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Mobile IV therapyAn at-home dried urine test that maps your sex hormones, how your body breaks them down, and your cortisol rhythm through the day, with results explained by a licensed clinician.
Blood tests show a hormone level at one moment. A DUTCH test adds how your body processes hormones and how cortisol changes across your day.
Estradiol, estrone and estriol, plus how your body breaks estrogen down through its different pathways.
Progesterone metabolites, testosterone, DHEA-S and androgen metabolites such as 5α- and 5β-reduced forms.
Free cortisol and cortisone across the day, plus total metabolized cortisol, to see your stress-hormone pattern.
A melatonin marker and selected organic acids related to nutrients and neurotransmitter metabolism.
A clinician confirms whether it's the right test for you, or whether blood work fits better.
Hot flashes, sleep changes, mood shifts or irregular cycles.
Low energy, feeling wired-but-tired, or questions about your cortisol pattern.
PMS, irregular cycles or symptoms linked to estrogen and progesterone balance.
Extra insight alongside blood work while on HRT or testosterone therapy.
A clinician reviews your symptoms and history and confirms whether a DUTCH test is a good fit.
Your kit arrives by mail. Collect a few urine samples on filter strips over one day, following the timed instructions.
Let the strips dry and send them back to the lab in the prepaid envelope.
A clinician walks you through your hormone and cortisol patterns and what to do next.
They answer different questions, and they often work best together.
| Feature | DUTCH test | Blood test |
|---|---|---|
| Collection | At home, dried urine strips | Blood draw at a lab |
| Hormone metabolites | ✓ Measured | ✕ Usually not measured |
| Daily cortisol pattern | ✓ Several points in one day | ✕ Usually a single point |
| Standard for diagnosis | ✕ Complements blood tests | ✓ Usually the standard |
| Best for | Patterns and metabolism | Levels, diagnosis and monitoring |
DUTCH results don't diagnose a condition on their own. Some medications, supplements and hormone therapies can affect urine results, so follow your clinician's instructions before collecting. Looking for standard blood work? See our full lab panel.
Care is overseen by independently licensed U.S. physicians.
A board-certified physician who brings a rigorous, pharmacology-driven lens to longevity medicine and weight management.
A Columbia-trained physician and former collegiate athlete focused on metabolic function, body composition, and healthspan.
A board-certified OB-GYN and ACOG Fellow with more than four decades of experience in women's health.
DUTCH stands for Dried Urine Test for Comprehensive Hormones. You collect a few urine samples on filter paper at home over one day, and the lab measures sex hormones, their metabolites and your daily cortisol pattern.
Book a free consultation. A licensed clinician reviews your symptoms and history, orders the test if it's a good fit, and your collection kit is mailed to you.
Estrogens and their metabolites, progesterone metabolites, testosterone, DHEA-S and androgen metabolites, free cortisol and cortisone across the day, total metabolized cortisol, a melatonin marker and selected organic acids.
You saturate filter paper strips with urine at a few set times over one day, let them dry, and mail them back in the prepaid envelope. The kit includes step-by-step instructions.
Once the lab receives your samples, results usually take a couple of weeks. A clinician then reviews them with you.
They answer different questions. Blood tests are usually the standard for measuring hormone levels and diagnosing conditions. A DUTCH test adds detail on hormone metabolites and your cortisol pattern through the day, so it's best used alongside blood work.
No test result diagnoses a condition on its own. Your clinician considers your symptoms, history and other labs together. A DUTCH test can add useful context to that picture.
Often, yes, but some forms of hormone therapy can affect urine results. Your clinician will tell you whether to keep taking your medication and how to time your collection.
Some medications and supplements can affect results. Don't stop anything on your own; your clinician will review what you take and give you specific instructions.
Many people with regular cycles collect in the second half of the cycle, but timing depends on your situation. Your clinician will confirm the best day for you.
Ask our care team for current pricing. Your first consultation is free and there's no insurance needed.
Lab testing availability can vary by state. Our care team will confirm whether the test can be ordered where you live.
A clinician explains your results in plain language and recommends next steps, which may include lifestyle changes, further blood tests or discussing treatment options.
Start with a free consultation. A clinician will confirm whether a DUTCH test is right for you.