DUTCH Hormone Test · Interpretation & Consultation
◆ Already have results? Bring them. Want to order the test? I can order it for you.
Your results deserve a
real explanation
The DUTCH test gives you 15 pages of hormone data. Without someone who knows exactly what to look for, that data stays exactly as that. I’ve been interpreting these results since 2017 — for my own clients and for practitioners who bring me their complex cases.
2017
Interpreting DUTCH tests since
Oestrogen ◆
Oestrogen Metabolism ◆
Progesterone ◆
Androgens & Metabolites ◆
Cortisol ◆
Cortisol Awakening Response ◆
DHEA ◆
Testosterone ◆
Melatonin ◆
Methylation ◆
Methylmalonate (B12) ◆
Neurotransmitter Metabolites ◆
Oxidative Stress ◆
Inflammation Markers ◆
B6 Markers ◆
The DUTCH difference
Every sample has a story.
The DUTCH test measures not just hormone levels but how your body makes, uses, and clears them — including the metabolites that blood and saliva tests miss entirely. That’s where the real picture is. And that’s what I read.
What the DUTCH measures
A complete metabolic hormone picture
A blood test tells you how much oestrogen is circulating at one moment. The DUTCH tracks how your hormones move across a full day — including the metabolites that reveal how efficiently your body is processing and clearing them.
It’s that depth which makes it clinically useful. Not just for identifying imbalances, but for understanding the mechanism behind your symptoms and building a plan that addresses them at root level.
I’ve worked through hundreds of cases across every hormone pattern and life stage — from acne and amenorrhoea to complex perimenopausal presentations and HRT monitoring. When I look at your results, I know what I’m looking for.
Oestrogen
- Oestrone (E1), Oestradiol (E2), Oestriol (E3)
- Oestrogen metabolism: 2-OHE1, 4-OHE1, 16-OHE1
- Phase 2 Methylation: of oestrogen metabolites (2-MeOE1)
Progesterone
- Progesterone metabolites: alpha and beta-pregnanediol
- Progesterone output and metabolism pattern
Androgens & Metabolites
- Testosterone, 5a-DHT, DHEA, DHEA-S
- Androgen metabolites: androsterone, etiocholanolone
- 5a vs 5b reductase conversion preference
Cortisol & Adrenal
- Diurnal Pattern of Free Cortisol & Cortisone
- Cortisol awakening response (CAR)
- Metabolised cortisol , cortisol Clearance and systemic preference
Organic acid Markers
- Melatonin , oxidative stress markers
- Neurotransmitter metabolites: dopamine, noradrenaline, neuroinflammation
- B12, B6, biotin, glutathione, Indican (gut marker)
Why it matters
Urine, saliva, and serum — what each actually tests
Urine
Free & bioavailable hormones
Measures hormones that have been taken up by tissues throughout the body and metabolised. Collection represents average levels over hours — not a single snapshot.
Blood stream
↓
Whole body tissue uptake
↓
Utilisation & metabolism
↓
Blood stream → Kidneys → Urine × 4 samples
↓
Whole body tissue uptake
↓
Utilisation & metabolism
↓
Blood stream → Kidneys → Urine × 4 samples
Saliva
Free hormones — salivary tissue only
Measures free hormones that have been taken up by salivary gland tissues specifically. Collection represents salivary levels at that single point in time.
Blood stream
↓
Salivary gland tissue uptake
↓
Salivary gland tissue uptake
Serum (Blood)
Total hormones — mostly non-bioavailable
Measures total hormones in transit to tissues — mostly bound and non-bioavailable. Collection represents blood levels at that single point in time.
Production
↓
Blood stream
↓
Blood stream
The DUTCH test uses dried urine — which is why it can show you not just how much hormone is circulating, but what your body is actually doing with it.
Why work with me
I've been doing this since 2017
I started interpreting DUTCH results before most UK practitioners had even heard of the test. Since then I’ve worked through hundreds of cases — every pattern, every life stage, every combination of HRT, contraception, thyroid medication, and metabolic complexity you can imagine.
