DUTCH Testing for PCOS

Dr. Giselle Lefebvre, ND

Polycystic ovary syndrome is a complex condition; it involves genetic, developmental, dietary, emotional, hormonal and metabolic factors. A full health history, assessment of symptoms, and testing will help us achieve a proper diagnosis. Symptoms can help guide us, but are not always clear to identify what is actually happening in your body.


DUTCH ™ testing is one of the most useful testing tools for PCOS. One benefit is that we can evaluate the difference between ovarian and adrenal roots of the condition.  There are many layers to this condition and DUTCH™ gives us a map to work from.


Typical presentation can be painful or absent periods, acne, central obesity, hair growth, or hair loss.  Diagnosis is not always clear. There can be Androgen excess, ovulatory issues, and cysts on the ovaries. Only 2 out these 3 causes are required to diagnose, so having cysts in the ovaries is not a necessary indicator.


What do you get with DUTCH™?  A break down of progesterone, estrogen, testosterone and cortisol and how these hormones are metabolised in your body.  As well, it offers Cortisol curve and Cortisol Awakening Response and additional information about Nutritional Organic Acids and Neurotransmitter function. This gives us a fuller picture for more precise clinical diagnosis; understanding the hormone pathways, where they are compromised, and what is actually happening in the body. Are you making enough or too much hormones? Are you lacking in a specific nutrient? Do you need hormonal support? These questions can be answered by this easy-to-do test.


DUTCH™  stands for Dried Urine Test for Comprehensive Hormones.  You can do this test at home by collecting 4 or 5 urine samples during the 24 hr period. Your samples should be collected before dinner, at bedtime, overnight sample (if you wake up), upon waking, and then 2 hrs later.  Saturate the filter paper by urinating directly on it or use a clean cup and dip the filter paper. Let all samples dry for 24 hrs and mail in prepaid envelope.


DUTCH™  testing allows us to understand the root of the imbalance,  giving a more complete understanding of what is happening in the body. Ask your Naturopathic Physician about DUTCH Testing and if it is the right test for you.


DUTCH Test instructions – PDF https://dutchtest.com/wp-content/uploads/2017/12/DUTCH-Complete-Collection-Instructions-7.pdf

Kaur, Sat Dharam, Danylak Mary, Dean Carolyn, The Complete Natural Medicine Guide to Women’s Health

Clow A, Hucklebridge F, Stalder T, Evans P, Thorn L. (2010). The cortisol awakening response: more than a measure of HPA axis function. Neurosci Biobehav Rev.35(1):97-103.

DUTCH PlusTM: Complete with Cortisol Awakening Response (2018). Retrieved September 4, 2018, from https://dutchtest.com/