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Precision Analytical (DUTCH)

DUTCH Sex Hormones and Metabolites Only Panel

Precision Analytical (DUTCH)

Sample type: Urine

Requires fasting: No

At home test


Details

When it comes to getting baseline sex hormone measurements or monitoring levels during hormone replacement therapy, this test makes it easy for practitioners and patients. By utilizing a liquid chromatography mass-spectrometry method, this unique sex hormone metabolite profile can provide more accurate vaginal hormone and oral progesterone monitoring.


  • 4-Hydroxyestrone
  • 2-Hydroxyestrone
  • b-Pregnanediol
  • Total Estrogen
  • Estriol
  • Etiocholanolone
  • 16-Hydroxyestrone
  • 5a-Dihydrotestosterone
  • 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)

Estimated days for results: Results should arrive within 10 business days after the lab receives samples.

The DUTCH Sex Hormone Metabolites is the ultimate test for HRT monitoring and great for baseline measurements as well. It is a unique method for more accurate vaginal hormone and oral progesterone monitoring. 

This test is run on LC-MS/MS: More sensitive than GC-MS or GC-MS/MS for sex hormone metabolites! 

This kit includes: 
• Easy directions and filter paper collection strips 
• Requisition form for patient information, pertinent supplements, medications, hormone replacement and a health questionnaire 
• Sealable return envelope 

These results include: 
• Extensive Estrogen Metabolites: E1, E2, E3, 2-OH-E1, 4-OH-E1, 16-OH-E1, 2-Methoxy-E1, 2-Methoxy-E2, 2-OH-E2, 4-OH-E2
• Extensive Androgen Metabolites: Testosterone, DHEAs, DHT, and more (7) 
• Progesterone Metabolites: b-Pregnanediol, a-Pregnanediol (2) 
• Graphical representation of results and embedded video tutorials to assist in the hormone assessment to share with your medical provider

10 business days


View here

Carefully review all of Precision Analytical's instructions here

Preparation & Timing
  • DO NOT skip doses of birth control unless instructed by your healthcare provider.
  • If you are taking any of the following hormones, continue using them as directed.
    • Topical hormones
    • Oral progesterone (take at night)
  • If you are taking any of the following medications, collect your sample halfway between doses.
    • Patch hormones
    • Pellet hormones
    • Injectable hormones
  • If you are taking any of the following medications, please consult your healthcare provider for collection timing.
    • Sublingual hormones
    • Oral hydrocortisone
    • Glucocorticoids
  • Men and menopausal women can collect their samples at any time.
  • Cycling women should take the test according to the following schedule:
    • Irregular cycles: Watch THIS video to determine when to collect.
    • Regular cycles: Use the table below to determine when to collect your sample.
      • You should begin collecting your sample 6-9 days before your cycle ends.

72 hours before sample collection
  • Avoid taking the following hormones until you have finished sample collection Day 2.
    • Oral or sublingual DHEA
    • Oral or sublingual estrogen
    • Oral or sublingual pregnenolone

24 hours before sample collection
  • Avoid alcohol until you have finished sample collection Day 2.

Sample Collection Day 1
  • Limit your fluid intake.
    • Keep fluids to no more than 40 oz total (spread evenly throughout the day).
  • DO NOT drink more than 8 oz of 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).

Sample Collection Day 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). 

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

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