M
 

DUTCH Hormone Test · Interpretation & Consultation

◆ Already have results? Bring them. Want to order the test? I can order it for you.

Understand the story behind your results

The DUTCH test provides detailed information about your hormones, but understanding what the results mean for you is where the real value lies. Together we’ll connect the dots between your results, symptoms and health history to uncover the patterns driving your symptoms.

I’ve been interpreting DUTCH tests since 2017 for both my own clients and practitioners who bring me their more complex cases.

Perimenopause Menopause HRT monitoring PCOS Fertility PMS & PMDD Endometriosis Fatigue Burnout Acne Hair loss Fibroids Heavy periods Menstrual migraines Amenorrhoea Irregular cycles Insomnia Weight gain Low libido

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 ◆

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 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
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
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
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

Start with the right test

I can order the kit directly for you and have it shipped to your door. If you’re unsure which test is most appropriate, I’ll help you choose. Prices below are for the laboratory kit only and do not include interpretation.

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

kit cost · inc. VAT
order now

DUTCH Plus

Everything included in DUTCH Complete, plus the Cortisol Awakening Response (CAR) for a more detailed assessment of stress resilience, HPA axis function, and burnout. Ideal for women experiencing fatigue, burnout, sleep issues, chronic stress,  who need a deeper adrenal assessment.

£325

kit cost · inc. VAT
order test

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

kit cost · inc. VAT
order now

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.

£495

kit cost · inc. VAT
order test

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.

Book a free 15-min call | Read my guide

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

Written Interpretation

£95
Written report · no consultation included

A specialist written interpretation of your DUTCH results — what the markers mean, how they relate to your symptoms, and personalised 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
  • Clear next steps and priorities
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 and report 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 send your results

Already have DUTCH results? Send me your report. Need a test? I’ll help you choose the right DUTCH kit and arrange it for you.

02

Complete metabolic assessment

Everyone completes a metabolic assessment before interpretation. Full consultation clients also complete a more detailed health questionnaire.

03
Interpretation

I review your DUTCH results alongside your assessment, symptoms, health history, medications, supplements, and current priorities.

04
A clear plan

You’ll receive clear, prioritised recommendations tailored to your results, symptoms, and goals, including nutrition, supplements, lifestyle, and any further testing worth considering.

From my clients

The difference is in the interpretation

★ ★ ★ ★ ★
“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

Common questions about DUTCH testing

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 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.