At Noble Naturopathic in Vancouver, we offer advanced DUTCH hormone testing to help patients gain clear, science-based insight into their hormone balance. Unlike standard blood tests, the DUTCH test (Dried Urine Test for Comprehensive Hormones) provides a complete picture of estrogen, progesterone, testosterone, cortisol, and their metabolites.

This incredible test allows us to uncover the root causes of fatigue, sleep problems, mood changes, weight fluctuations, and other hormone-related concerns. With this information, our naturopathic doctors can create a personalized plan to restore balance and support long-term health.

The DUTCH test is a non-invasive urine test that measures hormone levels and their metabolites over a 24-hour period. By capturing a more complete picture of hormone activity, including how the body produces, processes, and eliminates hormones, it goes beyond the snapshot offered by a single blood draw. This makes it one of the most trusted tools for evaluating hormone health in both men and women.

This test gives Noble’s Naturopathic Doctors a close look at a patient’s hormone cascade so they can better assist in hormone balancing (either through herbal and nutrient approaches or using Bioidentical Hormone Replacement Therapy – BHRT). 

What Makes the DUTCH Test Different?

• Comprehensive data – Measures sex hormones, adrenal hormones, and metabolites in one test

• Non-invasive – Simple at-home urine collection (no needles or clinic visits needed)

• More accurate – Reflects hormone activity over a full day, not just one snapshot in time

• Clinical relevance – Helps uncover patterns often missed by standard tests

What Hormones Does the DUTCH Test Measure?

• Estrogen (estrone, estradiol, estriol) and estrogen metabolites

• Progesterone metabolites for fertility and cycle balance

• Testosterone and its metabolites (DHT and others)

• Cortisol and cortisone (free and metabolized forms)

• Melatonin for sleep regulation

• Organic acids that provide insight into nutrient status and oxidative stress

What Health Concerns Can the DUTCH Test Help With?

• Low energy and chronic fatigue

• Weight gain or difficulty losing weight

• Sleep problems and insomnia

• Mood swings, anxiety, or depression

• Irregular or painful menstrual cycles

• Perimenopause and menopause transitions

• Fertility challenges

• Thyroid dysfunction (often secondary to hormone imbalance)

• Adrenal fatigue and burnout

Why Doctors Trust DUTCH Testing

• Provides both production and clearance pathways for hormones

• Shows how stress hormones are functioning throughout the day

• Helps explain “mystery symptoms” that don’t line up with blood test results

• Creates a clear roadmap for treatment with nutrition, lifestyle, or medical support

Benefits of DUTCH Hormone Testing

DUTCH testing offers a full picture of hormone health, helping both patients and practitioners understand underlying causes of symptoms. Key benefits include:

• Comprehensive hormone profile – Measures sex hormones, adrenal hormones, and metabolites

• Personalized insights – Identifies imbalances to guide targeted nutrition, lifestyle, and medical interventions

• Cycle and menopause tracking – Monitors progesterone, estrogen, and testosterone for menstrual or menopausal support

• Adrenal function analysis – Reveals cortisol patterns, stress responses, and HPA axis health

• Early detection – Identifies hormonal trends before they lead to chronic symptoms

• Supports weight management – Helps uncover hormonal barriers to weight loss

• Optimizes fertility – Provides detailed progesterone and estrogen metabolite data

What to Expect with DUTCH Hormone Testing

Initial Consultation

During your first visit, the Naturopathic Doctor will:

• Review your hormone-related symptoms and overall health

• Discuss stress, sleep, diet, exercise, and digestion

• Explain the DUTCH Test process and provide your at-home collection kit

• Answer any questions to ensure you understand the testing process

Completing Your Test

• Follow detailed instructions provided by your doctor

• For cycling women: complete the test on day 19–21 of your menstrual cycle

• For men or post-menopausal women: the test can be completed any day of the month

• Collect urine samples at the specified times and return them to the lab using the provided materials

Reviewing Your Results

• A follow-up consultation is scheduled once your results are available

• Your doctor will review each hormone level and reference range in detail

• The steroid pathway graph will be used to illustrate patterns and imbalances

• Personalized recommendations will be provided for nutrition, lifestyle, supplementation, or further testing if needed

Who Can Benefit from DUTCH Testing

• Men and women with chronic fatigue or low energy

• Individuals with unexplained weight gain or difficulty losing weight

• Those experiencing mood changes, anxiety, or depression

• Patients with irregular or painful menstrual cycles

• People in perimenopause or menopause

• Athletes or active individuals needing hormone optimization for performance

Why Choose Noble Naturopathic for DUTCH Testing in Vancouver

• Experienced naturopathic doctors who interpret complex hormone patterns

• Holistic approach – We never just test, we create actionable plans combining lifestyle, nutrition, and medical options if appropriate

• Local Vancouver expertise – All testing is coordinated conveniently within our clinics

• Patient-focused care – Clear explanations, follow-up support, and personalized recommendations

Understanding Your Results

Your DUTCH report includes:

• Levels of cortisol, cortisone, and their metabolites

• Estrogen types and their detoxification pathways

• Progesterone and metabolite analysis

• Testosterone and DHT balance

• Hormone clearance patterns to identify “lost” or over-converted hormones

• Insight into how your adrenal, ovarian, or testicular hormones interact

SAMPLE DUTCH REPORT