DUTCH Cycle Mapping

Test Details

Lab Company: Precision Analytical (DUTCH)
Sample Type: Urine
Collection Location: At Home

The DUTCH Cycle Mapping analyzes the pattern of progesterone and estrogen throughout the menstrual cycle. It is collected throughout one entire menstrual cycle.

🔑 Key Details 📦 Shipping
⏰ Preparation & Timing 📊 Results
🧪 Collection Instructions 📚 More Resources
💳 Requisition & Payment
💬 Questions?

Key Details 

  • This is a long and detailed test. Please read the instructions carefully.
  • If you are taking oral estrogen, progesterone, or pregnenolone, consult your healthcare practitioner before completing this test.
  • If you are taking any hormone therapy, consult your healthcare practitioner before completing this test. 
  • You must avoid certain foods and medications prior to completing Samples #22-25. 
  • The sample collection schedule is dependent on your cycle length. 
  • Samples should be shipped as soon as possible after completion. 
  • You MUST send the completed test requisition form and waiver (NY & RI patients only) back to the lab with your samples. Failure to send these forms with your samples may result in a recollection.

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Preparation & Timing

  • This test is not intended for women who are not cycling, on hormonal birth control, on hormone replacement therapy, or are post-menopausal. 
  • If you are taking oral estrogen, progesterone, or pregnenolone, consult your healthcare practitioner before completing this test.
  • If you are taking any hormone therapy, consult your healthcare practitioner before completing this test. 
    • It is typically required to stop hormone therapy for the duration of this test. 
    • DO NOT discontinue prescription medications prior to consulting with your healthcare practitioner. 
  • Before collecting the LAST FOUR SAMPLES, 
    • Avoid avocado, fava beans, and bananas for 48 hours. 
    • Consult your healthcare practitioner if you are taking tyrosine, L-Dopa, D,L-Phenylalanine (DLPA), Mucuna, or Quercetin. 
    • Avoid caffeine and alcohol on the day of collection. 
    • Take all non-essential medications and supplements after Sample #23. 
    • Limit fluid intake to 40 oz. 
  • The COLLECTION SCHEDULE for this test will be determined by your cycle. Day 1 is the first day of menstrual flow (not spotting). 
    • Normal or short cycle: a cycle less than 34 days 
      • The first collection will be on Day 7.
      • The last four samples will be collected on the 4th day of your new cycle.
    • Long cycle: a cycle that is 34 days or longer
      • The first collection will be on Day 7.
      • The last four samples will be collected on the 4th day of your new cycle.
    • No cycle: a cycle without bleeding (due to a partial hysterectomy, ablation, etc.)
      • You can start collections any day.
      • The last four samples will be collected on Day 33.

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Collection Instructions

Collection Schedule 

Normal or Short Cycle (less than 34 days)

  • General notes about your sample collection:
    • Collection 1 should be done on Day 7 of your cycle.
    • If you miss a collection, simply collect the following day and then continue the schedule as it is listed. 
    • If menstruation begins before Sample #21, collect one more sample (Day 2 of your period) and then skip to Samples #22-25. 
    • If you complete Sample #21 and have not started menstruating, call DUTCH at 503-687-2050 to be advised on the next steps. 
    • Urine collection instructions here.
  • Sample Collection Schedule

Long Cycle (34 or more days)

  • General notes about your sample collection:
    • Collection 1 should be done on Day 7 of your cycle.
    • If you miss a collection, simply collect the following day and then continue the schedule as it is listed. 
    • If menstruation begins before Sample #21, collect one more sample (Day 2 of your period) and then skip to Samples #22-25. 
    • If you complete Sample #21 and have not started menstruating, call DUTCH at 503-687-2050 to be advised on the next steps. 
    • Urine collection instructions here.
  • Sample Collection Schedule

No Cycle (functional ovaries but no menstrual flow)

Last Four Samples

  • General notes about your sample collection:
    • There are special preparation instructions for this day. Read these instructions here.
  • Sample Collection Schedule
    • Sample #22: Collect your sample within 10 minutes of waking.
      • Do not drink more than 8 oz of fluids between this sample and Sample #23.
      • Set a timer for 2 hours.
    • Sample #23: Collect 2 hours after waking. 
    • Sample #24: Collect around dinnertime (around 5 pm).
      • Do not drink fluids in the 2 hours prior to collecting this sample.
    • Sample #25: Collect around bedtime (around 10 pm).
      • Do not drink fluids in the 2 hours prior to collecting this sample. 

Collection Instructions

  1. Prior to collection,
    1. Complete all information, including the date of collection and the day of your cycle, on each urine collection device using a ballpoint pen.
    2. Find the collection schedule on page 6, 8, or 10 of the included collection instructions. 
    3. Fill in the dates of collection on the collection schedule. 
  2. Urine Collection (follow the appropriate collection schedule)
    1. You can collect your urine sample in one of two ways: 
      1. Saturate the filter paper by urinating directly on it. 
      2. Urinate into a clean cup and dip the filter paper for 5 seconds. 
    2. Leave the collection device open to dry for at least 24 hours. 
    3. Once the collection device is dry, close it and place it in the kit box. 
    4. Repeat for each urine collection. 
  3. Once all samples are dry, ensure they are all properly labeled. 
  4. COMPLETE THE TEST REQUISITION FORM. 
    1. Instructions on how to fill out your requisition can be found HERE. 
    2. If you live in `New York or Rhode Island, please also complete the included waiver (instructions HERE).
    3. Failure to complete and send the test requisition form may result in a sample recollection. 
  5. Place the dry collection devices in the provided plastic bag and seal. 
  6. Place the plastic bag in the test kit box. 

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Requisition & Payment

  • Your kit has been prepaid. You DO NOT need to pay anything extra.
  • Instructions on how to fill out your requisition can be found HERE.
    • Since you pre-paid for your tests, you do not need to fill in the payment information on any of these forms.
  • If you live in New York or Rhode Island, please also complete the included waiver (instructions HERE) and send it to the lab with your samples. 

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Shipping

  • To prepare your samples for shipping,
    • Place the dry collection devices in the provided plastic bag and seal.
    • Place the plastic bag in the test kit box. 
    • Cut out the completed collection schedule. 
    • Place the completed collection schedule in the test kit box.
    • Place the completed test requisition form in the test kit box. 
    • Place the completed waiver (NY & RI patients only) into the test kit box. 
    • Place the test kit box in the provided return envelope. 
  • Please ship ALL tests as soon as possible after completion. 
    • If you have to wait to ship your samples, please place the plastic bag containing the samples in the freezer after they have dried.
  • Make a note of the tracking number so that you can track your sample back to the lab.

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Results

  • Results should be released to your provider 7-10 days after completion after samples are received at the lab. We cannot guarantee processing time. 
  • Your provider will notify you when your results are in and schedule a follow-up appointment for you to review them together. 

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More Resources

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Questions?

For general questions, email Rupa Health at support@rupahealth.com. For test-specific questions, contact Precision Analytical by calling 1-503-687-2050 or chatting with support.