DUTCH Cycle Mapping Plus (female only)
Precision Analytical (DUTCH)
Sample type: Saliva, Urine
Requires fasting: No
At home test
Details
Fluctuating levels of estradiol and progesterone can play a major role in a woman’s overall health, so understanding hormonal balance is key. The DUTCH Cycle Mapping™ PLUS is designed for cycling women who struggle with ongoing symptoms such as monthly migraines, fertility issues, or PCOS. The addition of the cortisol awakening response (CAR) provides practitioners with a fuller assessment of hormone fluctuations and baseline stress response and reflects a patient’s ability to cope with anticipated challenges. While for some women, testing reproductive hormones on a single day is sufficient – this test provides a more detailed clinical picture of the reproductive hormonal pattern that cannot be adequately captured without mapping the full cycle.
- 3-Hydroxyisovaleric Acid
- 4-Hydroxyestrone
- 2-Hydroxyestrone
- Cortisone Night
- Cortisone Evening
- Cortisol Evening
- Cortisol Night
- Cortisol Morning - AM60
- Cortisol Morning - AM30
- Cortisol Waking
- b-Pregnanediol
- Cortisone Morning - AM60
- Cortisone Morning - AM30
- Cortisone Waking
- Indican
- b-Tetrahydrocortisol
- Quinolinic Acid
- Melatonin
- Estriol
- Metabolized Cortisol
- Etiocholanolone
- 8-Hydroxy-2-deoxyguanosine
- 16-Hydroxyestrone
- Vanillylmandelic Acid
- Pyroglutamic Acid
- Kynurenic Acid
- Homovanillic Acid
- 5a-Dihydrotestosterone
- Xanthurenic Acid
- b-Tetrahydrocortisone
- a-Tetrahydrocortisol
- Epi-Testosterone
- 5b-Androstanediol
- 5a-Androstanediol
- Androsterone
- a-Pregnanediol
- Testosterone
- Estradiol, Urine
- Estrone, Urine
- Progesterone, Urine
- Dehydroepiandrosterone Sulfate
- 2-methoxyestrone (2-m-e1)
- 2-hydroxyestradiol (2-oh-e2)
- 4-hydroxyestradiol (4-oh-e2)
- Creatinine (Urine)
- Methylmalonic Acid (MMA), Urine
Estimated days for results: Results should arrive within 10 business days after the lab receives samples.
Hormonal balance is key. Fluctuating levels of estradiol and progesterone play a major role in a woman’s overall health. This panel is designed for cycling women who struggle with ongoing symptoms such as monthly migraines, fertility issues, or PCOS. The addition of the cortisol awakening response (CAR), a transient, immediate rise in cortisol upon awakening (distinct from the diurnal rhythm), provides a fuller assessment of hormone fluctuations, baseline stress response, and reflects a patient’s ability to cope with anticipated challenges. CAR also shows a patient’s perception of control around chronic stress, providing insight into HPA resiliency.
DUTCH CYCLE MAPPING™ PLUS Cycle Mapping™ PLUS combines the full picture of a woman’s cycle and adds salivary measurements of the Cortisol Awakening Response (CAR) to bring another important piece of the HPA axis into focus and answer important questions for patients with month-long symptoms, infertility, and PCOS.
WHEN IS CYCLE MAPPING™ PLUS RECOMMENDED?
• Women struggling with infertility
• Women with cycling hormones and no menses
• Partial hysterectomy (ovaries intact but no uterus)
• Ablations
• Women with irregular cycles
• PCOS
• If the luteal phase shifts from month-to-month
• Not sure when to test due to long or short cycles
• Women whose hormonal symptoms tend to fluctuate throughout the cycle
• PMS, mid-cycle spotting, migraines, etc.
WHEN IS CYCLE MAPPING™ PLUS NOT NEEDED? (DUTCH COMPLETE™ IS SUFFICIENT)
• Postmenopausal women
• Women on birth control
• Women with cycles that follow the expected pattern
10 business days
This test will take a great deal of time as you will be collecting a series of samples throughout the course of one menstrual cycle. Please read the collection instructions thoroughly prior to starting; for additional assistance, please watch the Cycle Mapping Collection video on the Dutch website.
Minimum age:
9
State restrictions:
Patient can't order this test if they are located in Hawaii, Puerto Rico, New Jersey, New York, or Rhode Island
