What is the Best Test For Peri-menopause?

DUTCH testing! 

DUTCH stands for Dried Urine Test for Comprehensive Hormones. It’s an easy home test which gives you a full picture of what both your reproductive and stress hormones are doing over a given period of time.

That period of time can be anything from a few days to a few weeks. It allows you to track a whole menstrual cycle if you’re still having periods or cyclical symptoms, or a shorter time if you’re not. We offer one test as standard which is suitable for pre and post menopausal women, and men. Other tests are available to help with issues such as infertility, so please tell us what you need, and we can look into those together.

 

What Does The DUTCH Hormone Test Show You?

If you’re struggling with peri-menopause symptoms like fatigue, hot flushes or migraines, DUTCH testing can give you some useful insights into why. 

Although it’s not always needed for your treatment programmes with us, this unique way of checking your hormone levels is useful in lots of ways including: 

  • Helping your healthcare team to understand why you’re unwell and work out the best treatments for you. 
  • Unravelling exactly what’s going on if you have various health conditions which could all be causing your symptoms. 
  • Tracking your hormone levels throughout your cycle so that you can choose the right treatment. 
  • Enabling you to see potential problems and take corrective action before they manifest. 

How Do I Do A DUTCH Test?

DUTCH testing is really easy! Because it’s a simple home urine test, there are no clinics to travel to and no needles to worry about. All you have to do is order your kit, follow the instructions when it arrives, and wait for the results.

Order your kit

Click below to order your kit. We mainly use DUTCH testing in peri-menopause but there’s a range of tests available for men and women. Please ask if you’d like testing for something other than peri-menopause.
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Follow the instructions

You’ll need to pee onto the strips of paper in the kit at different times of the day, week, or month depending on which kit you have. Once the strips are all dried, put them back into the box provided.
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Send your sample strips to the lab

Package all of your samples according to the instructions in your pack, and post them back to the lab. Your results should be back within 14 days.
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Receive your results

Your report is presented in a way that’s easy to understand, although you might need some extra help in interpreting the results. You can show your report to your Doctor, or book a Power Hour with me if you need to.
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Work out your treatment plan

Whoever your healthcare provider is, your DUTCH test report will give them a clear understanding of what your hormones are doing, and next steps forward.

What Does a DUTCH Test For Hormones Tell Me?

It’s not just about oestrogen and progesterone! The main DUTCH test we use will gives you a comprehensive view of 35 different sex and adrenal hormones, including oestrogen, progesterone, testosterone, DHEA and cortisol. It can show you how well you’re creating and breaking down your hormones, and how they’re changing from one into another. It also includes a simple saliva test which gives an accurate picture as to how your body is coping with stress, and the impact on your hormones.

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Is DUTCH Testing Right For Me?

In most cases we can use herbal remedies for peri-menopause very successfully without DUTCH testing. However, it can be very useful if for example, you’re having trouble with infertility, HRT, or you have other health issues which may be behind your symptoms.

There are lots of different DUTCH tests available for different scenarios, but we like to keep it simple! We offer ‘DUTCH Plus’; one comprehensive test which is suitable for women both pre and post menopause. It can also be used by men who are struggling with weight gain, fatigue, low libido or erectile dysfunction at any age.

DUTCH Plus is unique because it’s a detailed test of 35 different reproductive and adrenal hormones, along with a separate saliva test. The saliva test measures how much cortisol you have available when you wake up each morning. Since cortisol is your ‘high alert’ hormone, this shows us how well your body copes with stress, and along with the results of the hormone tests, how stress is impacting your hormone balance overall.

Abnormally low levels of cortisol first thing in the morning can be linked to adrenal exhaustion, and difficulty resetting after stress or trauma. This can manifest in a number of ways, including PTSD, chronic depression, autoimmune disorders, pain and high blood pressure.

Abnormally high levels of cortisol can indicate an exaggurated response to stress, and can manifest as weight gain, overwhelm/overworrying, and problems with ears, nose, throat or upper chest.

Both can be implicated in chronic inflammation, which is linked to just about every health issue you can think of! Combining DUTCH testing with the Cortisol Awakening Response saliva test can give useful insights into how healthy you really are, and which preventative measures would help you.

Hormones are really complicated! We all know that they can fluctuate wildly during peri-menopause, and that these fluctuations can cause a variety of symptoms. An excess of one hormone can give you the same symptoms as a deficiency in another, and sometimes it can be useful to know exactly how the levels of each hormone are causing your symptoms.

This information can be used by your Gynaecologist, Menopause Doctor or Nurse to better understand which forms of and dosages of HRT would help you. When we’re looking at herbal remedies, self care, and lifestyle for peri-menopause, it can help us to pinpoint which herbs, supplements and lifestyle changes would be most beneficial. For example, both low oestrogen and low testosterone levels can cause fatigue. With testing we can see which is more likely to be causing your fatigue, and use herbs to correct the imbalances accordingly. The same would apply if you’re about to start HRT, or you’re feel that your HRT regime may need adjusting.

DUTCH Plus tracks how each hormone is fluctuating over a given period of time. As well as your reproductive hormones, it can measure your levels of B vitamins, certain inflammatory markers, and hormones which regulate your sleep-wake cycle. 

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How Much Is The DUTCH Plus Test And How Do I Order My Kit?

The fee for the DUTCH Plus test is £319 and this includes your report. If you’re not already under another menopause specialist, or on one of my 121 programmes, you’re welcome to book a Power Hour with me to go through your results and explore treatment options. The fee for a Power Hour is £250, and I’d need a copy of your report at least a week before your session. You can also book a Power Hour if you just need some specific advice on self care, without any DUTCH testing. 

Click below to order your kit, or find out about the Menopause Power Hour.

Order Your DUTCH test kit

DUTCH Testing

Understand Your Results

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What Does The DUTCH Test Report Look Like?

Once your results have been processed, you’ll receive a comprehensive report listing each of your readings against the normal ranges. If any fall outside of the normal range it will be clearly shown.

As well as the listings, there are clear graphics showing how each hormone relates to the others, and dials to indicate whether your levels are normal, borderline or abnormal. Your DUTCH test report is in full colour so it’s easy to see any hormone imbalances.

Understanding Your DUTCH Test Report

Your Doctor will be able to help you interpret your report, or if you need to, you can book a Power Hour and I’ll go through your results with you.

Do You Need Help Interpreting Your DUTCH Test Results?

If you’re not already working with a healthcare practitioner, you can book a Power Hour with me so we can go through your results together. I’ll need you to forward me your report at least a week before your appointment so I have ample time to look at it.

If you’re already on either my 90 Day Menopause Programme, or the Herbal Hormone Reset Programme, interpretation of your DUTCH test results is included in the programme fees.

Click below to find out more about the Power Hour and the Menopause Rescue Programme.

 

 

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