Other practitioners bring their complex DUTCH cases to me when they’re not sure what they’re seeing. That’s the most straightforward thing I can say about the depth of clinical knowledge behind what I do.
For practitioners: if you have a complex DUTCH case you’d like a second clinical opinion on, I offer peer consultation. The client doesn’t need to see me — this can stay entirely between us.
Order your DUTCH test through me
Which DUTCH test do you need?
I can order the kit directly for you — it ships to your door. You collect at home, send back to the lab, and we go through the results together. Test prices below are the lab kit cost only, separate from interpretation fees.
DUTCH Complete
The standard test. Covers sex hormones, oestrogen metabolism, androgens, cortisol rhythm, melatonin, and methylation markers. Best for most women wanting a comprehensive hormone picture.
£264
kit cost · inc. VAT
DUTCH Plus
Everything in DUTCH Complete plus the cortisol awakening response (CAR) — a key marker for stress resilience, HPA axis function, and burnout. Recommended if adrenal or sleep patterns are a concern.
£325
kit cost · inc. VAT
DUTCH Cycle Mapping + Complete
For cycling women with irregular, absent, or symptomatic cycles. Maps oestrogen and progesterone across the full month — not just one day. Gives a much clearer picture of what’s happening throughout your cycle.
£399
kit cost · inc. VAT
DUTCH Cycle Mapping + Plus
Full cycle mapping with the addition of the cortisol awakening response and adrenal markers. The most comprehensive option — best for complex presentations where both cycle and adrenal patterns need full assessment.
£495
kit cost · inc. VAT
Not sure which test is right for you? It depends on your symptoms, cycle status, and what you’re trying to understand. I’m happy to point you in the right direction before you spend anything.
Interpretation & Consultation Fees
Once you have your results
Whether you ordered through me or elsewhere — choose the option that fits how you want to work.
Written
Written Interpretation
£95
Written report · no consultation included
A specialist written interpretation of your DUTCH results — what the markers mean, how they connect to your symptoms, and specific recommendations for diet, lifestyle, and supplements.
Best for: those who want a thorough written interpretation without a consultation.
- Written clinical summary of all significant findings
- Interpretation connected to your symptoms
- Targeted supplement, diet, and lifestyle recommendations
- Delivered within 3–5 working days
Zoom consultation
Results Review Consultation
£175
40 minutes · Zoom
We go through your results together on a focused Zoom call. I explain what I’m seeing, answer your questions in real time, and give you a clear written protocol to take away.
Best for: those who want to understand their results and ask questions in real time.
- Metabolic Assessment Form (detailed symptom questionnaire) reviewed before the consultation
- Full walkthrough of your DUTCH findings
- Clinical interpretation connected to your symptoms
- Opportunity to ask questions during the consultation
- Written protocol sent after the call
Most comprehensive
Comprehensive Hormone Consultation
£275
75 minutes · Zoom or in person, London
A full clinical session. Your DUTCH results reviewed alongside your full health history, any other blood work, your symptoms, and your goals. Nothing looked at in isolation.
Best for: complex hormonal presentations, fertility, perimenopause, HRT monitoring, PCOS, endometriosis, or multiple ongoing symptoms.
- Metabolic Assessment Form reviewed before the consultation
- 75-minute Zoom or in-person consultation
- Comprehensive health history review
- DUTCH findings reviewed alongside symptoms, lifestyle factors, and health history
- Integration of any relevant blood work or test results
- Detailed supplement, diet, and lifestyle plan
- Written protocol delivered after the session
- Guidance on any further testing worth considering
All prices inclusive of VAT. I accept DUTCH results ordered anywhere — Regenerus Labs, Nordic Labs, or through another practitioner. Payment prepaid at booking. 48 hours’ notice required for cancellations.
What you get
What every interpretation includes
Results explained in plain English
No jargon. I explain what each pattern means and why it matters for you specifically.
