms of estrogen can be lowered.
 
Multiple samples of urine throughout the day and night enable a much more accurate analysis of actual hormones and their metabolites.

Hormones are released in differing levels throughout the day and night, if only one sample is used to look at hormones, it could be less accurate. Blood testing for some hormones has fluctuating results within the day and is consistent at a particular level for only seconds. Cortisol, for example, changes vastly. If an individual is afraid of needles or is running late to their blood draw appointment, cortisol levels will be higher than normal, which would be reflected in the results. Urine levels are pooled values, meaning the hormones gather over hours before being released and thus are more representative of the bigger picture.

What the DUTCH Complete Test Can Tell You

When testing hormones, the question is, once imbalances are detected, what can we do about them? Many cycling women suffer from estrogen dominance, the situation where more estrogen is present relative to the amount of progesterone. This can result in heavy periods, shorter cycles, stronger PMS and sometimes difficulties getting pregnant. This situation can be identified clearly on the DUTCH reports and can be remedied with options such as herbs, nutraceutical supplements, liver detox and dietary advice.

The estrogen metabolism part of the report shows the proportions of the main estrogen metabolites. Research has helped our understanding of the significance of each one and has linked genetic properties to their production. Every man and woman creates all 3 of the main estrone metabolites.

Optimal ratios are compared to the sample ratios and can be interpreted for the risk of estrogen-related disorders. Knowing these risks can lead to treatment options that minimize and change the proportions to a healthier balance. 

How amazing is that? We can work to prevent hormonal diseases.

Hormonal Overview of DUTCH Complete Test

Estrogen

Estrogen has 3 active forms, estrone (E1), estradiol (E2) and estriol (E3). Each has different functions and different risks associated.

Estriol is a safe and protective estrogen. It helps to support vaginal tissue integrity and ability to secrete fluids, while also indirectly influencing a healthy bladder. Estradiol is the most active form of estrogen. When menopause hits, the lack of this hormone can cause insomnia, hot flashes and other typical menopausal symptoms. Estrone is made in the liver and increases during menopause and postmenopause. Estrone breaks down into 3 forms of metabolites that can be measured to indicate health benefits and risk factors. Some supplements may be advised as part of hormone balancing to lower the high-risk forms of estrone.

Progesterone Testosterone and DHEA

Cortisol

Cortisol, our stress hormone, is involved in many processes in the body. It aids in glucose metabolism, blood pressure control, the ability to recover from exercise, mental clarity, weight changes and immune health. This important hormone is analyzed on many levels in the DUTCH test. Values are tested for with each sample, along with the precursor hormones and metabolites. Adrenal fatigue or overproduction of cortisol may be uncovered. Details about cortisol production and utilization are revealed, and thus individualized treatment plans with supplements, diet, nutrition, lifestyle and stress can be incorporated. 

Melatonin

Interpreting the Results of the DUTCH Complete Test

The comprehensive laboratory report that is sent to the ordering practitioner contains 15-20 pages of information. Both absolute values and diagrammatic representations of results are provided to make the complicated analysis easier to understand. The first page of the
report reveals the legend and how to read your results. It is always advised to have a hormone health practitioner review results with you for full understanding. An odometer-looking icon represents your results within the range and shows if levels are above or below expected. Cortisol levels are transferred to a graph to understand your curve shape relative to the reference range.

The first page of diagrams lays out results in a flow chart according to how the hormones are produced. Endocrinology is a fascinating and complicated web of hormone production and transformation. Did you know that testosterone can convert into estrogen? This page shows details about sex hormones and their metabolites. Estrogen, testosterone, progesterone and DHEA are detailed both with individual levels and the amounts of their breakdown byproducts.

The next analysis shows melatonin and adrenal health. Cortisol and its precursor hormone cortisone are graphically represented in a 4- point curve. This can be interpreted for adrenal fatigue, overproduction, impacts of stress, energy dips in the day, determining the best time to exercise and if difficulties producing the active form are present. Decisions about adrenal health can be made to influence lifestyle and nutrition, as well as the impact of stress on health.

The final page of analysis looks at multiple individual health markers. Vitamins B12, B6 and biotin levels are reported. The important antioxidant glutathione is measured and can thus be advised to supplement. In cases of overproduction of high-risk estrogen forms, we often see a deficiency in glutathione, as it is used to change those metabolites into a low-risk estrogen metabolite. There are also 3 markers of inflammation reported – one for the gut, one for the neurological system and another for DNA. This may result in looking deeper into the causes, like digestive dysfunction and overloads of toxins such as mold toxins, heavy metals or chronic infections. The last markers noted on this page are the neurotransmitters dopamine, epinephrine and norepinephrine. What a comprehensive test!

