DUTCH Hormone Test · Interpretation & Consultation
◆ Already have results? Bring them. Want to order a DUTCH test? Order here.
Understand the story behind your results
You may have been told that your blood tests are “normal”, but you still don’t feel like yourself. Or perhaps your hormones have been tested before, but you’re left wondering what the numbers actually mean for you.
A DUTCH result is only one part of the picture. I look at your hormones alongside your symptoms, health history, lifestyle and, where relevant, blood or gut testing to understand the patterns that may be contributing to how you feel.
2017
Interpreting DUTCH tests since
Why Dutch testing
Every sample has a story.
The DUTCH test measures more than hormone levels. It shows how your body makes, uses and clears hormones — including metabolites that blood and saliva tests often miss. That’s where the real story lives. And that’s what I help you understand.
What the DUTCH measures
A complete metabolic hormone picture
A blood test tells you how much oestrogen is circulating at one moment. The DUTCH test goes further, looking at your hormones and their metabolites to show not only your hormone levels, but how 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 patterns behind your symptoms and helping to build a more targeted plan.
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
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
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
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
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 in 2017. Since then, I’ve worked through hundreds of cases across different life stages, including complex presentations involving HRT, Mirena IUD, Fibriods, PCOS, thyroid health and metabolic factors.
Other practitioners also bring their more complex DUTCH cases to me for a second clinical opinion.
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
Start with the right test
Choose the DUTCH test that best suits your needs and order directly through my shop. If you’re unsure which test is most appropriate for you, please get in touch and I’ll help you choose.
DUTCH Complete
A comprehensive hormone assessment covering sex hormones, hormone metabolism, cortisol rhythm, melatonin, and methylation markers. Suitable for most women, including those in perimenopause, postmenopause, and women using HRT who want a complete hormone picture.
£264
Test price · inc. VAT
DUTCH Plus
Everything included in DUTCH Complete, plus the Cortisol Awakening Response (CAR) for a more detailed assessment of your cortisol and stress response. Particularly useful when fatigue, sleep problems or stress are an important part of the picture.
£326
Test price · inc. VAT
DUTCH Cycle Mapping + Complete
Designed for cycling women only. Tracks hormone patterns throughout the menstrual cycle, making it particularly useful for irregular cycles, PMS, PMDD, fertility concerns, and cycle-related symptoms that may be missed with single-day testing.
£399
Test price · inc. VAT
DUTCH Cycle Mapping + Plus
The most comprehensive option for cycling women. Combines full cycle mapping with advanced adrenal assessment, making it ideal for complex hormone symptoms, fertility investigations, PMS, PMDD, and stress-related cycle disruptions.
£498
Test price · inc. VAT
Not sure which test is right for you? I’ll help you choose the most appropriate option based on your symptoms, cycle status, and health goals.
Interpretation & Consultation Fees
Understanding the story behind your results
From a written interpretation to a full clinical consultation, every option includes expert analysis of your DUTCH results
Written Interpretation
Written report · no consultation included
An expert interpretation of your DUTCH results, explaining what your markers mean, how they relate to your symptoms, and providing personalised diet, lifestyle and supplement recommendations.
Ideal if you’d like a detailed written interpretation without booking a consultation.
- Detailed interpretation of your key findings
- Results interpreted in the context of your symptoms
- Personalised diet, lifestyle and supplement recommendations
- Clear priorities and next steps
Results Review Consultation
40 minutes · Zoom
During our Zoom consultation, I’ll share my screen and explain your DUTCH report step by step, answer your questions, and provide a personalised written protocol after the consultation.
Best for: Those who would like to discuss their results, ask questions and receive personalised recommendations.
- Metabolic Assessment Form reviewed before the consultation
- Full walkthrough of your DUTCH test results
- Clinical interpretation linked to your symptoms
- Opportunity to ask questions throughout the consultation
- Personalised written protocol provided after your consultation
- Results interpreted alongside your symptoms and Metabolic Assessment Form
Comprehensive Functional Medicine Consultation
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 and report delivered after the session
- Guidance on any further testing worth considering
All prices include VAT. Already have a DUTCH test? I can interpret results ordered through Regenerus Labs, Nordic Labs, or another practitioner. Consultations are prepaid at booking, with 48 hours’ notice required for cancellations.
What you get
What every interpretation includes
Results explained in plain English
What the key patterns mean and why they matter for you.
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
Products, forms, doses and timing, prioritised clearly.
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
Order your test or send your results
Already have DUTCH results? Send me your report. Need a test? Choose and order your DUTCH test directly through my shop. If you’re unsure which one is right for you, I can help you choose.
Complete your assessment
Before interpretation, you’ll complete a metabolic assessment so I can understand your symptoms and current health picture. Full consultation clients also complete a more detailed health questionnaire.
I review your DUTCH results alongside your symptoms, health history, medications, supplements and current priorities to understand the patterns behind your results.
Your personalised plan
You’ll receive clear, prioritised recommendations based on your results, symptoms and goals, including nutrition, supplements, lifestyle and any further testing worth considering.
From my clients
The difference is in the interpretation
Questions
Common questions about DUTCH testing
Do I need to order my DUTCH test through you?
No. I can interpret DUTCH results ordered through Regenerus Labs, Nordic Labs or another practitioner. If you haven’t tested yet, you can order your DUTCH test directly through my shop.
Which DUTCH version is right for me?
It depends on your symptoms and cycle status. DUTCH Complete covers most women well. DUTCH Plus includes everything in DUTCH Complete and adds the Cortisol Awakening Response (CAR), giving a more detailed picture of your cortisol and stress response. It can be particularly useful when fatigue, sleep problems or stress are an important part of the picture.
Cycle Mapping is for women who are still cycling and need to see how oestrogen and progesterone change throughout the menstrual cycle rather than relying on a single-day snapshot. I’ve written a full guide — read it here — or get in touch if you’re unsure which test is right for you.
Can I do a DUTCH test while on HRT or the contraceptive pill?
On HRT: Yes. I regularly interpret DUTCH tests for women using HRT. I usually recommend DUTCH Complete or DUTCH Plus, which can assess hormone metabolism, androgen metabolites and cortisol patterns. Your HRT type, dose and timing are taken into account when interpreting your results.
On the contraceptive pill: I generally don’t recommend DUTCH testing while on the Pill if you want to assess your natural hormones, as the Pill suppresses your own ovarian hormone production. Ideally, wait for around 3 natural cycles after stopping the Pill before testing. If your cycles don’t return or are very irregular, I can advise you on the best testing option.
If you are staying on the Pill, DUTCH Adrenal testing may still be useful if the main concern is stress, fatigue, sleep or cortisol patterns, without trying to assess your natural reproductive hormones.
How is a proper interpretation different from what the lab report shows?
Can I bring other blood test results to the consultation?
I'm a practitioner — can I refer clients to you or get a peer consultation?
Ready to get started?
Already have DUTCH results? I can interpret any DUTCH report, regardless of where it was ordered. Need testing first? I can help you choose the right option and arrange everything for you. If you’re not sure where to start, a free 15-minute call is the easiest first step.
