Labs \u00b7 Hormones
DUTCH hormone test: what it does and doesn't do
The DUTCH test measures hormone metabolites in dried urine \u2014 useful for research and specific clinical questions (estrogen metabolism ratios, cortisol curves) but not for routine HRT dosing.
Key points
- Reserve for specific clinical questions
- Don't use for HRT dose titration
- Serum estradiol + symptoms guide HRT
Frequently asked questions
Should I get a DUTCH test?
Only if there's a specific question — routine menopause management doesn't need it.
Does insurance cover it?
No — cash-pay, typically $300–500.
Is it more accurate than serum?
Different — not better for HRT dosing decisions.
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Medically reviewed by Kindr Health Clinical Team · Last reviewed 2026-06-19. Compounded medications are prepared by FDA-registered 503A pharmacies and are not FDA-approved drug products.