Description

1. DUTCH Cycle Mapping + Adrenal Panel

Description

The DUTCH Cycle Mapping + Adrenal Panel provides a comprehensive view of hormonal patterns across the menstrual cycle alongside adrenal function and stress physiology. This test combines full-cycle estrogen and progesterone tracking with detailed cortisol analysis, helping uncover how stress and adrenal health influence hormonal balance.

Unlike single-day hormone tests, this assessment captures dynamic hormonal changes across the entire cycle, offering deeper insight into both reproductive and stress-related imbalances.

What This Test Measures

Cycle Mapping (Ovarian Hormones)

• Estradiol (E2) and Estrone (E1) patterns across the cycle
• Progesterone metabolites (α & β-pregnanediol)
• Ovulatory and luteal phase hormone trends

Adrenal Function

• Free cortisol (4 time points across the day)
• Cortisone levels
• Cortisol metabolites (total cortisol production)
• DHEA-S (adrenal reserve marker)

This dual approach helps assess both hormone timing and stress response simultaneously.

What You Learn

• Whether ovulation is occurring properly
• Progesterone sufficiency in the luteal phase
• Estrogen dominance or imbalance patterns
• Daily cortisol rhythm (low, normal, or elevated patterns)
• Total cortisol production vs tissue-level cortisol activity

Cycle-based graphs reveal hormone fluctuations across the month, which are often missed in single-point testing

Who Should Consider This Test

• Irregular menstrual cycles or PMS
• Fertility concerns or luteal phase defects
• Chronic stress, fatigue, or burnout
• Hormonal migraines or mood fluctuations
• Suspected adrenal dysfunction along with hormonal imbalance

Sample Collection

• Daily dried urine samples across the menstrual cycle
• Additional same-day collections for adrenal hormone analysis

Why Choose DUTCH Over Other Tests?

Hormone testing methods differ in what they reveal:

Blood Testing (Serum)

• Measures hormones at a single point in time
• Does not reflect daily patterns or metabolism

Saliva Testing

• Measures free hormones
• Limited insight into hormone metabolism and total production

DUTCH Testing (Dried Urine)

• Measures both free and metabolized hormones
• Provides daily cortisol rhythm and total cortisol production
• Evaluates hormone metabolism pathways