Children and Prepubescent Adolescents: Hormone levels in children and prepubescent adolescents are naturally fluctuating and not fully developed. Therefore, interpreting results from the DUTCH test can be challenging and may not provide meaningful insights.

Pregnant or Breastfeeding Women: Hormone levels during pregnancy and breastfeeding are significantly different from typical adult levels. The DUTCH test is not designed to assess hormone levels accurately in these populations.

Individuals on Certain Medications: Some medications can significantly alter hormone levels and metabolism. 

Patients on hormone replacement therapy (HRT), birth control pills, or other hormone-modulating medications might not get accurate assessments of their natural hormone levels using the DUTCH test.

Those with Kidney or Liver Impairments: Since the test measures hormone metabolites excreted in urine, individuals with kidney or liver disorders may have altered hormone metabolism, which could affect the accuracy of the test results.

People with Acute Illnesses: Acute illnesses or recent surgeries can temporarily disrupt hormone levels. It's advisable to wait until recovery before taking the test for more accurate results.

If Recommended Against by a Healthcare Provider: If a healthcare provider advises against the test due to specific health conditions or other diagnostic priorities, it's important to follow their guidance.

If you do the DUTCH complete it will be 5 dried urine samples

If you do the DUTCH Plus it will be four dried urine samples and five saliva samples

Ideally the DUTCH complete or sex hormone test is done on days 19, 20, 21, or 22 (or 5-7 days after ovulation is the

goal) if the first day of bleeding is considered day 1.

Men and menopausal women can collect their samples at any time.

For women with irregular cycles, you can get an ovulation testing kit and test when you're ovulating to determine when to collect your sample. Or you can contact our office about adding on a Cycle Mapping which would allow you to collect samples throughout the month. To add this on call: 816-889-9801

Avoid the following foods before sample collection.

Avocados

Bananas

Fava beans

Limit your fluid intake.

Keep fluids to no more than 40 oz total (spread evenly throughout the day).

Alcohol

Caffeine

DO NOT drink any fluids for 2 hours before collecting each sample.

If you take hormones at night, wait to take them until after you collect the bedtime sample (sample 2).

Limit your fluid intake.

DO NOT drink any fluids before collecting sample 3.

You can drink a little water immediately after sample 3. DO NOT drink more than 8 oz.

If you take hormones in the morning, wait to take your hormones after you collect the second morning sample (sample 4).  

Dutch Complete - Urine

Day 1: 

Dinnertime

Bedtime

Overnight sample (if you wake to go to the bathroom)

Day 2:

Wake/rising

2 hrs after waking

Dutch Plus - Urine + Saliva

You'll collect the same amount of urine samples as the DUTCH complete plus 5 saliva samples

Dr. Emily Kucera is a medical doctor with almost 30 years of experience in pediatric radiology. She transitioned from standard of care to functional medicine and clinical nutrition beginning in 2020, in order to find new possibilities for patients and better serve their needs. She earned her certification as a functional medical provider from the Institute of Functional Medicine (IFM) and, in addition, became certified as a clinical nutritionist from the IAACN. Throughout her journey in functional medicine, Dr. Kucera learned the importance of treating the “whole” person as opposed to treating symptoms. Dr. Emily is very well-versed in the many complex cases we work with but especially loves working with infertility & autoimmune cases!

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