Functional Medicine
DUTCH Hormone Testing
The most complete picture of your hormone production, metabolism, and daily cortisol pattern — from a simple at-home test.
What is DUTCH Hormone Testing?
The DUTCH test (Dried Urine Test for Comprehensive Hormones) is widely considered the gold standard for hormone assessment. Unlike a single blood draw, which captures one moment in time, DUTCH uses dried urine samples collected across a full day to map both your hormone levels and how your body metabolizes them.
The panel measures sex hormones (estrogens, progesterone, testosterone, DHEA), the diurnal cortisol pattern (four samples across the day, plus the cortisol awakening response), and critical metabolites that reveal how each hormone is being processed. This metabolite data is what makes DUTCH unique — it shows not just whether a hormone is present, but how the body is handling it.
For patients with chronic pain, fatigue, fibromyalgia, mood symptoms, or unexplained recovery issues, DUTCH frequently reveals patterns — particularly in cortisol regulation and estrogen metabolism — that explain symptoms standard testing missed entirely.
Benefits
Benefits of DUTCH Hormone Testing
Maps daily cortisol pattern
Four samples across the day reveal the actual rhythm of your stress hormone — critical for fatigue, sleep, and chronic pain cases.
Measures hormone metabolites
DUTCH reveals not just hormone levels but how your body processes them — a layer of insight standard blood tests cannot provide.
Comfortable at-home collection
Dried urine samples are collected on filter paper in your own bathroom — no blood draws, no clinic visits.
Highly comprehensive
A single test covers sex hormones, cortisol, melatonin metabolite, and oxidative stress markers — multiple panels in one.
Directly informs treatment
Findings translate into specific lifestyle, nutritional, and (where appropriate) hormone interventions — with clear re-testing milestones.
Your Visit
What to Expect at FR Institute
Your provider determines DUTCH is appropriate for your case during a consultation. The test kit is shipped to your home with detailed instructions. Collection involves four dried urine samples over approximately 24 hours.
Results take 2–3 weeks. We schedule a dedicated review visit to walk through findings — patterns in cortisol, hormone levels, and metabolites — and translate them into your treatment plan.
- 1
Assessment
Hands-on testing and movement analysis to identify exactly what is driving your symptoms.
- 2
Treatment
Targeted application of DUTCH Hormone Testing, integrated with the broader plan you and your provider build together.
- 3
Recovery Plan
Clear next steps, take-home work, and re-assessment points so progress is measurable — not assumed.
Frequently Asked
Frequently Asked Questions
Schedule Your 20-Minute Complimentary Consultation
Find out if DUTCH Hormone Testing is the right approach for your goals. No pressure — just clarity on your next step.