What Does DUTCH Test Measure? (Hint: It’s Important!)



The DUTCH test measures your total hormones and also shows how your body is metabolizing them. This is crucial for assessing your risk of developing breast cancer or other hormone-related conditions.


A blood test that only measures total estrogen, progesterone, and testosterone is not able to assess your metabolism of these hormones.

What Does DUTCH Test Measure

The following are hormone markers that are tested in the DUTCH Hormone Test:

  • Estrogen
  • Progesterone
  • DHEA-S
  • Testosterone
  • Androstenedione Metabolites
  • DHT
  • Cortisol Metabolites
  • Organic Acids
  • Estrogen Metabolism (phase 1 and 2)

While it may seem overwhelming at first glance, this list provides valuable information about your sex hormones.

It also examines 8-OHdG, which is a sign of oxidative damage, indicators for B vitamin status, and several neurotransmitter metabolites, including dopamine, serotonin, and norepinephrine.

The test will also measure your cortisol, cortisone rhythms, and levels as well as your estrogen metabolism pathways.

Why do we need to measure all these hormones?



When there is very little hormone production in women with hormone imbalance or menopause, it’s important to get as much information as possible. Having these markers can help give a fully comprehensive view of what is going on, and it allows your practitioner to be targeted with treatment.



Estrogen Metabolism


Dutch Test determines estrogen metabolism, an essential marker to uncover how you are reacting to the natural production of estrogen in your body. This marker is also essential for formulating hormones for bioidentical hormone replacement therapy.


The DUTCH test shows whether women are using the protective 2-hydroxy (2-OH) pathway or the more harmful 4-hydroxy (4-OH) pathway to metabolize their estrogens. This can be very helpful in cases of estrogen dominance, endometriosis, fibroids, menopause, perimenopause, PMS, etc.




The DUTCH test gives a great breakdown of your androgens or “male hormones” which are important for sex drive, mental focus, energy, muscle development, and confidence. When elevated, androgens can cause PCOS, hirsutism, male pattern baldness, etc. It’s important to have the full picture of sex hormones when treating men and women.


Adrenal Function


Adrenal function, especially for women, can often be overlooked. The DUTCH gives a breakdown of your cortisol metabolism and can show whether you are in overdrive of cortisol production or in a mode where you are turning cortisol off due to “adrenal fatigue”.


Our adrenals make most of our androgens (for women) and other sex hormones in menopause. If the adrenals are not supported, it can really affect your energy, stress management, weight, blood sugar, etc. Knowing this information is crucial for overall health.


For more information or if you’re interested in DUTCH Complete Tests, schedule a free consultation or give us a call at (760) 542-8898. Find out if this is the right test for you.

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Video - Dr. Alexis Explains What DUTCH Test Measures