Working with a practitioner who has strong skills in endocrinology is key to using the DUTCH Complete results to guide a treatment plan. It is so important to review symptoms, past medical history, current medications, diet, stress levels and sleep patterns along with test results to understand the whole health picture. Even doctors seek out healthcare from other doctors, it is impossible to be objective with one’s. Putting trust into your provider is important. Your naturopathic physician should be a good listener and have years of experience treating hormones.

How to Use the DUTCH Complete Test to Improve Your Health

Developing a comprehensive treatment plan to relieve hormonal symptoms and to rebalance levels starts with comparing DUTCH test results and symptoms. For women in perimenopause or menopause, analyzing the safety of hormonal interventions is analyzed.
Nutraceutical Supplements provide relief of symptoms and promote a healthier balance with hormones, such as lowering or increasing testosterone naturally, promoting progesterone production, and either lowering or increasing cortisol levels.

Interestingly, the sex hormones are strongly affected by cortisol levels. Often, a gradual introduction of supplements and medications benefits in the long run, and the first step can be supporting adrenal health and cortisol balance. Insulin, thyroid and cortisol hormones have a strong influence on estrogen, progesterone, testosterone and DHEA. Taking the time to normalize the daily cortisol.

Lifestyle modifications such as improving sleep quantity and quality, using stress reduction techniques and changing the stressors that can be changed have major impacts on balancing cortisol. Addressing other causes for low or high cortisol may lead to treating blood sugar, inflammation or autoimmune diseases. Dietary modifications with healthy macronutrient ratios, low sugar and regular eating routines can also help with healthy hormones.

Supplements have powerful effects and should be used under the guidance and prescribing of a medical professional. Commonly used supplements when dealing with hormones include B vitamins, magnesium, vitamin D, anti-oxidants, amino acids and herbal extracts. Eventual tapering down of doses and frequency, and transitioning to more food-based nutrient consumption, should be the goal. Here at Bridge-2-Health, the doctor is an expert when it comes to lifestyle, nutrition, supplementation and the use of nutraceutical supplements.

Is the DUTCH Complete Test Right for You?

Most often, the answer is yes! Truly, every woman should complete this test at least once in their life to, at minimum, know their estrogen- related risks. Because hormones change throughout the stages of life, re-testing hormones either through a second DUTCH Complete or saliva evaluation would be ideal. Knowing your hormone levels and balance helps to have a deeper understanding of overall health, symptoms and the best diet and lifestyle patterns for you.

The DUTCH Complete test can be performed by almost all men and women. It is best to discuss with your provider if you are currently a good candidate to use information received from testing to evaluate health. Women using hormonal birth control are generally not advised to test until after cessation and at least 3 cycles have passed.
Inaccurate hormone levels, which show the influence of external hormones (oral birth control, IUD) instead of natural hormones, would be observed in the results.

Women who want to understand their hormones would have a fantastic, complete analysis of all sex and adrenal hormones. Underlying reasons for irregular cycles, acne, PMS, pain, heavy bleeding, menopausal symptoms, infertility, hormonal risk factors and simply prevention and longevity health are all valid reasons to test urine hormones. Men may look to hormone testing when hair loss, erectile dysfunction, weight gain and mood changes are present. Determining the reason behind symptoms leads to treatment options!

DUTCH Complete tests should be ordered by an expert in hormones. A doctor who takes time to learn your full health history, current symptoms and concerns and your future outlook and goals concerning health. This valuable information, along with DUTCH results, will guide treatment protocols and health plans.

Bridge-2-health uses the DUTCH  Complete™ Test to help clients  understand their hormone levels and  to create personalized treatment plans 
 
Book a Lab Test Today

The DUTCH Complete Test is a comprehensive urine test that can be used to assess hormone levels and imbalances. Practitioners, physicians use the DUTCH Test to help patients create personalized treatment plans to improve their hormone health. Treatment plans may include lifestyle modifications, supplements.
 

DUTCH Complete Test FAQs

What are the common symptoms of hormonal imbalances?

Hormonal imbalance can present in so many different symptoms. Fatigue, low energy and motivation, insomnia, anxiety, weight gain or loss, abnormal menstrual cycles or flow, hair loss, hair growth in unwanted places, acne, mood disturbances, aches and pains, heat, feeling cold and brain fog, to name a few!

How is the DUTCH Complete Test different from other hormone tests? Is the DUTCH Complete Test invasive or painful?

How long does it take to get the results of the DUTCH Complete Test?

Can I take the DUTCH Complete Test if I'm on hormonal birth control  or other medications?

How can I prepare for the DUTCH Complete Test?