Connected to your actual symptoms
Your results are read in context of what you’re experiencing — so the plan addresses the right things.
Specific supplement recommendations
Product names, forms, doses, and timing — prioritised in the order that makes clinical sense for your results.
Diet and lifestyle priorities
Practical and realistic. What to focus on first — not an overwhelming list of everything that could theoretically help.
Further testing guidance if needed
If the DUTCH suggests something else needs investigating — thyroid, gut, blood markers — I’ll tell you what and why.
A written protocol to keep
Written summary after every option — not just session notes.
The process
Simple from start to finish
01
Get in touch or order your test
Already have results? Send me your DUTCH PDF — any version, ordered anywhere. Want to test first? I’ll help you choose the right kit and order it for you.
02
Complete a short health form
Already have results? Send me your DUTCH PDF — any version, ordered anywhere. Want to test first? I’ll help you choose the right kit and order it for you.
03
Interpretation
Already have results? Send me your DUTCH PDF — any version, ordered anywhere. Want to test first? I’ll help you choose the right kit and order it for you.
04
A clear plan
A written protocol with prioritised recommendations — supplements, diet, lifestyle, and any further testing worth considering.
What clients say
From women who've been through it
★ ★ ★ ★ ★
“Iwona has an expert understanding of the DUTCH test and women’s health. She navigates its complexity with ease and delivers tailored plans that work. I trust her completely and highly recommend her.”
— DUTCH Hormone Test Interpretation
★ ★ ★ ★ ★
“Iwona helped me understand my DUTCH test and made simple changes that transformed my mood, joints, cycle, and energy. Her approach truly works — I can’t thank her enough.”
— Perimenopause & Hormone Balance
★ ★ ★ ★ ★
“Iwona took a truly personalised approach — the tests, advice, and supplements she recommended were spot on. Everything was clear, actionable, and deeply rooted in her expertise.”
— Hormones, Thyroid & DUTCH Test
Questions
Things people ask before booking
Do I need to order my DUTCH test through you?
No. I work with results from Regenerus Labs, Nordic Labs, or any other provider. If your practitioner ordered the test but hasn’t given you a proper interpretation, bring it to me. That said, if you haven’t tested yet, I’m happy to order the kit for you — it ships straight to your door.
Which DUTCH version is right for me?
It depends on your symptoms and cycle status. DUTCH Complete covers most women well. DUTCH Plus adds the cortisol awakening response — useful if adrenal function, burnout, or sleep are central concerns. Cycle Mapping versions are for women still cycling who need their full monthly hormone pattern mapped rather than a single snapshot. I’ve written a full guide — read it here — or just get in touch and I’ll tell you directly.
Can I do a DUTCH test while on HRT or the contraceptive pill?
Yes — the right version of the test can be used on HRT, and I interpret HRT monitoring results regularly. If you’re on the pill, the DUTCH will reflect pill hormones rather than your own production, which changes what we’re looking at — but there are still clinically useful markers. We’d talk through this before you test.
How is a proper interpretation different from what the lab report shows?
The lab report shows reference ranges and flags out-of-range markers. What it doesn’t do is tell you why — or what to do about it. I connect your results to your symptoms, your history, and a specific plan. Two people can have the same elevated marker and need completely different approaches.
Can I bring other blood test results to the consultation?
In the full 75-minute consultation, yes — I’ll look at thyroid panels, full blood count, metabolic markers alongside the DUTCH. In the 40-minute session there’s less time for this, but flag it in your health form and I’ll include anything directly relevant.
I'm a practitioner — can I refer clients to you or get a peer consultation?
Yes to both. I can see your client directly, or provide a peer consultation for you to take back to them — whichever suits the situation. Get in touch and we’ll work out the right approach.
Ready to get started?
Whether you have results or you’re just beginning
Already have your DUTCH results and want them properly interpreted? Order your test through me and we go through everything together. Or just not sure what to do first? A free 15-minute call is the easiest place to start.